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What the FDA labels say about taking them together

Etravirine and phenytoin

Etravirine's FDA label of August 15, 2023 names phenytoin in its drug interactions section; the phenytoin labels PlainMeds reads (2) do not name etravirine. The etravirine label: “Carbamazepine, phenobarbital and phenytoin are inducers of CYP450 enzymes. INTELENCE should not be used in combination with carbamazepine, phenobarbital, or phenytoin as co-administration may cause significant decreases …”

Check it at the source: the etravirine FDA label on DailyMed (effective August 15, 2023, Janssen Products LP); the phenytoin FDA label on DailyMed (effective October 15, 2024, Mylan Pharmaceuticals Inc.).

What does the etravirine label say about phenytoin?

Etravirine label, drug interactions

Concomitant Drug Class/Drug Name: Anticonvulsants: carbamazepine phenobarbital phenytoin; Effect on Concentration of Etravirine or Concomitant Drug: ↓ etravirine; Clinical Comment: Carbamazepine, phenobarbital and phenytoin are inducers of CYP450 enzymes. INTELENCE should not be used in combination with carbamazepine, phenobarbital, or phenytoin as co-administration may cause significant decreases in etravirine plasma concentrations and loss of therapeutic effect of INTELENCE.

Source: FDA drug label (Intelence), Janssen Products LP, effective August 15, 2023 (SPL set 6a9cbc29-9f15-4b24-8d86-206b82887f3d), via openFDA; the full label on DailyMed

What does the phenytoin label say about etravirine?

Phenytoin's label (effective October 15, 2024) and its 1 other brand-application label do not name etravirine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Phenytek), Mylan Pharmaceuticals Inc., effective October 15, 2024 (SPL set 0f94c791-8b07-4b41-927e-c9f28bec5f60), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

5Etravirine generic labelers
29Phenytoin generic labelers
EtravirinePhenytoin
Labeled forHIVSeizures and epilepsy
Boxed warningNoNo
Pharmacy cost (NADAC)$9.94 per tablet 200 mg tablet$0.145 per capsule 100 mg capsule
Shortage nowA presentation being discontinuedNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?