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What the FDA labels say about taking them together

Fostemsavir and phenytoin

Fostemsavir's FDA label of February 13, 2024 names phenytoin in its contraindications section; the phenytoin labels PlainMeds reads (2) do not name fostemsavir. The fostemsavir label: “Coadministration is contraindicated due to potential for loss of therapeutic effect to RUKOBIA.”

Check it at the source: the fostemsavir FDA label on DailyMed (effective February 13, 2024, ViiV Healthcare Company); the phenytoin FDA label on DailyMed (effective October 15, 2024, Mylan Pharmaceuticals Inc.).

What does the fostemsavir label say about phenytoin?

Fostemsavir label, contraindications

Enzalutamide o Anticonvulsants: Carbamazepine, phenytoin o Antimycobacterial: Rifampin o Antineoplastic:

Fostemsavir label, drug interactions

Concomitant Drug Class/Drug Name: Anticonvulsants: Carbamazepine Phenytoin; Effect on Concentration of Temsavir and/or Concomitant Drug: ↓Temsavir; Clinical Comment: Coadministration is contraindicated due to potential for loss of therapeutic effect to RUKOBIA [see Contraindications ()].

Source: FDA drug label (Rukobia), ViiV Healthcare Company, effective February 13, 2024 (SPL set a21006b7-6d6f-4f06-81b4-17978756452b), via openFDA; the full label on DailyMed

What does the phenytoin label say about fostemsavir?

Phenytoin's label (effective October 15, 2024) and its 1 other brand-application label do not name fostemsavir 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

0Fostemsavir generic labelers
29Phenytoin generic labelers
FostemsavirPhenytoin
Labeled forHIVSeizures and epilepsy
Boxed warningNoNo
Pharmacy cost (NADAC)$156.84 per tablet 600 mg tablet$0.145 per capsule 100 mg capsule
Shortage nowNo current entryNo current entry

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

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