Skip to main content

What the FDA labels say about taking them together

Pentobarbital and warfarin

Pentobarbital's FDA label of March 8, 2024 names warfarin in its drug interactions section; the warfarin label PlainMeds reads does not name pentobarbital. The pentobarbital label: “Barbiturates can induce hepatic microsomal enzymes resulting in increased metabolism and decreased anticoagulant response of oral anticoagulants.”

Check it at the source: the pentobarbital FDA label on DailyMed (effective March 8, 2024, Hikma Pharmaceuticals USA Inc.); the warfarin FDA label on DailyMed (effective May 29, 2026, Amneal Pharmaceuticals LLC).

What does the pentobarbital label say about warfarin?

Pentobarbital label, drug interactions

Barbiturates can induce hepatic microsomal enzymes resulting in increased metabolism and decreased anticoagulant response of oral anticoagulants (e.g., warfarin, acenocoumarol, dicumarol, and phenprocoumon).

Source: FDA drug label (Pentobarbital Sodium), Hikma Pharmaceuticals USA Inc., effective March 8, 2024 (SPL set d375b92a-baa1-4d63-9ad1-1467dcfde7d5), via openFDA; the full label on DailyMed

What does the warfarin label say about pentobarbital?

Warfarin's label (effective May 29, 2026) does not name pentobarbital in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Warfarin Sodium), Amneal Pharmaceuticals LLC, effective May 29, 2026 (SPL set 558b7a0d-5490-4c1b-802e-3ab3f1efe760), 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

2Pentobarbital generic labelers
19Warfarin generic labelers
PentobarbitalWarfarin
Labeled forInsomniaBlood clots (DVT and PE), Atrial fibrillation
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$0.093 per tablet 2 mg tablet
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)

What next?