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What the FDA labels say about taking them together

Phenobarbital and stiripentol

Stiripentol's FDA label of April 27, 2026 names phenobarbital in its drug interactions section; the phenobarbital labels PlainMeds reads (2) do not name stiripentol. The stiripentol label: “… a potent CYP1A2, CYP3A4, or CYP2C19 inducer, such as rifampin, phenytoin, phenobarbital and carbamazepine, as these enzymes all metabolize stiripentol.”

Check it at the source: the phenobarbital FDA label on DailyMed (effective August 27, 2026); the stiripentol FDA label on DailyMed (effective April 27, 2026, BIOCODEX, INC.).

What does the phenobarbital label say about stiripentol?

Phenobarbital's label (effective August 27, 2026) and its 1 other brand-application label do not name stiripentol in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Phenobarbital), Chartwell RX, LLC, effective August 27, 2026 (SPL set 74428144-fb24-40a5-a670-3b876e2d116c), via openFDA; the full label on DailyMed

What does the stiripentol label say about phenobarbital?

Stiripentol label, drug interactions

Drugs on DIACOMIT Induction-based interactions leading to decreases in DIACOMIT concentrations are possible when co-administered with a potent CYP1A2, CYP3A4, or CYP2C19 inducer, such as rifampin, phenytoin, phenobarbital and carbamazepine, as these enzymes all metabolize stiripentol.

Source: FDA drug label (Diacomit), BIOCODEX, INC., effective April 27, 2026 (SPL set 58304ba8-9779-4658-811e-94ffe08c3f16), 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

0Phenobarbital generic labelers
0Stiripentol generic labelers
PhenobarbitalStiripentol
Labeled forSeizures and epilepsyn/a
Boxed warningNoNo
Pharmacy cost (NADAC)$0.213 per tablet 100 mg tabletn/a
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?