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What the FDA labels say about taking them together

Phenobarbital and tinidazole

Tinidazole's FDA label of December 27, 2021 names phenobarbital in its drug interactions section; the phenobarbital labels PlainMeds reads (2) do not name tinidazole. The tinidazole label: “… drugs that induce liver microsomal enzymes, i.e., CYP3A4 inducers such as phenobarbital, rifampin, phenytoin, and fosphenytoin (a pro-drug of phenytoin), may accelerate the elimination of tinidazole, decreasing the …”

Check it at the source: the phenobarbital FDA label on DailyMed (effective August 27, 2026); the tinidazole FDA label on DailyMed (effective December 27, 2021, Mission Pharmacal Company).

What does the phenobarbital label say about tinidazole?

Phenobarbital's label (effective August 27, 2026) and its 1 other brand-application label do not name tinidazole 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 tinidazole label say about phenobarbital?

Tinidazole label, drug interactions

Effects of Other Drugs on Tinidazole CYP3A4 Inducers and Inhibitors: Simultaneous administration of tinidazole with drugs that induce liver microsomal enzymes, i.e., CYP3A4 inducers such as phenobarbital, rifampin, phenytoin, and fosphenytoin (a pro-drug of phenytoin), may accelerate the elimination of tinidazole, decreasing the plasma level of tinidazole.

Source: FDA drug label (Tindamax), Mission Pharmacal Company, effective December 27, 2021 (SPL set a0d01539-8413-4703-94cc-d221918630a1), 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
5Tinidazole generic labelers
PhenobarbitalTinidazole
Labeled forSeizures and epilepsyn/a
Boxed warningNoYes
Pharmacy cost (NADAC)$0.213 per tablet 100 mg tablet$2.35 per tablet 500 mg tablet
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)

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