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What the FDA labels say about taking them together

Phenytoin and rilpivirine

Rilpivirine's FDA label of August 28, 2025 names phenytoin in its contraindications section; the phenytoin labels PlainMeds reads (2) do not name rilpivirine. The rilpivirine label: “Coadministration is contraindicated with EDURANT or EDURANT PED.”

Check it at the source: the phenytoin FDA label on DailyMed (effective October 15, 2024, Mylan Pharmaceuticals Inc.); the rilpivirine FDA label on DailyMed (effective August 28, 2025, Janssen Products, LP).

What does the phenytoin label say about rilpivirine?

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

What does the rilpivirine label say about phenytoin?

Rilpivirine label, contraindications

Drug Class: Anticonvulsants; Contraindicated Drugs in Class: Carbamazepine Oxcarbazepine Phenobarbital Phenytoin; Clinical Comment: Potential for significant decreases in rilpivirine plasma concentrations due to CYP3A enzyme induction, which may result in loss of virologic response.

Rilpivirine label, drug interactions

Concomitant Drug Class/Drug Name: Anticonvulsants: carbamazepine oxcarbazepine phenobarbital phenytoin; Effect on Concentration of Rilpivirine or Concomitant Drug: ↓ rilpivirine; Clinical Comment: Coadministration is contraindicated with EDURANT or EDURANT PED [see ].

Source: FDA drug label (EDURANT), Janssen Products, LP, effective August 28, 2025 (SPL set 03880372-2c68-45c6-a53a-f420c49541d6), 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

29Phenytoin generic labelers
2Rilpivirine generic labelers
PhenytoinRilpivirine
Labeled forSeizures and epilepsyHIV
Boxed warningNoNo
Pharmacy cost (NADAC)$0.145 per capsule 100 mg capsule$48.04 per tablet 25 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?