Pregabalin and Phenytoin Interaction

Drug interaction information between Pregabalin and Phenytoin.

Pregabalin and Phenytoin have a documented minor interaction in FDA labeling.

FDA drug labeling documents a minor-severity interaction between Pregabalin and Phenytoin. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Pregabalin

Anticonvulsant / Nerve Pain Agent

Drug B

Phenytoin

Anticonvulsant (Hydantoin)

How They Interact

These drugs do not interfere with each other's levels in the blood. They can be used together without one drug changing how the other works in the body.

FDA Label Information

Specifically, there are no pharmacokinetic interactions between pregabalin and the following antiepileptic drugs: carbamazepine, valproic acid, lamotrigine, phenytoin, phenobarbital, and topiramate.

Frequently Asked Questions

What SPL severity band is on file for Pregabalin + Phenytoin?

Compiled FDA labeling labels this pair minor. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Phenytoin has 147 labeled pairs on file vs Pregabalin's 14. In the minor band specifically: Pregabalin has 13 (also Lamotrigine, Topiramate, Lorazepam, Carbamazepine); Phenytoin has 120 (also Atorvastatin, Omeprazole, Simvastatin, Methylphenidate).

What mechanism field is on file for Pregabalin and Phenytoin?

These drugs do not interfere with each other's levels in the blood. They can be used together without one drug changing how the other works in the body.

Phenytoin carries more major-labeled pairs than Pregabalin

SPL source-record counts only. This page's band is minor · classes on file: Pregabalin (Anticonvulsant / Nerve Pain Agent); Phenytoin (Anticonvulsant (Hydantoin)).

Phenytoin has 4 major-labeled pairs vs Pregabalin's 0. This page itself is in the minor band, not the major band.

Pregabalin

0 major · 1 moderate · 13 minor · 14 total

Phenytoin

4 major · 23 moderate · 120 minor · 147 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.