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What the FDA labels say about taking them together

Carbamazepine and roflumilast

Roflumilast's FDA label of March 12, 2020 names carbamazepine in its drug interactions section; the carbamazepine labels PlainMeds reads (3) do not name roflumilast. The roflumilast label: “Therefore the use of strong cytochrome P450 inducers with DALIRESP is not recommended.”

Check it at the source: the carbamazepine FDA label on DailyMed (effective August 20, 2026, Novartis Pharmaceuticals Corporation); the roflumilast FDA label on DailyMed (effective March 12, 2020, AstraZeneca Pharmaceuticals LP).

What does the carbamazepine label say about roflumilast?

Carbamazepine's label (effective August 20, 2026) and its 2 other brand-application labels do not name roflumilast in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Tegretol), Novartis Pharmaceuticals Corporation, effective August 20, 2026 (SPL set 8d409411-aa9f-4f3a-a52c-fbcb0c3ec053), via openFDA; the full label on DailyMed

What does the roflumilast label say about carbamazepine?

Roflumilast label, drug interactions

Therefore the use of strong cytochrome P450 inducers (e.g., rifampicin, phenobarbital, carbamazepine, and phenytoin) with DALIRESP is not recommended [see Warnings and Precautions (5.4) and Clinical Pharmacology (12.3) ].

Roflumilast label, warnings and precautions

Drug Interactions: Use with strong cytochrome P450 enzyme inducers (e.g., rifampicin, phenobarbital, carbamazepine, phenytoin) is not recommended.

Source: FDA drug label (Daliresp), AstraZeneca Pharmaceuticals LP, effective March 12, 2020 (SPL set c9a1d0a8-581f-4f91-a2b8-f419192d0ebf), 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

42Carbamazepine generic labelers
15Roflumilast generic labelers
CarbamazepineRoflumilast
Labeled forBipolar disorder, Seizures and epilepsyCOPD, Psoriasis, Eczema (atopic dermatitis)
Boxed warningYesNo
Pharmacy cost (NADAC)$0.119 per tablet 200 mg tablet$0.311 per tablet 500 mcg 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)

What next?