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What the FDA labels say about taking them together

Carbamazepine and suvorexant

Suvorexant's FDA label of March 10, 2025 names carbamazepine in its drug interactions section; the carbamazepine labels PlainMeds reads (3) do not name suvorexant. The suvorexant label: “CYP3A Inducers Suvorexant exposure can be substantially decreased when co-administered with strong CYP3A inducers.”

Check it at the source: the carbamazepine FDA label on DailyMed (effective August 20, 2026, Novartis Pharmaceuticals Corporation); the suvorexant FDA label on DailyMed (effective March 10, 2025, Merck Sharp & Dohme LLC).

What does the carbamazepine label say about suvorexant?

Carbamazepine's label (effective August 20, 2026) and its 2 other brand-application labels do not name suvorexant 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 suvorexant label say about carbamazepine?

Suvorexant label, drug interactions

CYP3A Inducers Suvorexant exposure can be substantially decreased when co-administered with strong CYP3A inducers (e.g., rifampin, carbamazepine and phenytoin).

Source: FDA drug label (BELSOMRA), Merck Sharp & Dohme LLC, effective March 10, 2025 (SPL set e5b72731-1acb-45b7-9c13-290ad12d3951), 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
0Suvorexant generic labelers
CarbamazepineSuvorexant
Labeled forBipolar disorder, Seizures and epilepsyInsomnia
Boxed warningYesNo
Pharmacy cost (NADAC)$0.119 per tablet 200 mg tablet$15.21 per tablet 10 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)

What next?