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What the FDA labels say about taking them together

Rifampin and suvorexant

Suvorexant's FDA label of March 10, 2025 names rifampin in its drug interactions section; the rifampin label PlainMeds reads does 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 rifampin FDA label on DailyMed (effective February 11, 2026, Lupin Pharmaceuticals, Inc.); the suvorexant FDA label on DailyMed (effective March 10, 2025, Merck Sharp & Dohme LLC).

What does the rifampin label say about suvorexant?

Rifampin's label (effective February 11, 2026) does 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 (rifampin), Lupin Pharmaceuticals, Inc., effective February 11, 2026 (SPL set b56004f0-f23d-47f6-80c7-39884fccbccc), via openFDA; the full label on DailyMed

What does the suvorexant label say about rifampin?

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

13Rifampin generic labelers
0Suvorexant generic labelers
RifampinSuvorexant
Labeled forn/aInsomnia
Boxed warningNoNo
Pharmacy cost (NADAC)$0.679 per capsule 300 mg capsule$15.21 per tablet 10 mg tablet
Shortage nowIn shortageNo 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?