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What the FDA labels say about taking them together

Phenytoin and trimethoprim

Trimethoprim's FDA label of January 26, 2024 names phenytoin in its drug interactions section; the phenytoin labels PlainMeds reads (2) do not name trimethoprim.

Check it at the source: the phenytoin FDA label on DailyMed (effective October 15, 2024, Mylan Pharmaceuticals Inc.); the trimethoprim FDA label on DailyMed (effective January 26, 2024, Dr. Reddy's Labratories Inc.).

What does the phenytoin label say about trimethoprim?

Phenytoin's label (effective October 15, 2024) and its 1 other brand-application label do not name trimethoprim 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 trimethoprim label say about phenytoin?

Trimethoprim label, drug interactions

Drug Interactions Trimethoprim may inhibit the hepatic metabolism of phenytoin.

Source: FDA drug label (Trimethoprim), NDA018679 (Dr Reddys Labs Sa), as published by Dr. Reddy's Labratories Inc., effective January 26, 2024 (SPL set 73ccebc1-7412-2424-d62c-a5180ec52d81), 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
4Trimethoprim generic labelers
PhenytoinTrimethoprim
Labeled forSeizures and epilepsyBacterial infections, Urinary tract infections
Boxed warningNoNo
Pharmacy cost (NADAC)$0.145 per capsule 100 mg capsule$1.31 per tablet 100 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?