Cenobamate and Clopidogrel interaction

Cenobamate and Clopidogrel: the Clopidogrel prescribing label flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Clopidogrel (Plavix) label · effective 2025-05-30

Major

CYP2C19 inhibitors: Avoid concomitant use of omeprazole or esomeprazole.

Warnings and precautionsby drug classView label on DailyMed
Minor

The metabolism of clopidogrel can also be impaired by drugs that inhibit CYP2C19, such as omeprazole or esomeprazole.

Warnings and precautionsby drug classView label on DailyMed
Minor

CYP2C19 Inhibitors Clopidogrel is metabolized to its active metabolite in part by CYP2C19.

Drug interactionsby drug classView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.