Daridorexant and Phenobarbital interaction

Daridorexant and Phenobarbital: both prescribing labels 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 Daridorexant (QUVIVIQ) label · effective 2026-02-26

Major

Moderate or Strong CYP3A4 inducers: Avoid concomitant use.

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Major

Prevention or Management: Concomitant use of QUVIVIQ with a strong or moderate inducer of CYP3A4 is not recommended [see Dosage and Administration (2.2) ] .

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Moderate

CNS-Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment.

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Moderate

Risk increases when used with other central nervous system (CNS) depressants.

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Moderate

Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment.

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From the Phenobarbital (SEZABY) label · effective 2025-12-23

Major

CNS depressants: Closely monitor for sedation and respiratory depression.

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Major

CNS Depressants Closely monitor for signs of sedation and respiratory depression with concomitant use of SEZABY with other CNS depressants, including opioids [see Warnings and Precautions (5.1)] .

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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.