Hydroxychloroquine and Phenobarbital interaction

Hydroxychloroquine 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 Phenobarbital (SEZABY) label · effective 2025-12-23

Major

Drugs that Prolong the QT Interval : Avoid concomitant use.

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Moderate

QT Prolongation SEZABY may prolong the QT interval [see Clinical Pharmacology (12.2)] .

Warnings and precautionsby drug classView label on DailyMed
Moderate

Drugs that Prolong QT Interval SEZABY may prolong the QT interval [see Warnings and Precautions (5.10) and Clinical Pharmacology (12.2)] .

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Moderate

Other products that may also prolong the QTc interval may have additive effects, and products that may increase concentrations of phenobarbital [see Drug Interactions (7.1)] may increase the QT prolongation risk; therefore, avoid concomitant use of SEZABY and these products.

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From the Hydroxychloroquine (Plaquenil) label · effective 2026-04-09

Minor

Antiepileptics The activity of antiepileptic drugs might be impaired if co-administered with PLAQUENIL.

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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.