Phenobarbital and Verapamil interaction

Phenobarbital and Verapamil: the Verapamil prescribing label describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Verapamil (Verapamil Hydrochloride) label · effective 2025-03-25

Moderate

Phenobarbital Phenobarbital therapy may increase verapamil clearance.

Drug interactionsnames PhenobarbitalView label on DailyMed
Moderate

CYP3A4 inducers decrease verapamil levels ( 7.1 )

Drug interactionsby drug classView label on DailyMed
Minor

Inducers of CYP3A4 (e.g., rifampin) have caused a lowering of plasma levels of verapamil.

Drug interactionsby drug classView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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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.