Rifapentine and Tolvaptan interaction

Rifapentine and Tolvaptan: the Tolvaptan prescribing label flags 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 Tolvaptan (SAMSCA) label · effective 2026-05-07

Major

Avoid concomitant use of SAMSCA with strong CYP3A inducers.

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Moderate

Strong CYP3A Inducers Co-administration of SAMSCA with strong CYP3A inducers reduces exposure to SAMSCA [see Clinical Pharmacology (12.3) ] .

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Minor

Strong CYP3A inducers ( 7.1 )

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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.