buprenorphine vs phenelzine

According to this portal's Publishing Organization, this page was last reviewed in August 2026 against our methodology. Figures and extracts on this site, including tables above 1,000 rows when the corpus is that large, are the publisher's responsibility.

Side-by-side comparison of buprenorphine and phenelzine. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

minor Known Drug Interaction

Examples: phenelzine, tranylcypromine, linezolid Muscle Relaxants Clinical Impact: Buprenorphine may enhance the neuromuscular blocking action of skeletal muscle relaxants and produce an increased degree of respiratory depression.

Drug Class
buprenorphine Partial Opioid Agonist
phenelzine Monoamine Oxidase Inhibitor (MAOI)
Type
buprenorphine Prescription
phenelzine Prescription
Summary
buprenorphine

Buprenorphine sublingual tablets help treat opioid dependence. It should be part of a full treatment plan with counseling and support.

phenelzine

Phenelzine (Nardil) is a medicine used to treat depression. It belongs to a class of drugs called MAO inhibitors.

What It Treats
buprenorphine

This medicine treats opioid dependence. Opioid dependence means you feel like you need to take opioids. This medicine can help you manage withdrawal symptoms and reduce cravings.

phenelzine

This medicine treats depression, especially when it involves anxiety, phobias, or hypochondria. It is often used when other antidepressants haven't worked. It may not be as effective for severe depression with 'endogenous' features.

How It Works
buprenorphine

Buprenorphine is a partial opioid agonist. This means it binds to the same receptors in the brain as opioids, but it does not activate them as strongly. This helps to reduce cravings and withdrawal symptoms without causing the same high as other opioids.

phenelzine

Phenelzine works by blocking an enzyme called monoamine oxidase (MAO) in your body. MAO breaks down certain chemicals in the brain, like serotonin and norepinephrine. By blocking MAO, phenelzine helps increase the levels of these chemicals, which can improve mood.

Common Side Effects
buprenorphine
  • Headache
  • Nausea
  • Vomiting
  • Sweating
  • Constipation
phenelzine
  • Dizziness
  • Headache
  • Drowsiness
  • Trouble sleeping
  • Tiredness
FAERS Reports
buprenorphine
  • Death 13,278
  • Drug Dependence 12,452
  • Overdose 10,911
  • Toxicity To Various Agents 10,722
  • Pain 8,157
phenelzine
  • Depression 187
  • Headache 136
  • Anxiety 129
  • Weight Increased 120
  • Insomnia 104
Serious Warnings
buprenorphine

Buprenorphine can be abused, like other opioids. Taking buprenorphine with benzodiazepines or other depressants can cause serious breathing problems, coma, or death. Keep this medicine out of the reach of children, as it can cause severe breathing problems and death. Using opioids for a long time during pregnancy can cause withdrawal symptoms in the newborn.

phenelzine

Antidepressants may increase the risk of suicidal thoughts and behavior in children, teens, and young adults. Your doctor will monitor you closely for worsening depression, suicidal thoughts, or unusual changes in behavior. Families and caregivers should also watch for these changes and report them to the doctor. This medicine is not approved for use in children.

Pregnancy
buprenorphine

If you are pregnant or plan to become pregnant, talk to your doctor. Using this medicine during pregnancy can cause withdrawal symptoms in your baby after birth. Buprenorphine can pass into breast milk.

phenelzine

It is not known if phenelzine can harm an unborn baby. Talk to your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

Also Compare, Nearby Drugs

Compare buprenorphine with

Compare phenelzine with

How to Read This buprenorphine vs phenelzine Comparison

buprenorphine is classified in the Partial Opioid Agonist drug class, while phenelzine sits within the Monoamine Oxidase Inhibitor (MAOI) class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, buprenorphine has 55,520 submissions while phenelzine has 676. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known minor interaction flagged in FDA labeling, attributed to combining these drugs can cause a dangerous reaction that slows your breathing and affects your brain. it can also cause your blood pressure to change suddenly.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for buprenorphine or phenelzine.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.