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metoclopramide vs tranylcypromine

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

moderate Known Drug Interaction

Product Clinical Comment on Concomitant Use [See Contraindications (4.1)] ; Predominant Effect/Risk [Hypertensive Reaction (HR) [See Warnings and Precautions (5.3)] ; or Serotonin Syndrome (SS) [See Warnings and Precautions (5.7)] ] Altretamine Use with caution If not otherwise specified in this table, consider avoiding concomitant use (see also information on medication-free intervals , use agent at the lowest appropriate dose, monitor for effects of the interaction, advise the patient to report potential effects, and be prepared to discontinue the agent and treat effects of the...

Recommendation: Use this combination with caution or avoid it if you can. Your doctor should monitor you closely and use the lowest dose possible to keep you safe.

Drug Class
metoclopramide Prokinetic / Antiemetic
tranylcypromine Monoamine Oxidase Inhibitor (MAOI)
Type
metoclopramide Prescription
tranylcypromine Prescription
Summary
metoclopramide

Metoclopramide is a drug that helps with stomach problems. It can help food move faster through your stomach and reduce nausea.

tranylcypromine

Tranylcypromine (Parnate) is a medicine used to treat major depression in adults. It is used when other antidepressants have not worked well enough.

What It Treats
metoclopramide

This medicine treats heartburn caused by acid reflux when other treatments don't work. It also helps with symptoms of slow stomach emptying in people with diabetes, like nausea, vomiting, and feeling full. This medicine is for adults and should not be used for more than 12 weeks.

tranylcypromine

Tranylcypromine is used to treat major depressive disorder (MDD) in adults. You should only use it if other antidepressants haven't helped. It is not for the first treatment of depression because it can cause serious side effects and has many drug and food interactions.

How It Works
metoclopramide

Metoclopramide helps your stomach muscles move faster. This helps food empty from your stomach more quickly. It also blocks a chemical in your brain that causes nausea.

tranylcypromine

Tranylcypromine belongs to a class of drugs called MAO inhibitors. It works by increasing the levels of certain chemicals in your brain. These chemicals can help improve your mood.

Common Side Effects
metoclopramide
  • Restlessness
  • Drowsiness
  • Fatigue
  • Feeling tired
tranylcypromine
  • Dry mouth
  • Dizziness
  • Trouble sleeping
  • Feeling sleepy
  • Headache
FAERS Reports
metoclopramide
  • Uncontrollable muscle movements 13,205
  • Movement problems 11,628
  • Problem with the brain or nerves 7,175
  • Muscle spasms 6,661
  • Pain 4,665
tranylcypromine
  • Interaction between medicines 68
  • Feeling sad or hopeless 36
  • Too much serotonin in the body 27
  • Head pain 24
  • High blood pressure 24
Serious Warnings
metoclopramide

Metoclopramide can cause a serious movement disorder called tardive dyskinesia. This may not go away even after you stop taking the medicine. The risk of tardive dyskinesia increases with long-term use and high doses. Call your doctor right away if you have uncontrolled muscle movements.

tranylcypromine

Tranylcypromine can increase the risk of suicidal thoughts and behaviors in young adults. It can also cause a dangerous increase in blood pressure if you eat foods high in tyramine or take certain medicines. Make sure to follow all food and drug restrictions.

Pregnancy
metoclopramide

Tell your doctor if you are pregnant or plan to become pregnant. It is not known if this medicine will harm your unborn baby. Talk to your doctor about the risks and benefits of taking this medicine while breastfeeding.

tranylcypromine

There is limited information about the safety of tranylcypromine during pregnancy. Talk to your doctor if you are pregnant or plan to become pregnant. It is not recommended to breastfeed while taking this medicine because it can harm the baby.

Also Compare, Nearby Drugs

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How to Read This metoclopramide vs tranylcypromine Comparison

metoclopramide is classified in the Prokinetic / Antiemetic drug class, while tranylcypromine 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, metoclopramide has 43,334 submissions while tranylcypromine has 179. 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 moderate interaction flagged in FDA labeling, attributed to using these together can cause a severe increase in blood pressure or a dangerous condition called serotonin syndrome. they both change the levels of important chemical messengers in your body.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between metoclopramide and tranylcypromine - always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.