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What the FDA labels say about taking them together

Acetaminophen/benzhydrocodone and tranylcypromine

Acetaminophen/benzhydrocodone's FDA label of January 7, 2025 names tranylcypromine in its drug interactions section; the tranylcypromine label PlainMeds reads does not name acetaminophen/benzhydrocodone. The acetaminophen/benzhydrocodone label: “MAOI interactions with opioids may manifest as serotonin syndrome or opioid toxicity. If urgent use of an opioid is necessary, use test doses and frequent titration of small doses to treat pain while closely monitoring …”

Check it at the source: the acetaminophen/benzhydrocodone FDA label on DailyMed (effective January 7, 2025, Zevra Therapeutics, Inc.); the tranylcypromine FDA label on DailyMed (effective July 2, 2025, Advanz Pharma (US) Corp.).

What does the acetaminophen/benzhydrocodone label say about tranylcypromine?

Acetaminophen/benzhydrocodone label, drug interactions

Monoamine Oxidase Inhibitors (MAOIs) Clinical Impact: MAOI interactions with opioids may manifest as serotonin syndrome or opioid toxicity (…). If urgent use of an opioid is necessary, use test doses and frequent titration of small doses to treat pain while closely monitoring blood pressure and signs and symptoms of CNS and respiratory depression. Intervention: The use of APADAZ is not recommended for patients taking MAOIs or within 14 days of stopping such treatment. Examples: phenelzine, tranylcypromine, linezolid

Source: FDA drug label (APADAZ), Zevra Therapeutics, Inc., effective January 7, 2025 (SPL set 0590d4e5-7107-4015-a6a8-deac14265aa2), via openFDA; the full label on DailyMed

What does the tranylcypromine label say about acetaminophen/benzhydrocodone?

Tranylcypromine's label (effective July 2, 2025) does not name acetaminophen/benzhydrocodone in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (PARNATE), Advanz Pharma (US) Corp., effective July 2, 2025 (SPL set b72d8187-dfcc-4ea0-b5e9-c0be95b69a27), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

0Acetaminophen/benzhydrocodone generic labelers
4Tranylcypromine generic labelers
Acetaminophen/benzhydrocodoneTranylcypromine
Labeled forPainDepression
Boxed warningYesYes
Pharmacy cost (NADAC)n/a$0.591 per tablet 10 mg tablet
Shortage nowNo current entryA presentation being discontinued

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?