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What the FDA labels say about taking them together

Amoxapine and phenelzine

Phenelzine's FDA label of June 6, 2025 names amoxapine in its warnings section; amoxapine's label does not name phenelzine itself but warns about its class (MAO inhibitors).

Check it at the source: the amoxapine FDA label on DailyMed (effective December 18, 2024, Chartwell RX, LLC); the phenelzine FDA label on DailyMed (effective June 6, 2025, Parke-Davis Div of Pfizer Inc).

What does the amoxapine label say about phenelzine?

Amoxapine's label does not name phenelzine itself; it warns about its class (MAO inhibitors):

Amoxapine label, contraindications

Hyperpyretic crises, severe convulsions, and deaths have occurred in patients receiving tricyclic antidepressants and monoamine oxidase inhibitors simultaneously.

Amoxapine label, contraindications

It should not be given concomitantly with monoamine oxidase inhibitors.

Source: FDA drug label (Amoxapine), Chartwell RX, LLC, effective December 18, 2024 (SPL set eed5e856-dd7b-4eaa-9dad-508f2bef9328), via openFDA; the full label on DailyMed

What does the phenelzine label say about amoxapine?

Phenelzine label, warnings

A List of Dibenzazepine Derivative Drugs by Generic Name Follows: nortriptyline hydrochloride amitriptyline hydrochloride perphenazine and amitriptyline hydrochloride clomipramine hydrochloride desipramine hydrochloride imipramine hydrochloride doxepin carbamazepine cyclobenzaprine HCl amoxapine maprotiline HCl trimipramine maleate protriptyline HCl mirtazapine NARDIL should be used with caution in combination with antihypertensive drugs, including thiazide diuretics and β-blockers, since exaggerated hypotensive effects may result.

Source: FDA drug label (Nardil), Parke-Davis Div of Pfizer Inc, effective June 6, 2025 (SPL set 513a41d0-37d4-4355-8a6d-a2c643bce6fa), 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

2Amoxapine generic labelers
1Phenelzine generic labelers
AmoxapinePhenelzine
Labeled forDepression, Anxietyn/a
Boxed warningYesYes
Pharmacy cost (NADAC)n/a$0.586 per tablet 15 mg tablet
Shortage nowNo current entryNo current entry

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

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