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What the FDA labels say about taking them together

Cocaine and isocarboxazid

Isocarboxazid's FDA label of April 21, 2026 names cocaine in its contraindications section; cocaine's label does not name isocarboxazid itself but warns about its class (MAO inhibitors).

Check it at the source: the cocaine FDA label on DailyMed (effective January 12, 2026, OMNIVIUM PHARMACEUTICALS LLC.); the isocarboxazid FDA label on DailyMed (effective April 21, 2026, Lifsa Drugs LLC).

What does the cocaine label say about isocarboxazid?

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

Cocaine label, drug interactions

Plasma cholinesterase activity may be decreased by chronic administration of certain monoamine oxidase inhibitors, oral contraceptives, glucocorticoids, antimyasthenics (neostigmine), cyclophosphamide, and possibly thiotepa.

Cocaine label, drug interactions

Cocaine hydrochloride may potentiate the effects and toxicity of MAO inhibitors.

Source: FDA drug label (NUMBRINO), OMNIVIUM PHARMACEUTICALS LLC., effective January 12, 2026 (SPL set d724b5b4-6654-4bf5-9eed-e2c7943084ed), via openFDA; the full label on DailyMed

What does the isocarboxazid label say about cocaine?

Isocarboxazid label, contraindications

Also, they should not be given cocaine or local anesthesia containing sympathomimetic vasoconstrictors.

Source: FDA drug label (MARPLAN), Lifsa Drugs LLC, effective April 21, 2026 (SPL set 95fde749-44ad-4668-86c4-0ff17bca0074), 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

0Cocaine generic labelers
0Isocarboxazid generic labelers
CocaineIsocarboxazid
Labeled forn/aDepression
Boxed warningYesYes
Pharmacy cost (NADAC)n/an/a
Shortage nowNo current entryIn shortage

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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