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What the FDA labels say about taking them together

Desvenlafaxine and linezolid

Desvenlafaxine's FDA label of January 27, 2023 names linezolid in its contraindications section; linezolid's label does not name desvenlafaxine itself but warns about its class (SNRIs (serotonin and norepinephrine reuptake inhibitors)). The desvenlafaxine label: “In addition, do not start desvenlafaxine in a patient who is being treated with linezolid or intravenous methylene blue.”

Check it at the source: the desvenlafaxine FDA label on DailyMed (effective January 27, 2023, Alembic Pharmaceuticals Limited); the linezolid FDA label on DailyMed (effective June 19, 2026, Hospira, Inc.).

What does the desvenlafaxine label say about linezolid?

Desvenlafaxine label, contraindications

Starting desvenlafaxine in a patient who is being treated with MAOIs such as linezolid or intravenous methylene blue is also contraindicated because of an increased risk of serotonin syndrome [see Dosage and Administration (2.6) and Warnings and Precautions (5.2)].

Desvenlafaxine label, drug interactions

In addition, do not start desvenlafaxine in a patient who is being treated with linezolid or intravenous methylene blue [see Dosage and Administration (2.6 ), Contraindications (4) and Warnings and Precautions (5.2)].

Desvenlafaxine label, warnings and precautions

The development of a potentially life-threatening serotonin syndrome has been reported with SNRIs and SSRIs, including desvenlafaxine, alone but particularly with concomitant use of other serotonergic drugs (including triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, amphetamines, and St. John's Wort), and with drugs that impair metabolism of serotonin (in particular, MAOIs, both those intended to treat psychiatric disorders and also others, such as linezolid and intravenous methylene blue).

Pristiq Extended-Release label (Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc., April 28, 2026), drug interactions

Intervention; Concomitant use of PRISTIQ is contraindicated: • With an MAOI intended to treat psychiatric disorders or within 7 days of stopping treatment with PRISTIQ. • Within 14 days of stopping an MAOI intended to treat psychiatric disorders. • In a patient who is being treated with linezolid or intravenous methylene blue. [see, and ].

Pristiq Extended-Release label (Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc., April 28, 2026), warnings and precautions

If it is necessary to initiate treatment with an MAOI such as linezolid or intravenous methylene blue in a patient taking PRISTIQ, discontinue PRISTIQ before initiating treatment with the MAOI [see Contraindications (4), Drug Interactions (7.1) ].

Source: FDA drug label (Pristiq Extended-Release, NDA021992), Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc., effective April 28, 2026 (SPL set 0f43610c-f290-46ea-d186-4f998ed99fce), via openFDA

Source: FDA drug label (Desvenlafaxine), Alembic Pharmaceuticals Limited, effective January 27, 2023 (SPL set 9f74708c-6f6a-46cf-8c79-87a25c2bb6f8), via openFDA; the full label on DailyMed

What does the linezolid label say about desvenlafaxine?

Linezolid's label does not name desvenlafaxine itself; it warns about its class (SNRIs (serotonin and norepinephrine reuptake inhibitors)):

Linezolid label, warnings and precautions

Spontaneous reports of serotonin syndrome including fatal cases associated with the concomitant use of linezolid and serotonergic agents have been reported. Commonly used serotonergic agents include serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, tricyclic antidepressants, buspirone, serotonin 5-HT1 receptor agonists (triptans), and opioids, including meperidine.

Linezolid label, warnings and precautions

Spontaneous reports of serotonin syndrome including fatal cases associated with the concomitant use of ZYVOX and serotonergic agents have been reported. Commonly used serotonergic agents include serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, tricyclic antidepressants, buspirone, serotonin 5‑HT1 receptor agonists (triptans), and opioids, including meperidine.

Source: FDA drug label (Linezolid), Hospira, Inc., effective June 19, 2026 (SPL set c401f1a8-cc37-461b-bfef-f2e156629bf8), 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

20Desvenlafaxine generic labelers
24Linezolid generic labelers
DesvenlafaxineLinezolid
Labeled forDepressionBacterial infections
Boxed warningYesNo
Pharmacy cost (NADAC)$0.396 per unit 50 mg$1.44 per tablet 600 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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