Nalbuphine and Phenelzine Interaction

Drug interaction information between Nalbuphine and Phenelzine.

Nalbuphine and Phenelzine have a documented minor interaction in FDA labeling.

FDA drug labeling documents a minor-severity interaction between Nalbuphine and Phenelzine. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Nalbuphine

Opioid Agonist-Antagonist

Drug B

Phenelzine

Monoamine Oxidase Inhibitor (MAOI)

How They Interact

Combining these drugs can cause serotonin levels to become dangerously high or make the opioid effects much stronger. This can lead to serious breathing problems or a condition called serotonin syndrome.

FDA Label Information

Monoamine Oxidase Inhibitors (MAOIs) MAOI (e.g., phenelzine, tranylcypromine, linezolid) interactions with opioids may manifest as serotonin syndrome [see Drug Interactions ] or opioid toxicity (e.g., respiratory depression, coma [see WARNINGS ]).

Phenelzine Also Interacts With

View all Phenelzine interactions →

Frequently Asked Questions

What SPL severity band is on file for Nalbuphine + Phenelzine?

Compiled FDA labeling labels this pair minor. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Phenelzine has 27 labeled pairs on file vs Nalbuphine's 19. In the minor band specifically: Nalbuphine has 18 (also Trazodone, Cyclobenzaprine, Mirtazapine, Linezolid); Phenelzine has 16 (also Acetaminophen/Oxycodone, Buprenorphine, Buprenorphine/Naloxone, Buprenorphine).

What mechanism field is on file for Nalbuphine and Phenelzine?

Combining these drugs can cause serotonin levels to become dangerously high or make the opioid effects much stronger. This can lead to serious breathing problems or a condition called serotonin syndrome.

Phenelzine's labeled portfolio outnumbers Nalbuphine

SPL source-record counts only. This page's band is minor · classes on file: Nalbuphine (Opioid Agonist-Antagonist); Phenelzine (Monoamine Oxidase Inhibitor (MAOI)).

Nalbuphine

0 major · 1 moderate · 18 minor · 19 total

Phenelzine

0 major · 11 moderate · 16 minor · 27 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.