Oxcarbazepine and Tranylcypromine Interaction

Drug interaction information between Oxcarbazepine and Tranylcypromine.

Oxcarbazepine and Tranylcypromine have a documented moderate interaction in FDA labeling.

FDA drug labeling documents a moderate-severity interaction between Oxcarbazepine and Tranylcypromine. 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

Oxcarbazepine

Anticonvulsant

Drug B

Tranylcypromine

Monoamine Oxidase Inhibitor (MAOI)

How They Interact

Taking these medicines together can cause a risky increase in serotonin levels or a sudden, severe rise in blood pressure. This happens because both drugs interfere with how the body processes certain brain chemicals.

FDA Label Information

Product Clinical Comment on Concomitant Use [See Contraindications (4.1)] ; Predominant Effect/Risk [Hypertensive Reaction (HR) [See Warnings and Precautions (5.3)] ; or Serotonin Syndrome (SS) [See Warnings and Precautions (5.7)] ] Altretamine Use with caution If not otherwise specified in this table, consider avoiding concomitant use (see also information on medication-free intervals , use agent at the lowest appropriate dose, monitor for effects of the interaction, advise the patient to report potential effects, and be prepared to discontinue the agent and treat effects of the...

Frequently Asked Questions

What SPL severity band is on file for Oxcarbazepine + Tranylcypromine?

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

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

Tranylcypromine has 42 labeled pairs on file vs Oxcarbazepine's 18. In the moderate band specifically: Oxcarbazepine has 2 (also Dolutegravir/Lamivudine); Tranylcypromine has 23 (also Buspirone, Cyclobenzaprine, Carbamazepine, Lithium).

What mechanism field is on file for Oxcarbazepine and Tranylcypromine?

Taking these medicines together can cause a risky increase in serotonin levels or a sudden, severe rise in blood pressure. This happens because both drugs interfere with how the body processes certain brain chemicals.

Tranylcypromine carries more major-labeled pairs than Oxcarbazepine

SPL source-record counts only. This page's band is moderate · classes on file: Oxcarbazepine (Anticonvulsant); Tranylcypromine (Monoamine Oxidase Inhibitor (MAOI)).

Tranylcypromine has 7 major-labeled pairs vs Oxcarbazepine's 0. This page itself is in the moderate band, not the major band.

Oxcarbazepine

0 major · 2 moderate · 16 minor · 18 total

Tranylcypromine

7 major · 23 moderate · 12 minor · 42 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.