Skip to main content

What the FDA labels say about taking them together

Paroxetine and phenelzine

Paroxetine's FDA label of February 12, 2026 names phenelzine in its drug interactions section, and phenelzine's label names paroxetine too.

Check it at the source: the paroxetine FDA label on DailyMed (effective February 12, 2026, Mylan Pharmaceuticals Inc.); the phenelzine FDA label on DailyMed (effective June 6, 2025, Parke-Davis Div of Pfizer Inc).

What does the paroxetine label say about phenelzine?

Paroxetine label, drug interactions

Examples; selegiline, tranylcypromine, isocarboxazid, phenelzine, linezolid, methylene blue

Source: FDA drug label (Paroxetine), Mylan Pharmaceuticals Inc., effective February 12, 2026 (SPL set 89dd7e24-85fc-4152-89ea-47ec2b48a1ed), via openFDA; the full label on DailyMed

What does the phenelzine label say about paroxetine?

Phenelzine label, contraindications

There have been reports of serious reactions (including hyperthermia, rigidity, myoclonic movements and death) when serotoninergic drugs (e.g., dexfenfluramine, fluoxetine, fluvoxamine, paroxetine, sertraline, citalopram, venlafaxine) have been combined with an MAO inhibitor.

Phenelzine label, drug interactions

Drug Interactions In patients receiving nonselective monoamine oxidase (MAO) inhibitors in combination with serotoninergic agents (e.g., dexfenfluramine, fluoxetine, fluvoxamine, paroxetine, sertraline, citalopram, venlafaxine) there have been reports of serious, sometimes fatal, reactions.

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

45Paroxetine generic labelers
1Phenelzine generic labelers
ParoxetinePhenelzine
Labeled forDepression, Anxiety, Menopause symptomsn/a
Boxed warningYesYes
Pharmacy cost (NADAC)$0.0611 per tablet 20 mg tablet$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)

What next?