Tranylcypromine and Buprenorphine/Naloxone Interaction

Drug interaction information between Tranylcypromine and Buprenorphine/Naloxone.

Tranylcypromine and Buprenorphine/Naloxone have a documented minor interaction in FDA labeling.

FDA drug labeling documents a minor-severity interaction between Tranylcypromine and Buprenorphine/Naloxone. 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

Tranylcypromine

Monoamine Oxidase Inhibitor (MAOI)

Drug B

Buprenorphine/Naloxone

Partial Opioid Agonist / Antagonist

How They Interact

These drugs together can lead to a serious condition called serotonin syndrome or cause you to breathe too slowly.

FDA Label Information

Examples: phenelzine, tranylcypromine, linezolid Muscle Relaxants Clinical Impact: Buprenorphine may enhance the neuromuscular blocking action of skeletal muscle relaxants and produce an increased degree of respiratory depression.

Frequently Asked Questions

What SPL severity band is on file for Tranylcypromine + Buprenorphine/Naloxone?

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?

Tranylcypromine has 42 labeled pairs on file vs Buprenorphine/Naloxone's 19. In the minor band specifically: Tranylcypromine has 12 (also Fluoxetine, Acetaminophen/Oxycodone, Buprenorphine, Buprenorphine); Buprenorphine/Naloxone has 19 (also Gabapentin, Trazodone, Tramadol, Cyclobenzaprine).

What mechanism field is on file for Tranylcypromine and Buprenorphine/Naloxone?

These drugs together can lead to a serious condition called serotonin syndrome or cause you to breathe too slowly.

Tranylcypromine carries more major-labeled pairs than Buprenorphine/Naloxone

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

Tranylcypromine has 7 major-labeled pairs vs Buprenorphine/Naloxone's 0. This page itself is in the minor band, not the major band.

Tranylcypromine

7 major · 23 moderate · 12 minor · 42 total

Buprenorphine/Naloxone

0 major · 0 moderate · 19 minor · 19 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.