Tranylcypromine and Buprenorphine Interaction

Drug interaction information between Tranylcypromine and Buprenorphine.

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

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

Partial Opioid Agonist

How They Interact

Combining these medications can block the pain-relieving effects of your medicine and might make you feel sick from withdrawal.

FDA Label Information

Examples: phenelzine, tranylcypromine, linezolid Mixed Agonist/Antagonist and Partial Agonist Opioid Analgesics Clinical Impact: May reduce the analgesic effect of BELBUCA and/or precipitate withdrawal symptoms.

Frequently Asked Questions

What SPL severity band is on file for Tranylcypromine + Buprenorphine (Pain)?

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

What mechanism field is on file for Tranylcypromine and Buprenorphine (Pain)?

Combining these medications can block the pain-relieving effects of your medicine and might make you feel sick from withdrawal.

Tranylcypromine carries more major-labeled pairs than Buprenorphine

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

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

Tranylcypromine

7 major · 23 moderate · 12 minor · 42 total

Buprenorphine

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.