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Tranylcypromine

About Tranylcypromine

Tranylcypromine is a prescription oral medicine used to treat major depressive disorder, particularly in adults who have not responded well to other antidepressant treatments. It belongs to a class of medications called monoamine oxidase inhibitors (MAOIs), which help balance certain natural chemicals in the brain to improve mood and overall well-being.

To get the best results, you must take Tranylcypromine consistently every day exactly as prescribed by your doctor. You can take Tranylcypromine with or without food; however, you will need to follow a strict low-tyramine diet during your treatment. Avoiding aged cheeses, cured meats, and fermented foods is essential to prevent dangerous rises in blood pressure.

While taking Tranylcypromine, you may experience mild side effects like dry mouth, sleep problems, or mild dizziness when standing up. However, if you experience severe headaches, a fast heart rate, chest pain, or changes in vision, you must contact your doctor immediately as these can be signs of a serious reaction.

Before starting Tranylcypromine, tell your doctor if you have a history of heart disease, high blood pressure, liver damage, or kidney problems. Do not take Tranylcypromine if you have a tumor of the adrenal gland (pheochromocytoma, a rare tumor that can cause dangerously high blood pressure), severe cardiovascular disease, or if you are currently taking other antidepressants.

Tranylcypromine can interact dangerously with many common over-the-counter and prescription drugs, as well as alcohol and tobacco, leading to severe blood pressure spikes or a serious condition called serotonin syndrome. If you are pregnant, planning to breastfeed, or are an elderly patient, discuss the risks and benefits with your doctor before starting treatment.

Uses of Tranylcypromine

Tranylcypromine is used in the treatment of Depression. The detailed use of Tranylcypromine is as follows: • Major depressive disorder: Tranylcypromine is used to treat major depressive disorder especially atypical depression, depression with anxiety components, depression resistant to SSRIs, SNRIs, or tricyclics.

Medicinal Benefits

Tranylcypromine helps improve mood and emotional well-being in people with depression, particularly when other treatments have not been effective. By helping restore the balance of certain brain chemicals, it supports better daily functioning and overall quality of life.
Benefits may include:

  • Helps improve mood and reduce symptoms of depression.
  • Supports greater emotional stability and overall mental well-being.
  • May increase energy levels and reduce feelings of physical and mental fatigue.
  • Helps improve sleep patterns and promote more restful sleep.
  • Supports renewed interest in daily activities, hobbies, and social interactions.
  • Helps improve overall quality of life when taken as prescribed under medical supervision.
     

Directions for Use

  • Tranylcypromine can be taken with or without food, as advised by the doctor. However, avoid taking it with foods and beverages rich in tyramine, such as aged cheese, cured meat, fermented food, red wine, and tap beer, as this may significantly increase blood pressure.
  • Typically, it is taken twice daily. However, your doctor will adjust the dose based on how well you respond to this medication and any side effects you experience.
  • Swallow Tranylcypromine as a whole with a glass of water.
  • Do not break, chew, or crush it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Tranylcypromine

Common Side Effects (Usually mild)

  • Dry mouth
  • Difficulty sleeping or changes in sleep patterns
  • Dizziness or lightheadedness, especially when standing up quickly
  • Nausea or mild stomach upset
  • Feeling tired or weak during the day
     

Serious Side Effects (Call a doctor right away)

  • A sudden, severe headache, often accompanied by a stiff neck
  • Fast, pounding, or irregular heartbeat
  • Chest pain or tightness
  • Severe dizziness, fainting, or sweating
  • Signs of an allergic reaction, such as skin rash, itching, hives, or swelling of the face, lips, and throat
  • Confusion, extreme agitation, muscle stiffness, or shivering (signs of serotonin syndrome)
     

Medicines Containing this Salt

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Drug Warnings

  • Carry a medical alert card: Always carry an identification card or wear a medical alert bracelet stating that you are taking Tranylcypromine, a monoamine oxidase inhibitor (MAOI), in case of medical emergencies.
  • Check over-the-counter medicines: Never take any new cough, cold, allergy, or pain medicines without checking with your pharmacist, as many contain ingredients that can cause life-threatening interactions.
  • Alert other healthcare providers: Inform any doctor, dentist, or surgeon that you are taking Tranylcypromine before having any medical procedures, dental work, or receiving anesthesia.
  • Monitor your blood pressure: Check your blood pressure regularly at home and keep a log for your doctor, especially when starting the medication or gradually increasing your dose.
  • Wait before switching medicines: Never switch to or from Tranylcypromine without medical supervision. Most antidepressants require a washout period (a waiting period that allows Tranylcypromine to leave your body safely) before starting or stopping Tranylcypromine. In many cases, at least 14 days is required, while medicines such as fluoxetine may require up to 5 weeks before Tranylcypromine can be started safely.

Drug Interactions

  • Other antidepressants (e.g., sertraline, duloxetine, amitriptyline): Taking these medicines alongside Tranylcypromine may increase the risk of serotonin syndrome, a serious condition caused by excessive serotonin levels.
  • Decongestants and stimulants (e.g., pseudoephedrine, phenylephrine, certain ADHD medicines): These medicines may cause a sudden and dangerous increase in blood pressure when used with Tranylcypromine.
  • Pain medicines (e.g., tramadol, meperidine): Combining these with Tranylcypromine may increase the risk of serious nervous system side effects.
  • Migraine medicines (e.g., sumatriptan): Taking these medicines alongside Tranylcypromine may increase the risk of serotonin syndrome.
  • Other opioid medicines (e.g., methadone, fentanyl, tapentadol): These medicines may interact with Tranylcypromine and increase the risk of serious side effects.

Drug-Drug Interactions Checker List:

  • EPHEDRINE
  • PSEUDOEPHEDRINE
  • ADRENALINE
  • NORADRENALINE
  • AMITRIPTYLINE
  • IMIPRAMINE
  • TRYPTOPHAN
  • CLOMIPRAMINE
  • BUPROPION
  • LEVODOPA
  • AMPHETAMINE
  • DOPAMINE
  • PETHIDINE
  • NEFOPAM
  • PROPOFOL
  • BUSPIRONE
  • ISOCARBOXAZID
  • CODEINE
  • FLUOXETINE
  • SERTRALINE
  • DOXEPIN
  • GUANETHIDINE
  • RESERPINE
  • METHYLDOPA
  • INSULIN
  • METFORMIN
  • CETIRIZINE
  • DISULFIRAM
  • FENFLURAMINE
  • AMYLOBARBITONE
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      There can be a reaction of alcohol with Tranylcypromine. Use of Tranylcypromine with alcohol is hence not recommended. Please consult your doctor if you have any concerns.

    • Safety Warning

      Pregnancy

      caution

      Tranylcypromine is not recommended for use during pregnancy unless absolutely indicated. Please consult your doctor if you have any concerns.

    • Safety Warning

      Breast Feeding

      caution

      Tranylcypromine passes in breast milk and should be used with caution during breastfeeding. Please consult your doctor if you have any concerns.

    • Safety Warning

      Driving

      unsafe

      Tranylcypromine may cause drowsiness or dizziness. Exercise caution and do not drive or operate machinery unless you are alert.

    • Safety Warning

      Liver

      caution

      Exercise caution before using Tranylcypromine in case of liver conditions. Please consult your doctor to address any concerns.

    • Safety Warning

      Kidney

      caution

      Exercise caution before using Tranylcypromine in case of kidney problems. Please consult your doctor to address any concerns.

    • Safety Warning

      Children

      unsafe

      Tranylcypromine is not recommended for use in children below 18 years of age. Please consult your physician if you have any concerns.

    Habit Forming

    Yes

    Diet & Lifestyle Advise

    • Follow a strict low-tyramine diet: Avoid foods high in tyramine to prevent a dangerous rise in blood pressure. This includes aged cheeses, sour cream, cured meats (like salami or sausage), draft beers, red wine, soy sauce, tofu, and overripe fruits.
    • Limit caffeine intake: High amounts of caffeine from coffee, tea, energy drinks, or chocolate can interact with Tranylcypromine and cause your blood pressure to rise.
    • Stand up slowly: Tranylcypromine can cause your blood pressure to drop when you stand up, making you feel dizzy. Rise slowly from sitting or lying positions to prevent falls.
    • Keep a food and symptom diary: Track what you eat and how you feel. If you notice a headache or mild dizziness after eating certain foods, note it down and discuss it with your doctor.

    Special Advise

    • If you have suicidal thoughts or thoughts of harming/killing yourself, consult your doctor immediately.
    • If you are due to undergo any surgery, inform the doctor/surgeon that you are taking Tranylcypromine.

    Patients Concern

    Disease/Condition Glossary

    Depression: Depression is a mood disorder characterised by a persistently low mood and loss of interest in activities one used to enjoy earlier, leading to significant challenges in day-to-day functioning. Various factors can contribute to depression. These can range from genetics, nutrient deficiencies, and lack of physical activity to emotional, psychological, environmental, and social factors.

    FAQs

    Tranylcypromine is used to treat moderate to severe depression. It may also help in treating phobia occurring due to depression.

    Tranylcypromine works by inhibiting the breakdown of serotonin and noradrenalin and subsequently enhancing their concentrations in the brain.

    Do not stop taking Tranylcypromine on your own. Stopping Tranylcypromine suddenly may cause nausea, vomiting, difficulty sleeping, and sweating. Consult your doctor if you experience any difficulty while taking Tranylcypromine, your doctor may reduce the dose gradually.

    If you are suffering from bipolar disorder, you might be on medication for the same. Tranylcypromine should be used with caution along with other psychoactive drugs. Consult your doctor before use.

    Tranylcypromine belongs to the group of medications called antidepressants called monoamine oxidase inhibitors used to treat moderate to severe depression. It may also help in treating phobia occurring due to depression. Tranylcypromine contains Tranylcypromine, which works by preventing the breakdown of serotonin and noradrenaline, two neurotransmitters that help regulate mood. It helps restore the normal level of serotonin and noradrenaline, thereby helping treat depression.

    The common side effects of Tranylcypromine include drowsiness, dry mouth, stomach pain, chills, blurred vision, hair loss, difficulty urinating, weakness, diarrhoea, numbness, burning, or tingling in the arms or legs, and decreased sexual ability. Most of these side effects gradually resolve over time. However, consult the doctor if any of these side effects persist or worsen.

    Tranylcypromine should be used in caution with heart patients. Therefore, please consult the doctor if you have any history of heart disease to prevent adverse events.

    You must avoid foods high in tyramine, which include aged cheeses, cured or air-dried meats, yeast extracts, soy sauce, tofu, draft beer, and red wine. Eating these foods can cause a dangerous spike in your blood pressure. Talk to your doctor or a dietitian for a complete list of restricted foods.

    No, you should not take over-the-counter cold, cough, or allergy medicines without checking with a professional. Many of these products contain decongestants like pseudoephedrine or phenylephrine, which can interact with Tranylcypromine to cause a life-threatening spike in blood pressure. Talk to your doctor or pharmacist before taking any new medication.

    This medication can cause a sudden drop in blood pressure when you change positions, especially when moving from lying down to standing. This is called orthostatic hypotension and can make you feel dizzy or faint. Rising slowly helps your body adjust safely. Talk to your doctor if the dizziness persists.

    You should avoid alcohol while taking Tranylcypromine. Many alcoholic beverages, especially draft beers and red wines, contain high levels of tyramine, which can cause severe blood pressure spikes. Additionally, alcohol can increase drowsiness caused by the medication. Talk to your doctor about safe dietary habits.

    You must inform your surgeon, anesthesiologist, or dentist that you are taking Tranylcypromine well in advance of any scheduled procedure. Tranylcypromine can interact dangerously with certain anesthetics and pain relievers used during surgery. Your doctor may advise you to temporarily stop taking it before the procedure. Talk to your doctor to plan safely.

    No, you cannot switch immediately. You must wait at least 14 days after stopping Tranylcypromine before starting a different antidepressant. This 'washout period' is critical to allow Tranylcypromine to leave your system completely and prevent a life-threatening interaction known as serotonin syndrome. Talk to your doctor for a safe switching plan.

    The safety of this medication during pregnancy is not fully established, and it is generally not recommended unless the benefits outweigh the potential risks to the developing baby. If you are pregnant, planning to become pregnant, or breastfeeding, you should discuss alternative treatment options with your healthcare provider. Talk to your doctor before making any ch

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