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Drug interactions

Diethylpropion + Tranylcypromine

Severity: Contraindicated

Diethylpropion and Tranylcypromine: contraindicated interaction.

Last updated Sources: US FDA label

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Diethylpropion is a sympathomimetic appetite suppressant that promotes catecholamine release. With an MAOI it may precipitate hypertensive crisis.

What this interaction means in plain words

Diethylpropion and Tranylcypromine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Evidence level: Moderate

Why it happens

Sympathomimetic catecholamine release combined with MAO inhibition produces exaggerated pressor effects.

What to do

Avoid during and for 14 days after MAOI therapy. Use a non-sympathomimetic approach to weight management.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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References

Frequently asked questions

Can I take Diethylpropion with Tranylcypromine?

MediHelp rates the interaction as contraindicated. Diethylpropion and Tranylcypromine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Diethylpropion is a sympathomimetic appetite suppressant that promotes catecholamine release. With an MAOI it may precipitate hypertensive crisis.

How serious is the interaction between Diethylpropion and Tranylcypromine?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid during and for 14 days after MAOI therapy. Use a non-sympathomimetic approach to weight management.

What other medicines interact with Tranylcypromine?

MediHelp also lists interactions of Tranylcypromine with, for example, 5-HTP, Amitriptyline, Amoxapine. The full list is on the Tranylcypromine page.

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