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Drug interactions

Serdexmethylphenidate / dexmethylphenidate + Tranylcypromine

Severity: Contraindicated

Serdexmethylphenidate / dexmethylphenidate and Tranylcypromine: contraindicated interaction.

Last updated

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

Methylphenidate-type stimulants given with a nonselective MAO inhibitor can cause hypertensive crisis. Labeling contraindicates use during or within 14 days of MAOI therapy.

What this interaction means in plain words

Serdexmethylphenidate / dexmethylphenidate 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: High

Why it happens

Stimulant-induced catecholamine release combined with blocked catecholamine breakdown by MAO inhibition.

What to do

Do not co-administer. Wait at least 14 days after stopping tranylcypromine before starting this stimulant.

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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Frequently asked questions

Can I take Serdexmethylphenidate / dexmethylphenidate with Tranylcypromine?

MediHelp rates the interaction as contraindicated. Serdexmethylphenidate / dexmethylphenidate 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. Methylphenidate-type stimulants given with a nonselective MAO inhibitor can cause hypertensive crisis. Labeling contraindicates use during or within 14 days of MAOI therapy.

How serious is the interaction between Serdexmethylphenidate / dexmethylphenidate 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: Do not co-administer. Wait at least 14 days after stopping tranylcypromine before starting this stimulant.

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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