Drug Interactions
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug include: atomoxetine, bethanidine, bupropion, buspirone, carbamazepine, certain antihistamines (azatadine, carbetapentane, chlorpheniramine), dextromethorphan, certain eye drops (apraclonidine, brimonidine), herbal products (e.g., ephedra/ma huang, ginseng, tryptophan), indoramin, inhaled bronchodilators (e.g., albuterol, salmeterol), levodopa, methyldopa, certain narcotic pain relievers (fentanyl, meperidine), papaverine, drugs for Parkinson's disease (such as entacapone, tolcapone), reboxetine, rifampin, SSRI antidepressants (e.g., fluoxetine, citalopram), sympathomimetics (e.g., ephedrine, methylphenidate), tetrabenazine, tramadol, tricyclic antidepressants (e.g., amitriptyline, doxepin), "triptans" (e.g., sumatriptan, zolmitriptan), weight loss drugs (such as sibutramine), other drugs which depress the bone marrow (e.g., cancer chemotherapy). Avoid taking other MAO inhibitors (e.g., furazolidone, isocarboxazid, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine) within 2 weeks before, during, and after treatment with this medication. Check the labels on all your medicines (e.g., cough-and-cold products, diet aids) because they may contain ingredients that could increase your heart rate or blood pressure. Avoid these products while using this medication. Ask your pharmacist for additional information. Limit your tyramine intake while using this medication and for 2 days after stopping treatment. Also avoid foods or drinks with high tyramine content during use because the combination may cause a serious rise in your blood pressure. Foods high in tyramine include those that may change as a result of aging, fermentation, pickling, or smoking. The tyramine content of any protein-rich food (meats, fish and dairy products) may increase if stored for long periods or improperly refrigerated. Some foods high in tyramine include aged cheeses (0 to 15 milligrams per ounce); fermented or air-dried meats (0.1 to 8 milligrams per ounce); sauerkraut (8 milligrams per 8 ounces); soy sauce (5 milligrams per 1 teaspoon); tap beers (4 milligrams per 12 ounces); red wines (0 to 6 milligrams per 8 ounces). Total intake of tyramine should be less than 100 milligrams per meal. Tell your doctor or pharmacist immediately if you notice symptoms of high blood pressure such as fast or pounding heartbeat, vomiting, sweating or headache, chest pain, sudden vision changes, weakness on one side of the body or slurred speech. Contact your healthcare professional (e.g., doctor, pharmacist or dietician) for more information, including recommendations for your diet.