What medications should I avoid taking with my MAOI?

In order to avoid hypertensive crisis, individuals who are taking MAOIs such as Nardil, Marplan, Parnate, or high dose EMSAM must avoid taking

• other antidepressants

• asthma medicines like Tornalate (bitolerol) Seravent (salme terof), Primatene (epinephrine), Uniphyl (theophylline), and other bronchial dilators

• narcotic pain medicines like Demerol (meperidine), tramadol, methadone, or propoxyphene

• over the counter cold or cough medications that contain dextromethorphan (which is related to narcotic pain medicines)

• Flexeril (cyclobenzaprine; a muscle relaxant with a structure like an antidepressant)

• Strattera (atomoxetine; a medication for attention deficit hyperactivity disorder with a structure like an antidepressant)

• stimulants used to treat attention deficit hyperactivity disorder such as Ritalin (methylphenidate), Dexedrine (dextroamphetamine), and Adderall (mixed amphetamine salts)

• guanethidine, methyldopa, reserpine, dopamine, or levodopa.

• BuSpar (buspirone; an anxiety medication)

• seizure medications like Tegretol (carbamazepine) and Trileptal (oxcarbazepine)

• supplements containing St. John’s wort, tyramine, or tryptophan

• methamphetamine or cocaine

• prescription or over the counter weight loss products, deconges-tants, or cough and cold medicines without clearing them with your doctor

• any other substances your doctor advises you to avoid