What Supplements Interact with Tranylcypromine?
Tranylcypromine brand name: Parnate. Every interaction below applies to the brands too.
Drug–supplement interaction data sourced from Natural Medicines Pro, the licensed clinical database from TRC Healthcare / Therapeutic Research, with additional analysis by the HelloPharmacist Pharmacist Team. Our sources · Editorial policy
What is this page for?
One answer, for one medication: what supplements and herbal products interact with Tranylcypromine? Every vitamin, herb, and supplement ingredient we’ve checked against it is on this page, ranked by severity, each linking to the full report for that exact pair.
This page covers supplement interactions only — to check Tranylcypromine against your other medications, use the drug–drug interaction checker. Educational information from our licensed clinical databases, not medical advice. Our editorial policy
What is this?
The interaction data in the HelloPharmacist supplement database is licensed from Natural Medicines Pro by TRC Healthcare (Therapeutic Research). HelloPharmacist pharmacists often add our own analysis and context on top of that licensed data — such as this Bottom Line summary and the notes on individual interaction pages — and any such commentary is noted as ours.Tranylcypromine (Parnate) belongs to the MAOI class of antidepressants, and I read its supplement list with real seriousness, since the highest-rated entries can turn dangerous quickly. The drug blocks the enzyme that normally clears tyramine, so tyramine-rich items like brewer's yeast, fermented soy, and even beer or wine can push blood pressure toward a hypertensive crisis, a true medical emergency. A second sizable group raises serotonin, and layering serotonin activity on top of an MAOI risks serotonin syndrome, an overload that can come on fast.
There is also a quieter cluster of fibers and charcoals that can blunt how much of an oral dose your body absorbs, so space those well apart from the medication and lean on the full report for specifics. Tell your pharmacist about every supplement you take, because with an MAOI the margin for surprises is thin. Fourteen of the 81 ingredients on file carry a major rating, alongside 55 moderate and 12 minor.
This box checks one ingredient at a time (like turmeric or magnesium). Taking a supplement product with a whole label of ingredients? Search the product instead — we check every ingredient on it ↓
Tranylcypromine: Top Interactions at a Glance
The Tranylcypromine supplement & herbal interactions people checked most in the last 24 hours, colored by severity. Tap any ingredient to open the full report for that pair.
Showing the 12 highest-ranked of 81 interacting ingredients — plus 1,371 more checked with no known interaction. See the complete ranked list.
The Most-Checked Tranylcypromine Combinations Today
The Tranylcypromine + supplement pages people viewed most in the last 24 hours (resets at midnight). Open any card for the full report.
Concomitant use of MAOIs with yohimbe can result in additive effects.
Read the full interaction Moderate Likelihood Possible Phenylalanine + TranylcypromineiTheoretically, concomitant use of L-phenylalanine and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full interaction Major Likelihood Probable Bitter Orange + TranylcypromineiTheoretically, taking MAOIs with synephrine-containing bitter orange preparations might increase the hypertensive effects of synephrine, potentially leading to...
Read the full interaction Moderate Likelihood Possible Phenethylamine (pea) + TranylcypromineiTheoretically, combining serotonergic drugs with phenethylamine might increase the risk of serotonergic adverse effects.
Read the full interaction Moderate Likelihood Possible Black Cohosh + TranylcypromineiCombining serotonergic drugs with black cohosh might cause additive serotonergic effects.
Read the full interaction Major Likelihood Probable Cowhage + TranylcypromineiTheoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full interactionEvery Supplement Checked Against Tranylcypromine
All 1,452 ingredients in our database, ranked by severity — 81 with a Tranylcypromine interaction on file and 1,371 with none found. Filter by severity or search any ingredient; hover the for what each ingredient is.
Looking for an interaction with a specific supplement product? Search products instead ↓
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Brewer's YeastBaker's Yeast, dried Yeast Fermentate, faex, +7 more Likely
What it is: Brewer's yeast is a nutrient-rich fungus that provides B vitamins, protein, and minerals, and a related yeast product (S.
Theoretically, taking brewer's yeast with MAOIs might increase the risk of hypertension.
Read the full Brewer's Yeast + Tranylcypromine interactionFever BarkAlstonia Constricta, alstonia Bark, australian Febrifuge, +10 more Likely
What it is: Fever bark is the bark of the Australian tree Alstonia constricta, used in traditional medicine for fever, diarrhea, and infections.
Concomitant use of MAOIs with fever bark can result in additive effects.
Read the full Fever Bark + Tranylcypromine interactionSoy Likely
What it is: Soy is a nutritious bean that is a staple food and a popular source of plant protein and isoflavones.
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy + Tranylcypromine interactionTyramine Likely
What it is: Tyramine is a natural compound formed when certain proteins break down, and it is found in aged cheeses, cured meats, fermented foods, and s...
Concomitant use of tyramine with MAOIs may increase the risk of serious adverse effects from tyramine.
Read the full Tyramine + Tranylcypromine interactionYohimbePausinystalia Yohimbe, 11-hydroxy Yohimbine, coryanthe Yohimbe, +7 more Likely
What it is: Yohimbe is a West African tree bark that contains yohimbine, a compound mainly promoted for erectile dysfunction and as an aphrodisiac.
Concomitant use of MAOIs with yohimbe can result in additive effects.
Read the full Yohimbe + Tranylcypromine interactionActivated CharcoalActivated Carbon, animal Charcoal, carbo Vegetabilis, +13 more Probable
What it is: Activated charcoal is a highly porous form of carbon that can bind certain substances in the gut, and it is used in hospitals to treat some...
Activated charcoal reduces systemic exposure to many drugs, including those that undergo enterohepatic recirculation, regardless of the route of administration.
Read the full Activated Charcoal + Tranylcypromine interactionBeer Probable
What it is: Beer is an alcoholic beverage that contains some minerals, B vitamins, and plant compounds from hops and grain, but it is not a health suppl...
Concomitant use may cause hypertensive crisis.
Read the full Beer + Tranylcypromine interactionBitter OrangeCitrus Aurantium, aurantii Fructus, aurantium, +17 more Probable
What it is: Bitter orange is a citrus fruit whose extracts contain synephrine, a mild stimulant often added to weight-loss and energy supplements.
Theoretically, taking MAOIs with synephrine-containing bitter orange preparations might increase the hypertensive effects of synephrine, potentially leading to hypertensive crisis.
Read the full Bitter Orange + Tranylcypromine interactionCowhage Probable
What it is: Cowhage (Mucuna pruriens) is a tropical legume best known as a natural source of L-dopa, the compound the body turns into dopamine.
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Cowhage + Tranylcypromine interactionLithiumCarbonate De Lithium, citrate De Lithium, lithium Aspartate, +8 more Probable
What it is: Lithium is a naturally occurring metal that, in prescription form (lithium carbonate or citrate), is an FDA-approved, well-proven treatment...
Theoretically, taking lithium supplements with serotonergic drugs might both mask and increase the risk of serotonin syndrome.
Read the full Lithium + Tranylcypromine interactionRauvolfia Vomitoria Probable
What it is: Rauvolfia vomitoria is an African shrub whose root contains powerful alkaloids, including reserpine, that have historically been used for hi...
Theoretically, concomitant use might cause additive effects.
Read the full Rauvolfia Vomitoria + Tranylcypromine interactionScotch Broom Probable
What it is: Scotch Broom is a flowering shrub that has been used in folk medicine for heart and circulation complaints, but it contains potentially toxi...
Scotch broom flower contains tyramine.
Read the full Scotch Broom + Tranylcypromine interactionTianeptine Probable
What it is: Tianeptine is a prescription antidepressant in some countries, but it is NOT approved by the FDA in the United States and is illegally sold...
Tianeptine may increase the toxicity of MAOIs.
Read the full Tianeptine + Tranylcypromine interactionWine Probable
What it is: Wine is an alcoholic beverage made from fermented grapes and is not a true dietary supplement or medicine.
Concomitant use may cause hypertensive crisis.
Read the full Wine + Tranylcypromine interactionCoffee CharcoalCafé Arabica, café Carbonisé, café Robusta, +5 more Probable
What it is: Coffee charcoal is made by roasting green coffee beans until they turn black, creating a charcoal-like material used traditionally for diarr...
Coffee charcoal can reduce the absorption of orally administered drugs and should be separated from oral drug administration by at least two hours.
Read the full Coffee Charcoal + Tranylcypromine interactionEphedraEphedra Distachya, belcho, cao Mahuang, +13 more Probable
What it is: Ephedra (ma huang) contains powerful stimulants like ephedrine that affect the heart and nervous system.
Theoretically, concomitant use might increase the risk of serious adverse effects.
Read the full Ephedra + Tranylcypromine interactionEuropean MandrakeMandragora Officinarum, alraunwurzel, mandragora, +7 more Probable
What it is: European mandrake is a highly toxic plant from the nightshade family that was used in ancient and medieval times as a sedative and pain reli...
Theoretically, concurrent use might increase absorption of some drugs because of inhibited gastrointestinal (GI) motility caused by European mandrake.
Read the full European Mandrake + Tranylcypromine interactionGlucomannanGlucomanano, glucomannane, konjac, +1 more Probable
What it is: Glucomannan is a soluble fiber from the konjac root that swells into a gel in your stomach, which may help with mild weight loss, constipati...
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Tranylcypromine interactionPanax GinsengAsian Ginseng, asiatic Ginseng, chinese Ginseng, +12 more Probable
What it is: Panax ginseng is a popular traditional herb used to boost energy, ease stress, and support overall wellness, though scientific evidence is m...
Theoretically, Panax ginseng can interfere with MAOI therapy.
Read the full Panax Ginseng + Tranylcypromine interactionSida CordifoliaAbutilon En Épi, bala, bariar, +15 more Probable
What it is: Sida cordifolia (bala or country mallow) is a traditional Ayurvedic plant that naturally contains ephedrine, a powerful stimulant.
Theoretically, Sida cordifolia might increase the risk of hypertension when taken with MAOIs.
Read the full Sida Cordifolia + Tranylcypromine interaction5-htp5 Hydroxy-tryptophan, 5 Hydroxy-tryptophane, 5-hydroxytryptophan, +9 more Possible
What it is: 5-HTP is a compound your body uses to make serotonin, and people take it as a supplement hoping to improve mood, sleep, and headaches.
Combining serotonergic drugs with 5-HTP might cause additive serotonergic effects.
Read the full 5-htp + Tranylcypromine interactionAcetyl-l-carnitineAcetil-l-carnitina, acetyl Carnitine, acétyl Carnitine, +6 more Possible
What it is: Acetyl-L-carnitine is a form of the amino acid carnitine that the body uses to help produce energy in cells.
Theoretically, acetyl-L-carnitine might increase the risk of serotonergic side effects, including serotonin syndrome and cerebral vasoconstrictive disorders, when taken with serotonergic drugs.
Read the full Acetyl-l-carnitine + Tranylcypromine interactionAdrafinilAdrafinilum, benzhydryl Sulfinyl Acetyl Hydroxamic Acid, crl-40028, +1 more Possible
What it is: Adrafinil is a synthetic compound that the body converts into modafinil, a prescription wakefulness-promoting drug.
Theoretically, concomitant use might increase the risk for serious adverse effects.
Read the full Adrafinil + Tranylcypromine interactionAmerican GinsengPanax Quinquefolius, anchi Ginseng, baie Rouge, +14 more Possible
What it is: American ginseng is an herbal root used as an 'adaptogen' to support energy, stress, immune function, and blood sugar.
Theoretically, American ginseng can interfere with MAOI therapy.
Read the full American Ginseng + Tranylcypromine interactionAyahuascaAppane, ayahoasca, caapi, +19 more Possible
What it is: Ayahuasca is a powerful psychoactive brew that combines a DMT-containing plant with a vine that allows the DMT to take effect, causing inten...
Theoretically, ayahuasca might increase levels of serotonin, which may have additive effects with serotonergic drugs.
Read the full Ayahuasca + Tranylcypromine interactionBetel Nut Possible
What it is: Betel nut is the seed of the areca palm and is chewed by millions of people across Asia and the Pacific as a stimulant.
Animal research suggests that betel nut extract can inhibit monoamine oxidase.
Read the full Betel Nut + Tranylcypromine interactionBlack CohoshActaea Racemosa, baie D'actée, baneberry, +10 more Possible
What it is: Black cohosh is a North American plant most often used to ease menopause symptoms like hot flashes, but the research is mixed and far from s...
Combining serotonergic drugs with black cohosh might cause additive serotonergic effects.
Read the full Black Cohosh + Tranylcypromine interactionBlack SeedNigella Sativa, black Caraway, black Cumin, +18 more Possible
What it is: Black seed (Nigella sativa) is a traditional spice and remedy that has been studied for asthma, blood sugar, cholesterol, and blood pressure...
Theoretically, combining serotonergic drugs with black seed might increase the risk of serotonergic side effects, including serotonin syndrome and cerebral vasoconstrictive disorders.
Read the full Black Seed + Tranylcypromine interactionBlack Tea Possible
What it is: Black tea is a popular caffeinated drink made from the fully oxidized leaves of the Camellia sinensis plant, and it contains caffeine and an...
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Black Tea + Tranylcypromine interactionCaffeine Possible
What it is: Caffeine is a natural stimulant found in coffee, tea, and many other plants and products.
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Caffeine + Tranylcypromine interactionCalamusAcorus Calamus, acore Calame, acore Odorant, +20 more Possible
What it is: Calamus is a swamp plant with a long history in Ayurvedic and traditional Chinese medicine, mostly for digestive and nervous-system complain...
Theoretically, calamus might potentiate the effects and adverse effects of MAOIs.
Read the full Calamus + Tranylcypromine interactionCereus Possible
What it is: Cereus (often called night-blooming cereus) is a cactus traditionally used in folk and homeopathic medicine for heart-related complaints lik...
Theoretically, excessive doses of cereus may interact with MAOIs, because of the tyramine content.
Read the full Cereus + Tranylcypromine interactionCocoaTheobroma Cacao, chocolat, chocolat Noir, +14 more Possible
What it is: Cocoa is rich in plant compounds called flavanols that may modestly support blood vessel function and blood pressure, but most chocolate pro...
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Cocoa + Tranylcypromine interactionCoffee Possible
What it is: Coffee is a widely consumed beverage made from roasted coffee beans, valued mainly for its caffeine, which boosts alertness and energy.
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Coffee + Tranylcypromine interactionCola NutCola Acuminata, bissey Nut, bissy Nut, +10 more Possible
What it is: Cola nut is a caffeine-containing seed from West Africa used mainly as a natural stimulant for energy and alertness.
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Cola Nut + Tranylcypromine interactionDhea3b-hydroxy-androst-5-ene-17-one, 3betahydroxy-androst-5-ene-17-one, androstenolone, +4 more Possible
What it is: DHEA is a natural hormone that the body makes and that declines with age, and it is sold as a supplement claiming many benefits.
Theoretically, DHEA might increase the risk of psychiatric adverse events when used with antidepressants.
Read the full Dhea + Tranylcypromine interactionErgotClaviceps Purpurea, cockspur Rye, cornezuelo, +7 more Possible
What it is: Ergot is a toxic fungus that grows on rye and contains powerful chemicals (ergot alkaloids) that strongly narrow blood vessels and squeeze t...
Certain ergot alkaloids, such as dihydroergotamine, act as serotonin agonists.
Read the full Ergot + Tranylcypromine interactionFermented Wheat Germ Extract Possible
What it is: Fermented wheat germ extract is a supplement made by fermenting wheat germ with yeast, and it is most often marketed for people going throug...
Theoretically, concomitant use of fermented wheat germ extract with serotonergic medications may increase the risk of serotonergic adverse effects.
Read the full Fermented Wheat Germ Extract + Tranylcypromine interactionGarciniaGarcinia Gummi-gutta, acide Hydroxycitrique, ahc, +11 more Possible
What it is: Garcinia is a tropical fruit whose rind contains hydroxycitric acid (HCA), widely marketed for weight loss and appetite control.
Theoretically, combining garcinia with other serotonergic drugs might increase the risk of serotonergic side effects, including serotonin syndrome.
Read the full Garcinia + Tranylcypromine interactionGreater CelandineChelidonium Majus, bai Qu Cai, celandine, +9 more Possible
What it is: Greater celandine is a traditional herb most often promoted for digestive and gallbladder complaints, but solid human evidence for any use i...
Theoretically taking monoamine oxidase inhibitors (MAOIs) with greater celandine might increase the risk of serotonergic side effects including serotonin syndrome.
Read the full Greater Celandine + Tranylcypromine interactionGreen CoffeeCoffea Arabica, coffea Canephora, coffea Bukobensis, +2 more Possible
What it is: Green coffee is the unroasted bean of the coffee plant, prized for its high chlorogenic acid content.
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Green Coffee + Tranylcypromine interactionGreen TeaCamellia Sinensis, green Sencha Tea, green Tea Extract, +17 more Possible
What it is: Green tea is a popular beverage rich in antioxidants called catechins, and drinking it in normal amounts is considered safe for most people.
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Green Tea + Tranylcypromine interactionGriffonia SimplicifoliaBandeiraea Simplicifolia Possible
What it is: Griffonia simplicifolia is a West African shrub whose seeds are a natural source of 5-HTP, a building block of the brain chemical serotonin.
Theoretically, taking Griffonia simplicifolia seed extract with antidepressant drugs might increase the risk of serotonergic adverse effects, such as serotonin syndrome and cerebral vasoconstrictive disorders such as Call-Fleming syndrome.
Read the full Griffonia Simplicifolia + Tranylcypromine interactionGuar GumDietary Fiber, farine De Guar, fibre Alimentaire, +10 more Possible
What it is: Guar gum is a soluble, gel-forming fiber from the guar bean that may modestly help with cholesterol, blood sugar, and bowel regularity.
Guar gum might reduce the absorption of some oral drugs, potentially decreasing their effectiveness.
Read the full Guar Gum + Tranylcypromine interactionGuaranaPaullinia Cupana, brazilian Cocoa, cacao Brésilien, +3 more Possible
What it is: Guarana is an Amazonian seed that is naturally high in caffeine, which explains most of its stimulant and energy effects.
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Guarana + Tranylcypromine interactionGum ArabicAcacia, acacia Gum, arabic Gum, +16 more Possible
What it is: Gum arabic is a soluble dietary fiber from the acacia tree that is widely used as a safe food additive and is sometimes taken as a supplemen...
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Arabic + Tranylcypromine interactionHawaiian Baby WoodroseArgyreia Nervosa, baby Hawaiian Woodrose, baby Woodrose, +11 more Possible
What it is: Hawaiian Baby Woodrose seeds contain LSD-like compounds and are most often used recreationally to cause hallucinations, not as a safe or pro...
Theoretically, concomitant use may increase the risk for serotonergic adverse effects.
Read the full Hawaiian Baby Woodrose + Tranylcypromine interactionHordenineAnhalinine Possible
What it is: Hordenine is a natural alkaloid found in barley and some cacti that is marketed as a stimulant for energy, focus, and fat loss, but solid hu...
Hordenine is structurally similar to tyramine In vitro research shows that hordenine is a selective substrate for monoamine oxidase-B in the liver.
Read the full Hordenine + Tranylcypromine interactionHydrazine Sulfate Possible
What it is: Hydrazine sulfate is a synthetic industrial chemical that was promoted as an alternative cancer treatment, but well-designed clinical trials...
Theoretically, concomitant use with other MAOIs might increase the effects and adverse effects associated with MAOIs.
Read the full Hydrazine Sulfate + Tranylcypromine interactionIbogaTabernanthe Iboga, bois Sacré, eboka Possible
What it is: Iboga is a Central African shrub whose root bark contains ibogaine, a powerful hallucinogenic compound studied mainly for addiction.
Theoretically, taking iboga with serotonergic drugs might increase levels of serotonin, resulting in additive effects with serotonergic drugs.
Read the full Iboga + Tranylcypromine interactionIlex Guayusa Possible
What it is: Ilex guayusa is a caffeine-containing holly leaf from the Amazon, traditionally brewed as a tea for energy and alertness, much like yerba ma...
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Ilex Guayusa + Tranylcypromine interactionIndian SnakerootRauvolfia Serpentina, ajmaline, alseroxylon, +16 more Possible
What it is: Indian snakeroot is a traditional Ayurvedic plant that contains reserpine, a compound with real blood-pressure-lowering and sedative effects...
Theoretically, taking Indian snakeroot with MAOIs might cause additive effects.
Read the full Indian Snakeroot + Tranylcypromine interactionKhatCatha Edulis, abessinischer Tea, abyssinian Tea, +23 more Possible
What it is: Khat is a plant chewed for its amphetamine-like stimulant effects, but it carries serious risks including high blood pressure, heart problem...
In one case report, a 24-year-old man developed reversible cerebral vasoconstriction syndrome (RCVS) thought to be caused by chewing khat in combination with treatment with tranylcypromine, an MAOI.
Read the full Khat + Tranylcypromine interactionKratomMitragyna Speciosa, biak-biak, cratom, +16 more Possible
What it is: Kratom is a Southeast Asian plant whose leaves act on the brain's opioid receptors and can produce both stimulant-like and opioid-like effec...
Theoretically, taking kratom in combination with serotonergic drugs may increase levels of serotonin, increasing the risk of serotonin syndrome.
Read the full Kratom + Tranylcypromine interactionL-tryptophanL-triptofano, l-trypt, l-tryptophane, +1 more Possible
What it is: L-tryptophan is an essential amino acid the body uses to make serotonin and melatonin, and people take it to support sleep and mood.
Theoretically, combining L-tryptophan with serotonergic drugs might cause additive serotonergic effects.
Read the full L-tryptophan + Tranylcypromine interactionMethylene Blue3, 7-bis (dimethylamino)-phenazathionium Chloride, Azul De Metileno, +8 more Possible
What it is: Methylene blue is a synthetic dye that is an FDA-approved prescription medicine for a rare blood disorder called methemoglobinemia, and it i...
Combining serotonergic drugs with methylene blue can cause additive serotonergic effects, including serotonin syndrome.
Read the full Methylene Blue + Tranylcypromine interactionOctopamine Possible
What it is: Octopamine is a stimulant-like compound found in small amounts in some plants (such as bitter orange) and made naturally in the body.
Octopamine is metabolized by monoamine oxidase.
Read the full Octopamine + Tranylcypromine interactionOolong Tea Possible
What it is: Oolong tea is a traditional partially oxidized tea made from the same plant as green and black tea, and it provides caffeine and plant antio...
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Oolong Tea + Tranylcypromine interactionPhenethylamine (pea)2-phenylethanamine, methylphenylethylamine, pea Possible
What it is: Phenethylamine (PEA) is a natural compound made in the body and found in foods like chocolate; supplements are marketed for mood, focus, and...
Theoretically, combining serotonergic drugs with phenethylamine might increase the risk of serotonergic adverse effects.
Read the full Phenethylamine (pea) + Tranylcypromine interactionPhenylalanine Possible
What it is: Phenylalanine is an essential amino acid the body uses to make brain chemicals like dopamine and norepinephrine.
Theoretically, concomitant use of L-phenylalanine and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Phenylalanine + Tranylcypromine interactionPsilocybin Possible
What it is: Psilocybin is a powerful psychedelic compound found in certain mushrooms and is being studied for hard-to-treat depression, anxiety, and add...
Theoretically, combining psilocybin with serotonergic drugs might cause additive serotonergic effects.
Read the full Psilocybin + Tranylcypromine interactionPu-erh Tea Possible
What it is: Pu-erh tea is a fermented, aged form of tea made from the same plant as green and black tea.
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Read the full Pu-erh Tea + Tranylcypromine interactionSameS-adenosyl-l-methionine, ademetionine, adomet, +8 more Possible
What it is: SAM-e is a compound your body makes naturally that is sold as a supplement, most often for depression and osteoarthritis.
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Same + Tranylcypromine interactionSlippery ElmIndian Elm, moose Elm, olmo Americano, +7 more Possible
What it is: Slippery elm is a traditional herbal remedy made from the inner bark of a North American elm tree, used mainly to soothe sore throats and ir...
Theoretically, slippery elm may slow the absorption and reduce serum levels of oral drugs.
Read the full Slippery Elm + Tranylcypromine interactionSt. John's WortHypericum Perforatum, amber Touch-and-heal, barbe De Saint-jean, +13 more Possible
Syrian Rue Possible
What it is: Syrian Rue (Peganum harmala) is a traditional plant whose seeds contain potent compounds called harmala alkaloids, including MAO-inhibiting...
Theoretically, Syrian rue might increase the risk of serotonergic adverse effects, including serotonin syndrome, when taken with serotonergic drugs.
Read the full Syrian Rue + Tranylcypromine interactionTarragonArtemisia Dracunculus, armoise Âcre, dragonne, +8 more Possible
What it is: Tarragon is a flavorful culinary herb that has been used in traditional medicine for digestion, sleep, and other complaints, but solid human...
In vitro research suggests that tarragon extract inhibits monoamine oxidase (MAO)-A and MAO-B enzymes.
Read the full Tarragon + Tranylcypromine interactionTragacanthAdragante, astragale Adragant, astragale De Marseille, +14 more Possible
What it is: Tragacanth is a plant gum used mainly as a thickener and emulsifier in foods, cosmetics, and medicines, and traditionally to soothe the thro...
Theoretically, tragacanth might alter absorption of oral drugs.
Read the full Tragacanth + Tranylcypromine interactionYerba MateIlex Paraguariensis, chimarrao, green Mate, +14 more Possible
What it is: Yerba mate is a caffeine-containing herbal beverage from South America that is widely enjoyed for its stimulating, coffee-like effects.
Theoretically, the caffeine in yerba mate might increase risk of a hypertensive crisis when used concomitantly with MAOIs.
Read the full Yerba Mate + Tranylcypromine interactionThyroid Extract Likely
What it is: Thyroid extract supplements are made from dried animal thyroid gland and may contain real thyroid hormones (T3 and T4), but the amounts in o...
Food and medications can interfere with thyroid hormone absorption.
Read the full Thyroid Extract + Tranylcypromine interactionAgarAgar-agar, agarose, agarose Gel, +17 more Possible
What it is: Agar is a plant-based gel made from red seaweed that is widely used as a vegetarian alternative to gelatin and as a source of dietary fiber.
Agar forms a thick gel, which may disrupt the absorption of nutrients and medications.
Read the full Agar + Tranylcypromine interactionAlginAlginate, alginate De Calcium, alginate De Magnésium, +12 more Possible
What it is: Algin (alginate) is a fiber-like substance from brown seaweed that is widely used as a thickener, gel, and binder in foods and medicines.
Theoretically, algin can alter the absorption of oral drugs.
Read the full Algin + Tranylcypromine interactionAshwagandhaWithania Somnifera, ajagandha, amangura, +17 more Possible
What it is: Ashwagandha is an Ayurvedic herb most often taken to help with stress, anxiety, and sleep, and some small studies suggest it may help, thoug...
Some animal studies have reported that ashwagandha can enhance serotonergic transmission by altering certain serotonin (5-HT) receptors.
Read the full Ashwagandha + Tranylcypromine interactionBlack PsylliumAfrican Plantain, brown Psyllium, dietary Fiber, +16 more Possible
What it is: Black psyllium is a soluble-fiber supplement made from the seeds of a Plantago plant, used mostly to ease constipation and support digestive...
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Read the full Black Psyllium + Tranylcypromine interactionBlond PsylliumPlantago Ovata, balle De Psyllium, blond Plantago, +14 more Possible
What it is: Blond psyllium is a soluble fiber from the seed husks of Plantago ovata, and it is one of the better-studied fiber supplements.
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Read the full Blond Psyllium + Tranylcypromine interactionCarobCeratonia Siliqua, algarrobo, carob Flour, +16 more Possible
What it is: Carob is a Mediterranean tree whose pods are widely used as a caffeine-free, naturally sweet cocoa alternative and as a thickener (carob gum...
Theoretically, carob might also impair the absorption of oral drugs.
Read the full Carob + Tranylcypromine interactionKaraya GumBassora Tragacanth, goma Karaya, gomme Karaya, +14 more Possible
What it is: Karaya gum is a natural plant gum from the Sterculia tree that is mostly used as a bulk-forming laxative and as a thickener or adhesive in f...
Co-administration of oral drugs with bulk forming laxatives such as karaya gum may decrease, increase, or have no effect on the absorption of drugs.
Read the full Karaya Gum + Tranylcypromine interactionMarshmallowAlthaea Officinalis, altea, alteia, +16 more Possible
What it is: Marshmallow root is a traditional herb rich in soothing, gel-like fibers called mucilage, which is why it has long been used for coughs, sor...
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow + Tranylcypromine interactionRhodiolaRhodiola Rosea, arctic Root, golden Root, +12 more Possible
What it is: Rhodiola is an herb traditionally used to fight fatigue and help the body cope with stress.
Theoretically, rhodiola might increase the risk of adverse effects when taken with antidepressants.
Read the full Rhodiola + Tranylcypromine interactionXanthan GumBacterial Polysaccharide, corn Sugar Gum, goma Xantana, +7 more Possible
What it is: Xanthan gum is a fermentation-made fiber widely used to thicken and stabilize foods and to thicken liquids for people with swallowing diffic...
Theoretically, xanthan gum can alter the absorption of oral drugs due to its fiber qualities.
Read the full Xanthan Gum + Tranylcypromine interactionTheanine Unlikely
What it is: Theanine (usually L-theanine) is an amino acid found naturally in tea leaves that many people take to feel calmer and less stressed without...
Clinical studies regarding the effects of L-theanine on serotonin levels are conflicting.
Read the full Theanine + Tranylcypromine interactionCan You Take It With Tranylcypromine?
One-line answers, one card per combination — scroll through today’s 20 and tap any card for the full report. A different set rotates in daily until every combination has had its turn.
Can you take Yohimbe with Tranylcypromine?
Major Use real caution — this is a major-rated interaction, generally best avoided or used only under close supervision. Concomitant use of MAOIs with yohimbe can result in additive effects.
Full Yohimbe + Tranylcypromine answerCan you take Phenylalanine with Tranylcypromine?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, concomitant use of L-phenylalanine and non-selective MAOIs might increase the risk of hypertensive crisis.
Full Phenylalanine + Tranylcypromine answerCan you take Bitter Orange with Tranylcypromine?
Major Use real caution — this is a major-rated interaction, generally best avoided or used only under close supervision. Theoretically, taking MAOIs with synephrine-containing bitter orange preparations might increase the hypertensive effects of synephrine, pot...
Full Bitter Orange + Tranylcypromine answerCan you take Phenethylamine (pea) with Tranylcypromine?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, combining serotonergic drugs with phenethylamine might increase the risk of serotonergic adverse effects.
Full Phenethylamine (pea) + Tranylcypromine answerCan you take Black Cohosh with Tranylcypromine?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Combining serotonergic drugs with black cohosh might cause additive serotonergic effects.
Full Black Cohosh + Tranylcypromine answerCan you take Ashwagandha with Tranylcypromine?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Some animal studies have reported that ashwagandha can enhance serotonergic transmission by altering certain serotonin (5-HT) receptors.
Full Ashwagandha + Tranylcypromine answerCan you take Black Psyllium with Tranylcypromine?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Full Black Psyllium + Tranylcypromine answerCan you take Blond Psyllium with Tranylcypromine?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Full Blond Psyllium + Tranylcypromine answerCan you take Carob with Tranylcypromine?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, carob might also impair the absorption of oral drugs.
Full Carob + Tranylcypromine answerCan you take Karaya Gum with Tranylcypromine?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Co-administration of oral drugs with bulk forming laxatives such as karaya gum may decrease, increase, or have no effect on the absorption o...
Full Karaya Gum + Tranylcypromine answerCan you take Marshmallow with Tranylcypromine?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Full Marshmallow + Tranylcypromine answerCan you take Rhodiola with Tranylcypromine?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, rhodiola might increase the risk of adverse effects when taken with antidepressants.
Full Rhodiola + Tranylcypromine answerCan you take Xanthan Gum with Tranylcypromine?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, xanthan gum can alter the absorption of oral drugs due to its fiber qualities.
Full Xanthan Gum + Tranylcypromine answerCan you take Theanine with Tranylcypromine?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Clinical studies regarding the effects of L-theanine on serotonin levels are conflicting.
Full Theanine + Tranylcypromine answerCan you take Brewer's Yeast with Tranylcypromine?
Major Use real caution — this is a major-rated interaction, generally best avoided or used only under close supervision. Theoretically, taking brewer's yeast with MAOIs might increase the risk of hypertension.
Full Brewer's Yeast + Tranylcypromine answerCan you take Fever Bark with Tranylcypromine?
Major Use real caution — this is a major-rated interaction, generally best avoided or used only under close supervision. Concomitant use of MAOIs with fever bark can result in additive effects.
Full Fever Bark + Tranylcypromine answerCan you take Soy with Tranylcypromine?
Major Use real caution — this is a major-rated interaction, generally best avoided or used only under close supervision. Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Full Soy + Tranylcypromine answerCan you take Tyramine with Tranylcypromine?
Major Use real caution — this is a major-rated interaction, generally best avoided or used only under close supervision. Concomitant use of tyramine with MAOIs may increase the risk of serious adverse effects from tyramine.
Full Tyramine + Tranylcypromine answerCan you take Activated Charcoal with Tranylcypromine?
Major Use real caution — this is a major-rated interaction, generally best avoided or used only under close supervision. Activated charcoal reduces systemic exposure to many drugs, including those that undergo enterohepatic recirculation, regardless of the rout...
Full Activated Charcoal + Tranylcypromine answerCan you take Beer with Tranylcypromine?
Major Use real caution — this is a major-rated interaction, generally best avoided or used only under close supervision. Concomitant use may cause hypertensive crisis.
Full Beer + Tranylcypromine answerWhat Severity, Likelihood & Evidence Mean
Severity — How Serious It Can Be
- Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
- Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
- Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
- No known interaction. Checked against our sources with nothing documented — not the same as proven safety.
Likelihood — How Well It’s Documented
- Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
- Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
- Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
- Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Where This Data Comes From
- Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
- Each entry links to a full report with the clinical detail, likelihood, evidence level, and citations for that exact combination.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
How Does Our Interaction Checker Work?
Behind every verdict on this page is a category system. Our source database doesn’t document supplement interactions drug-by-drug — it documents them against groups of medications that behave the same way (for example, “drugs processed by the CYP3A4 liver enzyme” or “blood-thinning medications”).
So the check works in three steps: (1) Tranylcypromine is classified into the pharmacology categories it belongs to, (2) every supplement interaction documented against any of those categories is inherited by Tranylcypromine, and (3) each ingredient keeps its own severity, likelihood, and evidence grades from the underlying record. That’s why one supplement can carry several records for one drug — it may interact through more than one category.
Tranylcypromine sits in 5 interaction categories. Open any one to see what the group means:
Monoamine Oxidase Inhibitors (Maois) 42 ingredients
A pharmacology grouping from our source database: medications in this group share a property that certain supplements are known to interact with, so an interaction documented for the group applies to every drug in it.
42 of the supplement ingredients on this page reach Tranylcypromine through this category.
Serotonergic Drugs 20 ingredients
Medications that raise serotonin activity. Combining them with serotonin-active supplements can, in rare cases, push serotonin too high.
20 of the supplement ingredients on this page reach Tranylcypromine through this category.
Oral Drugs 17 ingredients
A pharmacology grouping from our source database: medications in this group share a property that certain supplements are known to interact with, so an interaction documented for the group applies to every drug in it.
17 of the supplement ingredients on this page reach Tranylcypromine through this category.
Antidepressant Drugs 3 ingredients
A pharmacology grouping from our source database: medications in this group share a property that certain supplements are known to interact with, so an interaction documented for the group applies to every drug in it.
3 of the supplement ingredients on this page reach Tranylcypromine through this category.
Serotonergic Drugs 1 ingredient
Medications that raise serotonin activity. Combining them with serotonin-active supplements can, in rare cases, push serotonin too high.
1 of the supplement ingredient on this page reaches Tranylcypromine through this category.
About Tranylcypromine
Tranylcypromine is an MAOI antidepressant used to treat major depressive disorder in adults who haven't responded well to other antidepressants.
Generic name: Tranylcypromine · Brand name: Parnate.
See the full Tranylcypromine drug informationRelated: does Tranylcypromine deplete any nutrients?
Tranylcypromine has 1 reported nutrient association in the research literature — see the Tranylcypromine nutrient depletion report.
Take a Supplement Product? Check the Whole Bottle Against Tranylcypromine
Most supplements are combination products — and the interaction may come from an ingredient you didn’t buy it for. Search any product below (or scan its label) and we’ll check every ingredient on it against Tranylcypromine.
Search a supplement product
Type a product name, brand, or UPC — smart search across our full catalog.
Grounded search over our product catalog — every verdict comes from our interaction database, never AI guesswork. How we use AI
Or scan the bottle
Photograph any Supplement Facts panel — we read the ingredients and check each one against your medications. Free, in seconds.
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Products that contain Tranylcypromine-interacting ingredients
Real supplements from the NIH label database that contain the top interacting ingredients on this page — each one is worth a full label check before combining with Tranylcypromine.
Tranylcypromine & Supplements: Common Questions
What supplements interact with Tranylcypromine?
Which Tranylcypromine supplement interactions are the most serious?
Can I take vitamins or supplements while on Tranylcypromine?
Do brands like Parnate have the same supplement interactions as Tranylcypromine?
Where do these interaction ratings come from?
Does Tranylcypromine deplete any vitamins or nutrients?
What about Tranylcypromine and my other medications?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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Where This Data Comes From — and Why You Can Trust It
🧪 Licensed clinical database
Every interaction verdict on this page comes from Natural Medicines Pro (TRC Healthcare / Therapeutic Research) — the same evidence-graded reference used by pharmacists and hospitals. We license this data directly; we do not scrape it, and no AI invents an interaction.
🧑⚕️ Pharmacist review
This page is curated and coded by Dr. Brian Staiger, PharmD, BCPS, Clinical Pharmacist, with additional analysis by the HelloPharmacist Pharmacist Team. Editorial commentary is ours; the licensed interaction records are shown as sourced.
🔄 Kept current
Our interaction database refreshes on a weekly cycle, and this page re-checks the live database every time it’s rebuilt — what you see reflects the database as of October 1, 2026.
🔍 Full transparency
How every dataset on this site is sourced, licensed, and updated is documented publicly: our data sources · editorial policy · how we use AI.
Educational information, not medical advice. An interaction being on file does not mean it will happen to you — and absence of one is not proof of safety. Never start or stop a medication or supplement without talking to your pharmacist or doctor.