TaperCommunitytranylcypromine
Boxed Warning
Suicidality risk in children, adolescents, and young adults under 25 during initial antidepressant treatment.
Tranylcypromine is a non-selective irreversible MAOI structurally related to amphetamine, giving it a faster onset and mild stimulating quality compared with phenelzine. Same dietary and drug-interaction restrictions.
10mg tablets
Tablets: 10mg
Category C
Irreversible inhibition of MAO-A and MAO-B; mild releasing effect on monoamines via amphetamine-like structure.
Slow taper. Some members report mild stimulant-like withdrawal (fatigue, low motivation) given the amphetamine-related structure.
Same washout requirements as other irreversible MAOIs. Mild dependence-like features are reported but uncommon.
1-3 days after stopping
1-2 weeks
3-6 weeks
Mood and energy can take 1-2 months to stabilize
Toxicity
Same as phenelzine: tyramine-induced hypertensive crisis, serotonin syndrome, sympathomimetic interactions.
Pharmacokinetics
Hepatic.
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