Brand Names: Parnate

Generic Name: tranylcypromine (Pronunciation: TRAN il SIP roe meen)

• What is tranylcypromine (Parnate)?
• What are the possible side effects of tranylcypromine (Parnate)?
• What is the most important information I should know about tranylcypromine (Parnate)?
• What should I discuss with my healthcare provider before taking tranylcypromine (Parnate)?
• How should I take tranylcypromine (Parnate)?
• What happens if I miss a dose (Parnate)?
• What happens if I overdose (Parnate)?
• What should I avoid while taking tranylcypromine (Parnate)?
• What other drugs will affect tranylcypromine (Parnate)?
• Where can I get more information?

What is tranylcypromine (Parnate)?

Tranylcypromine is a monoamine oxidase inhibitor (MAOI) that works by increasing the levels of certain chemicals in the brain.

Tranylcypromine is used to treat major depressive episode in adults. This medication is usually given after other anti-depressants have been tried without successful treatment of symptoms. Tranylcypromine will not treat bipolar disorder (manic depression).

Tranylcypromine may also be used for other purposes not listed in this medication guide.

Parnate 10 mg

round, red, imprinted with PARNATE 58

What are the possible side effects of tranylcypromine (Parnate)?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Stop using tranylcypromine and call your doctor at once if you have any of these serious side effects:

• frequent headaches, vision problems, sensitivity to light;
• fast or pounding heart beats, tight feeling in your chest or throat;
• swelling of your ankles or feet;
• pale skin, easy bruising or bleeding, unusual weakness;
• nausea, vomiting, dizziness, sweating, stiffness in your neck;
• confusion, lack of coordination, feeling light-headed, fainting; or
• tremors, muscle twitches you cannot control.

Less serious side effects may include:

• feeling restless, weak, or drowsy;
• nausea, diarrhea or constipation, loss of appetite, stomach pain;
• chills, numbness or tingly feeling;
• dry mouth, decreased urination;
• blurred vision, ringing in your ears; or
• impotence, difficulty having an orgasm.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What is the most important information I should know about tranylcypromine (Parnate)?

There are many other medicines that can cause serious medical problems if you take them together with tranylcypromine. Do not take tranylcypromine before telling your doctor about all other prescription and over-the-counter medications you use, including vitamins, minerals, and herbal products. Keep a list with you of all the medicines you use and show this list to any doctor, dentist, or other healthcare provider who treats you.

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

While you are taking tranylcypromine, you must not drink alcohol or eat foods that are high in tyramine, listed in the "What should I avoid while taking tranylcypromine?" section of this leaflet. Eating tyramine while you are taking tranylcypromine can raise your blood pressure to dangerous levels, causing life-threatening symptoms such as sudden and severe headache, confusion, blurred vision, problems with speech or balance, nausea, vomiting, chest pain, seizure (convulsions), and sudden numbness or weakness (especially on one side of the body). Call your doctor at once if you have any of these symptoms.

You should become very familiar with the list of foods you must avoid while you are taking tranylcypromine.

Tranylcypromine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.