Last update June 26, 2022

Tranylcypromine Sulfate

Low Risk

Moderately safe. Probably compatible. Mild risk possible. Follow up recommended. Read the Comment.

Monoamine oxidase inhibitor antidepressant (MAOI) with action and uses similar to phenelzine. Oral administration once or twice daily.

At the date of the last update we did not find any published data on its excretion in breast milk.

Its wide volume of distribution (DrugBank acc.2022, Mallinger 1986) make it highly unlikely that significant quantities will pass into breast milk.

Monitor sedation and/or irritability in the infant.

A 15-day-old infant with serious malformations and whose mother was taking tranylcypromine, pimozide, diazepam, and alprazolam since pregnancy had problems with abdominal distention and food intolerance. (Kennedy 2017)

May cause increased prolactin. (Price 1985)

Until more published data is known about this drug in relation to breastfeeding, known safer alternatives are preferable, especially during the neonatal period and in the event of prematurity.


See below the information of this related product:

  • Maternal Depression (Moderately safe. Probably compatible. Mild risk possible. Follow up recommended. Read the Comment.)

Alternatives

  • Moclobemide ( Safe. Compatible. Minimal risk for breastfeeding and infant.)
  • Paroxetine ( Safe. Compatible. Minimal risk for breastfeeding and infant.)
  • Sertraline Hydrochloride ( Safe. Compatible. Minimal risk for breastfeeding and infant.)

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

Other names

Tranylcypromine Sulfate is also known as


Tranylcypromine Sulfate in other languages or writings:

Groups

Tranylcypromine Sulfate belongs to these groups or families:

Tradenames

Main tradenames from several countries containing Tranylcypromine Sulfate in its composition:

Pharmacokinetics

Variable Value Unit
Molecular weight 365 daltons
VD 1.1 - 5.7 l/Kg
pKa 9.62 -
Tmax 1.5 ± 0.9 hours
2. 45 (1.5 - 3.2) hours

References

  1. DRUGBANK ONLINE. DrugBank.com 2006 - Consulted on April 18, 2022 Full text (link to original source)
  2. FDA. Tranylcypromine (Parnate). Drug Summary. 2018 Full text (in our servers)
  3. Kennedy D, Webster WS, Hill M, Ritchie HE. Abnormal pregnancy outcome associated with high-dose maternal tranylcypromine therapy: Case report and literature review. Reprod Toxicol. 2017 Apr;69:146-149. Abstract
  4. Mallinger AG, Edwards DJ, Himmelhoch JM, Knopf S, Ehler J. Pharmacokinetics of tranylcypromine in patients who are depressed: relationship to cardiovascular effects. Clin Pharmacol Ther. 1986 Oct;40(4):444-50. Abstract
  5. Price LH, Charney DS, Heninger GR. Effects of tranylcypromine treatment on neuroendocrine, behavioral, and autonomic responses to tryptophan in depressed patients. Life Sci. 1985 Sep 2;37(9):809-18. Abstract

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