Do not take this medicine with any of the following medications:

-atomoxetine
-buspirone
-caffeine
-carbamazepine
-certain medicines for blood pressure like guanabenz, guanadrel, guanethidine, or reserpine
-cocaine
-cyclobenzaprine
-dextromethorphan
-diet pills or stimulants, like amphetamines or ephedra
-diphenoxylate
-ephedrine
-general or local anesthetics
-ginseng
-green tea
-guarana
-linezolid
-MAOIs like isocarboxazid, phenelzine, rasagiline, safinamide, selegiline
-medicines for migraine headaches
-medicines for movement abnormalities as in Parkinson''s disease like entacapone, levodopa, selegiline, tolcapone
-meperidine
-methylene blue
-other medicines for mental depression, anxiety, or mood or mental problems
-prescription pain medicines
-procarbazine
-SAM-e
-St. John''s wort
-tramadol
-tryptophan
-tyramine (found in cheese, red wine, beer, chocolate and other foods)
-viloxazine
-yohimbine
This medicine may also interact with the following medications:

-barbiturates, like phenobarbital
-diuretics
-isoniazid
-medicines for allergies, colds, flu symptoms, sinus congestion, and breathing difficulties
-medicines for diabetes
-phenothiazines like chlorpromazine, prochlorperazine, thioridazine

They need to know if you have any of these conditions:

-glaucoma
-headache or migraine
-heart disease
-high blood pressure
-history of irregular heartbeat
-history of stroke
-if you often drink alcohol
-kidney disease
-liver disease
-mental illness
-pheochromocytoma
-recent head trauma
-seizures
-suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member
-an unusual or allergic reaction to tranylcypromine, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Tell your doctor if your symptoms do not get better or if they get worse. Visit your doctor or health care professional for regular checks on your progress. Because it may take several weeks to see the full effects of this medicine, it is important to continue your treatment as prescribed by your doctor.

This medicine can interact with certain foods that contain tyramine. The combination may cause severe headaches, a rise in blood pressure, or irregular heart beat. Foods that contain significant amounts of tyramine include aged cheeses, meats and fish (especially aged, smoked, pickled, or processed such as bologna, pepperoni, salami, summer sausage), beer and ale, alcohol-free beer, wine (especially red), sherry, hard liquor, liqueurs, avocados, bananas, figs, raisins, soy sauce, miso soup, yeast/protein extracts, bean curd, fava or broad bean pods, or any over-ripe fruit. Ask your doctor or health care professional, pharmacist, or nutritionist for a complete listing of tyramine-containing foods. Also, avoid drinks containing caffeine, such as tea, coffee, chocolate, or cola. After stopping this medicine, ask your health care professional how long you should continue avoiding these foods and drinks.

Patients and their families should watch out for new or worsening thoughts of suicide or depression. Also watch out for sudden changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of treatment or after a change in dose, call your health care professional.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

This medicine may cause dry eyes and blurred vision. If you wear contact lenses you may feel some discomfort. Lubricating drops may help. See your eye doctor if the problem does not go away or is severe.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.

Do not treat yourself for coughs, colds, or allergies without asking your doctor or health care professional for advice. Do not take any medications for weight loss without your doctor''s approval. Some ingredients in these products may increase possible side effects.

This medicine may affect blood sugar levels. If you have diabetes, check with your doctor or health care professional before you change your diet or the dose of your diabetic medicine.

Tell your health care professional that you are taking this medicine if you are scheduled to have any surgery, procedure or medical testing. You should usually stop taking this drug at least 10 days before elective surgery.

This medicine may cause a decrease in vitamin B6. You should make sure that you get enough vitamin B6 while you are taking this medicine. Discuss the foods you eat and the vitamins you take with your health care professional.

Keep out of the reach of children and pets.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep the container tightly closed. Get rid of any unused medicine after the expiration date.
To get rid of medicines that are no longer needed or have expired:

-Take the medicine to a medicine take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medicine, check the label or package insert to see if the medicine should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your health care provider. If it is safe to put it in the trash, take the medicine out of the container. Mix the medicine with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.