Amitriptyline and Isoniazid interaction

Amitriptyline and Isoniazid: the Amitriptyline prescribing label flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Amitriptyline (Amitriptyline Hydrochloride) label · effective 2025-11-25

Major

It should not be given concomitantly with monoamine oxidase inhibitors.

Contraindicationsby drug classView label on DailyMed
Major

When it is desired to replace a monoamine oxidase inhibitor with amitriptyline hydrochloride, a minimum of 14 days should be allowed to elapse after the former is discontinued.

Contraindicationsby drug classView label on DailyMed
Minor

Monoamine oxidase inhibitors – see CONTRAINDICATIONS section.

Drug interactionsby drug classView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.