Doesn't pethidine (meperidine) have serotonergic effects to a degree also? because it is infamous for potential lethality with MAOIs.
Are pure opioids actually dangerous with MAOIs, because there are warnings on my morphine info leaflets, and oxy ones.
And in reply to the comment about SNRIs having nasty withdrawals, what about SSRIs? they are WELL known for it too.