Rasagiline interactions
Rasagiline (Azilect), an MAO inhibitor has 138 documented interactions across the FDA labels and fact sheets we index: 74 major, 58 moderate, 6 minor, and 0 where a label reports no significant interaction. Each entry below quotes the sentence behind it. This drug page is a starting point, not a verdict for your situation.
Major interactions (74)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
Hypersensitivity reactions such as angioedema and anaphylactic reactions have been reported in patients treated with other amphetamine products [see Adverse Reactions ( 6.2 )] . taking monoamine oxidase inhibitors (MAOIs), or within 14 days of stopping MAOIs (including MAOIs such as linezolid or intravenous methylene blue), because of an increased risk of hypertensive… (Amphetamine and dextroamphetamine label, Contraindications)
Taking, or within 14 days of stopping, a monoamine oxidase inhibitor (MAOI) [see Drug Interactions (7) ] . (Atomoxetine label, Contraindications)
Monoamine Oxidase Inhibitors (MAOIs) Clinical Impact: MAOI interactions with opioids may manifest as serotonin syndrome opioid toxicity (e.g., respiratory depression, coma) [see Warnings and Precautions (5.2) ]. (Buprenorphine label, Drug interactions)
Monoamine Oxidase Inhibitors (MAOIs) Clinical Impact: MAOI interactions with opioids may manifest as serotonin syndrome or opioid toxicity (e.g., respiratory depression, coma). (Buprenorphine and naloxone label, Drug interactions)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
The use of monoamine oxidase inhibitors (MAOIs) intended to treat depression with buspirone or within 14 days of stopping treatment with buspirone is contraindicated because of an increased risk of serotonin syndrome and/or elevated blood pressure. (Buspirone label, Contraindications)
- ButorphanolopioidMajor
…medical attention if they experience symptoms of hyperalgesia, including worsening pain, increased sensitivity to pain, or new pain [see WARNINGS ; ADVERSE REACTIONS ]. Serotonin Syndrome Inform patients that butorphanol tartrate could cause a rare but potentially life-threatening condition resulting from concomitant administration of serotonergic drugs. (Butorphanol label, Precautions)
Concomitant use of monoamine oxidase inhibitors (MAOIs). (Carbamazepine label, Contraindications)
DUOPA is contraindicated in patients who are currently taking a nonselective monoamine oxidase (MAO) inhibitor (e.g., phenelzine and tranylcypromine) or have recently (within 2 weeks) taken a nonselective MAO inhibitor. (Carbidopa and levodopa label, Contraindications)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
- CodeineopioidMajor
• Concurrent use of monoamine oxidase inhibitors (MAOIs) or use of MAOIs within the last 14 days [see Warnings and Precautions ( 5.10 ), Drug Interactions ( 7 )]. (Codeine label, Contraindications)
John’s wort and with cyclobenzaprine. (Rasagiline label, Contraindications)
- DesvenlafaxineSNRIMajor
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
- DeutetrabenazineVMAT2 inhibitorMajor
Taking monoamine oxidase inhibitors (MAOIs). (Deutetrabenazine label, Contraindications)
• Concomitant treatment with monoamine oxidase inhibitors (MAOIs) or within 14 days following discontinuation of treatment with an MAOI, because of the risk of hypertensive crises [see Drug Interactions ( 7.1 )] . (Dexmethylphenidate label, Contraindications)
Rasagiline is contraindicated for use with dextromethorphan because of risk of episode of psychosis or bizarre behavior. (Rasagiline label, Contraindications)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
- DroxidopasympathomimeticMajor
However, based on mechanism of action, the use of non-selective MAO inhibitors and linezolid should be avoided as there is a potential for increased blood pressure when taken with NORTHERA. (Droxidopa label, Drug interactions)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
- EletriptantriptanMajor
Selective Serotonin Reuptake Inhibitors/Serotonin and Norepinephrine Reuptake Inhibitors and Serotonin Syndrome Cases of serotonin syndrome have been reported during co-administration of triptans and SSRIs, SNRIs, TCAs and MAO inhibitors [see Warnings and Precautions (5.7) ]. (Eletriptan label, Drug interactions)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
• Serotonin Syndrome : Potentially life-threatening condition could result from concomitant serotonergic drug administration. (Fentanyl label, Warnings and precautions)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
- FluvoxamineSSRIMajor
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
- GranisetronQT-prolonging drugMajor
Patients should be monitored for the emergence of serotonin syndrome, especially with concomitant use of granisetron and other serotonergic drugs. (Granisetron label, Warnings and precautions)
The use of hydrocodone bitartrate and acetaminophen tablets is not recommended for patients taking MAOIs or within 14 days of stopping such treatment. (Hydrocodone and acetaminophen label, Drug interactions)
Monoamine Oxidase Inhibitors (MAOIs) Clinical Impact: MAOI interactions with opioids may manifest as serotonin syndrome or opioid toxicity (e.g., respiratory depression, coma) [see Warnings and Precautions ( 5.3 )]. (Hydromorphone label, Drug interactions)
- IsoniazidantibioticMajor
John’s wort, cyclobenzaprine, or another (selective or non-selective) MAO inhibitor ( 4 ) (Rasagiline label, Contraindications)
- LevomilnacipranSNRIMajor
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
- LevorphanolopioidMajor
Serotonin Syndrome Inform patients that opioids could cause a rare but potentially life-threatening condition resulting from concomitant administration of serotonergic drugs. (Levorphanol label, Precautions)
- LinezolidantibioticMajor
John’s wort, cyclobenzaprine, or another (selective or non-selective) MAO inhibitor ( 4 ) (Rasagiline label, Contraindications)
• Patients taking monoamine oxidase inhibitors (MAOIs), or within 14 days of stopping MAOIs (including MAOIs such as linezolid or intravenous methylene blue), because of an increased risk of hypertensive crisis [see Warnings and Precautions (5.7) and Drug Interactions (7.1) ] . (Lisdexamfetamine label, Contraindications)
If concomitant use of lithium with other serotonergic drugs is clinically warranted, inform patients of the increased risk for serotonin syndrome and monitor for symptoms. (Lithium label, Warnings and precautions)
- MeperidineopioidMajor
Rasagiline is contraindicated for use with meperidine, tramadol, methadone, propoxyphene, and MAO inhibitors (MAOIs), including other selective MAO-B inhibitors, because of risk of serotonin syndrome [see Warnings and Precautions ( 5.2 )] . (Rasagiline label, Contraindications)
Rasagiline is contraindicated for use with meperidine, tramadol, methadone, propoxyphene, and MAO inhibitors (MAOIs), including other selective MAO-B inhibitors, because of risk of serotonin syndrome [see Warnings and Precautions ( 5.2 )] . (Rasagiline label, Contraindications)
- MethyldopaantihypertensiveMajor
CONTRAINDICATIONS Methyldopa is contraindicated in patients: – with active hepatic disease, such as acute hepatitis and active cirrhosis. – with liver disorders previously associated with methyldopa therapy (see WARNINGS ). – with hypersensitivity to any component of this product. – on therapy with monoamine oxidase (MAO) inhibitors. (Methyldopa label, Contraindications)
Concomitant treatment with monoamine oxidase inhibitors (MAOIs), and also within a minimum of 14 days following discontinuation of treatment with a monoamine oxidase inhibitor because of the risk of hypertensive crisis [see Drug Interactions (7.1) ]. (Methylphenidate label, Contraindications)
In one study in hypertensive patients, intravenously administered metoclopramide was shown to release catecholamines; hence, avoid use in patients with hypertension or in patients taking monoamine oxidase inhibitors [see Drug Interactions ( 7.1 )] . (Metoclopramide label, Warnings and precautions)
- Midodrinealpha-adrenergic agonistMajor
Avoid use of MAO inhibitors or linezolid with midodrine. (Midodrine label, Drug interactions)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
• Concurrent use of monoamine oxidase inhibitors (MAOIs) or use of MAOIs within the last 14 days [see Warnings and Precautions ( 5.9 ) and Drug Interactions ( 7 )]. (Morphine label, Contraindications)
- NalbuphineopioidMajor
Monoamine Oxidase Inhibitors (MAOIs) MAOI (e.g., phenelzine, tranylcypromine, linezolid) interactions with opioids may manifest as serotonin syndrome [see PRECAUTIONS; Drug Interactions ] or opioid toxicity (e.g., respiratory depression, coma [see WARNINGS ]). (Nalbuphine label, Drug interactions)
- Naltrexone and bupropionopioid antagonistMajor
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
- OliceridineopioidMajor
Serotonergic Drugs : Concomitant use may result in serotonin syndrome. (Oliceridine label, Drug interactions)
Patients should be monitored for the emergence of serotonin syndrome, especially with concomitant use of Ondansetron Injection and other serotonergic drugs. (Ondansetron label, Warnings and precautions)
Monoamine Oxidase Inhibitors (MAOIs) Clinical Impact: MAOI interactions with opioids may manifest as serotonin syndrome or opioid toxicity (e.g., respiratory depression, coma) [see Warnings and Precautions (5.3) ] . (Oxycodone label, Drug interactions)
Monoamine Oxidase Inhibitors (MAOIs) Clinical Impact: MAOI interactions with opioids may manifest as serotonin syndrome or opioid toxicity (e.g., respiratory depression, coma) [see Warnings and Precautions ( 5.2)]. (Oxycodone and acetaminophen label, Drug interactions)
- OxymorphoneopioidMajor
Monoamine Oxidase Inhibitors (MAOIs) Clinical Impact: MAOI interactions with opioids may manifest as serotonin syndrome or opioid toxicity (e.g., respiratory depression, coma) [see Warnings and Precautions (5.2) ]. (Oxymorphone label, Drug interactions)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
- Pentazocine and naloxoneopioidMajor
Serotonin Syndrome Inform patients that opioids could cause a rare but potentially life-threatening condition resulting from concomitant administration of serotonergic drugs. (Pentazocine and naloxone label, Precautions)
- PhenelzineMAO inhibitorMajor
John’s wort, cyclobenzaprine, or another (selective or non-selective) MAO inhibitor ( 4 ) (Rasagiline label, Contraindications)
…cardiovascular disease (e.g., coronary artery disease, stroke, arrhythmias, congestive heart failure, uncontrolled hypertension) • During or within 14 days following the administration of monoamine oxidase inhibitors • Hyperthyroidism • Glaucoma • Agitated states • History of drug abuse • Pregnancy [ see Use in Specific Populations () ] • Nursing [ see Use in Specific… (Phentermine label, Contraindications)
- Phentermine and topiramateCNS stimulantMajor
…Warnings and Precautions (5.1) and Use in Specific Populations (8.1) ] With glaucoma [see Warnings and Precautions (5.3) ] With hyperthyroidism Taking or within 14 days of stopping a monoamine oxidase inhibitors [see Drug Interactions (7) ] With known hypersensitivity to phentermine, topiramate or any of the excipients in phentermine and topiramate extended-release… (Phentermine and topiramate label, Contraindications)
Warnings Do not use if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric or emotional conditions, or Parkinson's disease), or for 2 weeks after stopping the MAOI drug. (Pseudoephedrine label, Warnings)
Monoamine Oxidase Inhibitors Rizatriptan benzoate is contraindicated in patients taking MAO-A inhibitors and non-selective MAO inhibitors. (Rizatriptan label, Drug interactions)
- SelegilineMAO inhibitorMajor
…concomitant use of an antidepressant (e.g., selective serotonin reuptake inhibitors-SSRIs, serotonin-norepinephrine reuptake inhibitors-SNRIs, tricyclic antidepressants, tetracyclic antidepressants, triazolopyridine antidepressants) and a nonselective MAOI (e.g., phenelzine, tranylcypromine) or selective MAO-B inhibitors, such as selegiline (Eldepryl) and rasagiline . (Rasagiline label, Warnings and precautions)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
- SolriamfetolCNS stimulantMajor
Concomitant use of rasagiline with one of many classes of antidepressants (e.g., SSRIs, SNRIs, triazolopyridine, tricyclic or tetracyclic antidepressants) is not recommended [see Drug Interactions ( 7.5 )]. (Rasagiline label, Warnings and precautions)
Combining St. John's wort with antidepressants and other serotonergic drugs increases the risk of serotonin syndrome. (NCCIH, St. John's Wort)
Selective Serotonin Reuptake Inhibitors/Serotonin Norepinephrine Reuptake Inhibitors and Serotonin Syndrome Cases of serotonin syndrome have been reported during coadministration of triptans and SSRIs, SNRIs, TCAs, and MAO inhibitors [see Warnings and Precautions (5.7)] . (Sumatriptan label, Drug interactions)
- Sumatriptan and naproxentriptanMajor
Selective Serotonin Reuptake Inhibitors/Serotonin Norepinephrine Reuptake Inhibitors and Serotonin Syndrome Clinical Impact: Cases of serotonin syndrome have been reported during coadministration of triptans and SSRIs, SNRIs, TCAs, and MAO inhibitors [see Warnings and Precautions (5.11)] . (Sumatriptan and naproxen label, Drug interactions)
- TapentadolopioidMajor
…suspected paralytic ileus [see Warnings and Precautions (5.12) ] Hypersensitivity to tapentadol (e.g., anaphylaxis, angioedema) or to any other ingredients of the product [see Adverse Reactions (6.2) ] Concurrent use of monoamine oxidase inhibitors (MAOIs) or use of MAOIs within the last 14 days [see Drug Interactions (7) ] Significant respiratory depression ( 4 ) (Tapentadol label, Contraindications)
- TetrabenazineVMAT2 inhibitorMajor
• Taking monoamine oxidase inhibitors (MAOIs). (Tetrabenazine label, Contraindications)
Rasagiline is contraindicated for use with meperidine, tramadol, methadone, propoxyphene, and MAO inhibitors (MAOIs), including other selective MAO-B inhibitors, because of risk of serotonin syndrome [see Warnings and Precautions ( 5.2 )] . (Rasagiline label, Contraindications)
- TranylcypromineMAO inhibitorMajor
…concomitant use of an antidepressant (e.g., selective serotonin reuptake inhibitors-SSRIs, serotonin-norepinephrine reuptake inhibitors-SNRIs, tricyclic antidepressants, tetracyclic antidepressants, triazolopyridine antidepressants) and a nonselective MAOI (e.g., phenelzine, tranylcypromine) or selective MAO-B inhibitors, such as selegiline (Eldepryl) and rasagiline . (Rasagiline label, Warnings and precautions)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
- ValbenazineVMAT2 inhibitorMajor
Dose adjustments due to drug interactions ( 2.4 , 7.1 ): Factors Dose Adjustments for INGREZZA and INGREZZA SPRINKLE Use of MAOIs with INGREZZA or INGREZZA SPRINKLE Avoid concomitant use with MAOIs. (Valbenazine label, Drug interactions)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
- Viloxazinenorepinephrine reuptake inhibitorMajor
Qelbree is contraindicated in patients: receiving concomitant treatment with monoamine oxidase inhibitors (MAOI), or within 14 days following discontinuing an MAOI, because of an increased risk of hypertensive crisis [see Drug Interactions (7.1) ] . receiving concomitant administration of sensitive CYP1A2 substrates or CYP1A2 substrates with a narrow therapeutic… (Viloxazine label, Contraindications)
May cause serotonin syndrome when used with antidepressants ( 5.2 ) (Rasagiline label, Warnings and precautions)
• Concomitant use of monoamine oxidase inhibitors (MAOIs), or use within 14 days of stopping MAOIs. (Ziprasidone label, Contraindications)
Moderate interactions (58)
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
- AmantadineanticholinergicModerate
Decreasing the levodopa dose may lessen or eliminate this side effect ( 5.7 ) (Rasagiline label, Warnings and precautions)
- AripiprazoleantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- ArmodafinilCNS stimulantModerate
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
- AsenapineantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- BrexpiprazoleantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- Brimonidinealpha-adrenergic agonistModerate
Monoamine oxidase inhibitors may result in increased hypotension. (Brimonidine label, Drug interactions)
- Budesonide and formoterolcorticosteroidModerate
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
- Butalbital, acetaminophen, and caffeinebarbiturateModerate
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
- Cabergolinedopamine agonistModerate
For this reason, prescribers should monitor patients for drowsiness or sleepiness, because some of the events occur well after initiation of treatment with dopaminergic medication. (Rasagiline label, Warnings and precautions)
- Cannabidiol (prescription)anticonvulsantModerate
Ciprofloxacin or Other CYP1A2 Inhibitors Rasagiline plasma concentrations may increase up to 2 fold in patients using concomitant ciprofloxacin and other CYP1A2 inhibitors. (Rasagiline label, Warnings and precautions)
- CariprazineantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- Carvedilolbeta blockerModerate
Hypotensive agents (e.g., reserpine, MAO inhibitors, clonidine) may increase the risk of hypotension and/or severe bradycardia. (Carvedilol label, Drug interactions)
- ChlorpromazineantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- CimetidineH2 blockerModerate
Ciprofloxacin or Other CYP1A2 Inhibitors Rasagiline plasma concentrations may increase up to 2 fold in patients using concomitant ciprofloxacin and other CYP1A2 inhibitors. (Rasagiline label, Warnings and precautions)
- CiprofloxacinfluoroquinoloneModerate
…with rasagiline, patients should be advised of the potential to develop drowsiness and specifically asked about factors that may increase the risk with rasagiline such as concomitant sedating medications, the presence of sleep disorders, and concomitant medications that increase rasagiline plasma levels (e.g., ciprofloxacin) [see Drug Interactions ( 7.6 )] . (Rasagiline label, Warnings and precautions)
- ClonazepambenzodiazepineModerate
…Interactions The CNS-depressant action of the benzodiazepine class of drugs may be potentiated by alcohol, narcotics, barbiturates, nonbarbiturate hypnotics, antianxiety agents, the phenothiazines, thioxanthene and butyrophenone classes of antipsychotic agents, monoamine oxidase inhibitors and the tricyclic antidepressants, and by other anticonvulsant drugs. (Clonazepam label, Drug interactions)
- ClozapineantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- Deferasiroxiron supplementModerate
Ciprofloxacin or Other CYP1A2 Inhibitors Rasagiline plasma concentrations may increase up to 2 fold in patients using concomitant ciprofloxacin and other CYP1A2 inhibitors. (Rasagiline label, Warnings and precautions)
- DiazepambenzodiazepineModerate
…be given to the pharmacology of the agents employed particularly with compounds that may potentiate or be potentiated by the action of Valium, such as phenothiazines, antipsychotics, anxiolytics/sedatives, hypnotics, anticonvulsants, narcotic analgesics, anesthetics, sedative antihistamines, narcotics, barbiturates, MAO inhibitors and other antidepressants. (Diazepam label, Drug interactions)
- DicyclomineanticholinergicModerate
…drugs including dicyclomine hydrochloride: amantadine, antiarrhythmic agents of Class I (e.g., quinidine), antihistamines, antipsychotic agents (e.g., phenothiazines), benzodiazepines, MAO inhibitors, narcotic analgesics (e.g., meperidine), nitrates and nitrites, sympathomimetic agents, tricyclic antidepressants, and other drugs having anticholinergic activity. (Dicyclomine label, Drug interactions)
- DiphenhydramineantihistamineModerate
MAO inhibitors prolong and intensify the anticholinergic (drying) effects of antihistamines. (Diphenhydramine label, Drug interactions)
- EpinephrinesympathomimeticModerate
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
- Fluticasone and salmeterolcorticosteroidModerate
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
- Formoterolbeta-adrenergic agonistModerate
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
- GlimepiridesulfonylureaModerate
…steroids and androgens, cyclophosphamide, phenyramidol, guanethidine, fluconazole, sulfinpyrazone, tetracyclines, clarithromycin, disopyramide, quinolones, and those drugs that are highly protein-bound, such as fluoxetine, nonsteroidal anti-inflammatory drugs, salicylates, sulfonamides, chloramphenicol, coumarins, probenecid and monoamine oxidase inhibitors. (Glimepiride label, Drug interactions)
- GlipizidesulfonylureaModerate
…increase the susceptibility to and/or intensity of hypoglycemia: antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, propoxyphene, salicylates, somatostatin analogs (e.g., octreotide), sulfonamide antibiotics, nonsteroidal anti-inflammatory… (Glipizide label, Drug interactions)
- GlyburidesulfonylureaModerate
…Interactions The hypoglycemic action of sulfonylureas may be potentiated by certain drugs including nonsteroidal anti-inflammatory agents, ACE inhibitors, disopyramide, fluoxetine, clarithromycin, and other drugs that are highly protein bound, salicylates, sulfonamides, chloramphenicol, probenecid, monoamine oxidase inhibitors, and beta adrenergic blocking agents. (Glyburide label, Drug interactions)
- HaloperidolantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- HydralazinevasodilatorModerate
Drug Interactions MAO inhibitors should be used with caution in patients receiving hydralazine. (Hydralazine label, Drug interactions)
- IloperidoneantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- Insulin aspartinsulinModerate
Drugs That May Increase the Risk of Hypoglycemia Drugs: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analog (e.g., octreotide), and sulfonamide antibiotics. (Insulin aspart label, Drug interactions)
- Insulin degludecinsulinModerate
…Degludec Drugs That May Increase the Risk of Hypoglycemia Drugs: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analogs (e.g., octreotide), and sulfonamide antibiotics, GLP-1 receptor agonists, DPP-4 inhibitors,… (Insulin degludec label, Drug interactions)
- Insulin detemirinsulinModerate
…with LEVEMIR Drugs That May Increase the Risk of Hypoglycemia Drugs: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analogs (e.g., octreotide), and sulfonamide antibiotics, GLP-1 receptor agonists, DPP-4 inhibitors,… (Insulin detemir label, Drug interactions)
- Insulin glargineinsulinModerate
…Glargine-yfgn Drugs that May Increase the Risk of Hypoglycemia Drugs: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analogs (e.g., octreotide), sulfonamide antibiotics, GLP-1 receptor agonists, DPP-4 inhibitors,… (Insulin glargine label, Drug interactions)
- Insulin lisproinsulinModerate
Clinically Significant Drug Interactions with LYUMJEV Drugs That May Increase the Risk of Hypoglycemia Drugs: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analogs (e.g., octreotide), and sulfonamide antibiotics. (Insulin lispro label, Drug interactions)
- Insulin regular (human)insulinModerate
…Significant Drug Interactions with AFREZZA Antidiabetic agents, Angiotensin-Converting Enzyme Inhibitors, Angiotensin II Receptor Blocking Agents, Disopyramide, Fibrates, Fluoxetine, Monoamine Oxidase Inhibitors, Pentoxifylline, Pramlintide, Salicylates, Somatostatin Analogs (e.g., octreotide), and Sulfonamide Antibiotics Prevention or Management Monitor blood glucose… (Insulin regular (human) label, Drug interactions)
- Levalbuterolbeta-adrenergic agonistModerate
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
- Lidocainelocal anestheticModerate
Clinically Significant Drug Interactions The administration of local anesthetic solutions containing epinephrine or norepinephrine to patients receiving monoamine oxidase inhibitors or tricyclic antidepressants may produce severe, prolonged hypertension. (Lidocaine label, Drug interactions)
- LumateperoneantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- LurasidoneantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- Metoprololbeta blockerModerate
Catecholamine depleting drugs (e.g., reserpine, monoamine oxidase (MAO) inhibitors) may have an additive effect when given with beta-blocking agents. (Metoprolol label, Drug interactions)
- Mirabegronbeta-adrenergic agonistModerate
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
- ModafinilCNS stimulantModerate
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
- OlanzapineantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- PaliperidoneantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- PhenylephrinedecongestantModerate
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
- PimavanserinantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- Pramipexoledopamine agonistModerate
For this reason, prescribers should monitor patients for drowsiness or sleepiness, because some of the events occur well after initiation of treatment with dopaminergic medication. (Rasagiline label, Warnings and precautions)
- ProchlorperazineantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- PromethazineantihistamineModerate
Monoamine Oxidase Inhibitors (MAOI) Drug interactions, including an increased incidence of extrapyramidal effects, have been reported when some MAOI and phenothiazines are used concomitantly. (Promethazine label, Drug interactions)
- QuetiapineantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- RisperidoneantipsychoticModerate
Withdrawal-Emergent Hyperpyrexia and Confusion A symptom complex resembling neuroleptic malignant syndrome (characterized by elevated temperature, muscular rigidity, altered consciousness, and autonomic instability), with no other obvious etiology, has been reported in association with rapid dose reduction, withdrawal of, or changes in drugs that increase central… (Rasagiline label, Warnings and precautions)
- Ropiniroledopamine agonistModerate
For this reason, prescribers should monitor patients for drowsiness or sleepiness, because some of the events occur well after initiation of treatment with dopaminergic medication. (Rasagiline label, Warnings and precautions)
- Salmeterolbeta-adrenergic agonistModerate
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
- Terbutalinebeta-adrenergic agonistModerate
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
- Umeclidinium and vilanterolanticholinergicModerate
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
- Vibegronbeta-adrenergic agonistModerate
Hypertensive crisis has been reported in patients taking the recommended dose of rasagiline and sympathomimetic medications. (Rasagiline label, Drug interactions)
Minor mentions (6)
- Glyburide and metforminsulfonylureaMinor
Examples: Nonsteroidal anti-inflammatory agents and other highly protein-boind drugs, salicylcates, sulfonamides, chloramphenicol, probenecid, coumarins, monoamine oxidase inhibitors, beta-adrenergic blocking agents; potentially with ciprofloxacin, micronazole. (Glyburide and metformin label, Drug interactions)
- Propranololbeta blockerMinor
Antidepressants: The hypotensive effect of MAO inhibitors or tricyclic antidepressants may be exacerbated when administered with beta-blockers. (Propranolol label, Drug interactions)
- RepaglinidemeglitinideMinor
Examples: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, nonsteroidal anti-inflammatory agents (NSAIDs), pentoxifylline, pramlintide, propoxyphene, salicylates, somatostatin analogs (e.g., octreotide), and sulfonamide antibiotics. (Repaglinide label, Drug interactions)
- TerbinafineantifungalMinor
Drugs predominantly metabolized by the CYP450 2D6 isozyme include the following drug classes: tricyclic antidepressants, selective serotonin reuptake inhibitors, beta-blockers, antiarrhythmics class 1C (e.g., flecainide and propafenone) and monoamine oxidase inhibitors Type B. (Terbinafine label, Drug interactions)
- TrihexyphenidylanticholinergicMinor
Monoamine oxidase inhibitors and tricyclic antidepressants possessing significant anticholinergic activity may intensify the anticholinergic effects of antidyskinetic agents because of the secondary anticholinergic activities of these medications. (Trihexyphenidyl label, Drug interactions)
- ZolmitriptantriptanMinor
Serotonin Syndrome Serotonin syndrome may occur with triptans, including zolmitriptan, particularly during co-administration with selective serotonin reuptake inhibitors (SSRIs), serotonin norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), and MAO inhibitors [see Drug Interactions ( 7.5 )] . (Zolmitriptan label, Warnings and precautions)
Check Rasagiline against everything you take. Add your full list; every pair is checked at once.
Open in the checkerNot medical advice. Severity reflects the label's wording, not your circumstances. A "major" flag can be routine under supervision and a "minor" one can matter at high doses. Ask a pharmacist.