Selegiline interactions

Selegiline (Emsam, Zelapar, Eldepryl), an MAO inhibitor has 255 documented interactions across the FDA labels and fact sheets we index: 127 major, 120 moderate, 8 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.

Interactions from the label

Major interactions (127)

  • ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • Amitriptylinetricyclic antidepressantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • Amoxapinetricyclic antidepressantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • AmphetamineCNS stimulantMajor

    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) , Drug Interactions (7.1) ]. (Amphetamine label, Contraindications)

  • 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)

  • Apraclonidinealpha-adrenergic agonistMajor

    CONTRAINDICATIONS IOPIDINE 1% Ophthalmic Solution is contraindicated for patients receiving monoamine oxidase inhibitor therapy and for patients with hypersensitivity to any component of this medication or to clonidine. (Apraclonidine label, Contraindications)

  • Atomoxetinenorepinephrine reuptake inhibitorMajor

    Taking, or within 14 days of stopping, a monoamine oxidase inhibitor (MAOI) [see Drug Interactions (7) ] . (Atomoxetine label, Contraindications)

  • Baclofenmuscle relaxantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • BenzphetamineCNS stimulantMajor

    Hypertensive crises have resulted when sympathomimetic amines have been used concomitantly or within 14 days following use of monoamine oxidase inhibitors. (Benzphetamine label, Contraindications)

  • • Concomitant use of dextromethorphan, because of reported episodes of psychosis or bizarre behavior. (Selegiline label, Contraindications)

  • BuprenorphineopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • BupropionantidepressantMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • Buspironeserotonergic drugMajor

    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)

  • ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • ButorphanolopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • CarbamazepineanticonvulsantMajor

    Concomitant use of monoamine oxidase inhibitors (MAOIs). (Carbamazepine label, Contraindications)

  • Nonselective monoamine oxidase (MAO) inhibitors are contraindicated for use with levodopa or carbidopa-levodopa combination products with or without carbidopa. (Carbidopa label, Contraindications)

  • Carbidopa and levodopadopaminergic drugMajor

    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)

  • Carbidopa, levodopa and entacapone tablets is contraindicated in patients: Taking nonselective monoamine oxidase (MAO) inhibitors (e.g., phenelzine and tranylcypromine). (Carbidopa, levodopa, and entacapone label, Contraindications)

  • CarbinoxamineantihistamineMajor

    …because deaths have been reported in this age group [see Warnings and Precautions (5.1)]. patients who are hypersensitive to carbinoxamine maleate or any of the inactive ingredients in Carbinoxamine Maleate Extended-Release Oral Suspension [see Warnings and Precautions (5.4)]. patients who are taking monoamine oxidase inhibitors (MAOI) [see Drug Interactions (7)]. (Carbinoxamine label, Contraindications)

  • Carisoprodolmuscle relaxantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • Chlorzoxazonemuscle relaxantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • CitalopramSSRIMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • Clomipraminetricyclic antidepressantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • CodeineopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • Cyclobenzaprinemuscle relaxantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • CyproheptadineantihistamineMajor

    Monoamine oxidase inhibitor therapy (See DRUG INTERACTIONS ). (Cyproheptadine label, Contraindications)

  • Dantrolenemuscle relaxantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • Desipraminetricyclic antidepressantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • DeutetrabenazineVMAT2 inhibitorMajor

    Taking monoamine oxidase inhibitors (MAOIs). (Deutetrabenazine label, Contraindications)

  • DexchlorpheniramineantihistamineMajor

    Antihistamines are also contraindicated in the following conditions: Hypersensitivity to dexchlorpheniramine maleate or other antihistamines of similar chemical structure Monoamine oxidase inhibitor therapy (See Drug Interaction section) (Dexchlorpheniramine label, Contraindications)

  • DexmethylphenidateCNS stimulantMajor

    • 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)

  • DextroamphetamineCNS stimulantMajor

    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 Drug Interactions ]. (Dextroamphetamine label, Contraindications)

  • Dextromethorphanserotonergic drugMajor

    • Concomitant use of dextromethorphan, because of reported episodes of psychosis or bizarre behavior. (Selegiline label, Contraindications)

  • Dextromethorphan and quinidineserotonergic drugMajor

    • Concomitant use of dextromethorphan, because of reported episodes of psychosis or bizarre behavior. (Selegiline label, Contraindications)

  • DiethylpropionCNS stimulantMajor

    During or within 14 days following the administration of monoamine oxidase inhibitors, hypertensive crises may result. (Diethylpropion label, Contraindications)

  • Avoid use of diphenoxylate hydrochloride and atropine sulfate in patients who take MAOIs and monitor for signs and symptoms of hypertensive crisis (headache, hyperthermia, hypertension). (Diphenoxylate and atropine label, Drug interactions)

  • Doxepintricyclic antidepressantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • Doxylamine and pyridoxineantihistamineMajor

    …Known hypersensitivity to doxylamine succinate, other ethanolamine derivative antihistamines, pyridoxine hydrochloride or any inactive ingredient in the formulation Monoamine oxidase (MAO) inhibitors intensify and prolong the adverse central nervous system effects of doxylamine succinate and pyridoxine hydrochloride delayed-release tablets [ see Drug Interactions… (Doxylamine and pyridoxine label, Contraindications)

  • 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)

  • DuloxetineSNRIMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline 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)

  • EluxadolineopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • EscitalopramSSRIMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • FentanylopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • FluoxetineSSRIMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • FluvoxamineSSRIMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • FrovatriptantriptanMajor

    Selective Serotonin Reuptake Inhibitors / Serotonin Norepinephrine Reuptake Inhibitors and Serotonin Syndrome Cases of serotonin syndrome have been reported during combined use of triptans and SSRIs, SNRIs, TCAs, and MAO inhibitors [ see Warnings and Precautions (5.7) ]. (Frovatriptan label, Drug interactions)

  • 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)

  • HydrocodoneopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • HydromorphoneopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • Imipraminetricyclic antidepressantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • IsoniazidantibioticMajor

    • Concomitant use of other drugs in the monoamine oxidase inhibitor (MAOI) class or other drugs that are potent inhibitors of monoamine oxidase, including linezolid), because of an increased risk for hypertensive crisis [see Warnings and Precautions (5.1)]. (Selegiline label, Contraindications)

  • Levodopadopaminergic drugMajor

    INBRIJA is contraindicated in patients currently taking a nonselective monoamine oxidase (MAO) inhibitor (e.g., phenelzine and tranylcypromine) or who have recently (within 2 weeks) taken a nonselective MAO inhibitor. (Levodopa label, Contraindications)

  • • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • LevorphanolopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • LinezolidantibioticMajor

    MAO Inhibitors ZELAPAR is contraindicated for concomitant use with other drugs in the MAOI class or other drugs that are potent inhibitors of monoamine oxidase (including linezolid, an oxazolidinone antibacterial, which also has reversible nonselective MAO inhibition activity) because of the increased risk for hypertensive crisis [see Contraindications (4) and… (Selegiline label, Drug interactions)

  • LisdexamfetamineCNS stimulantMajor

    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)

  • Lithiumserotonergic drugMajor

    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

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • Metaxalonemuscle relaxantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • MethadoneopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • MethamphetamineCNS stimulantMajor

    Hypersensitivity reactions such as angioedema and anaphylactic reactions have been reported in patients treated with other amphetamine products [see Adverse Reactions ( 6 )]. taking monoamine oxidase inhibitors (MAOIs), or within 14 days following discontinuation of treatment with an MAOIs (including MAOIs such as linezolid or intravenous methylene blue), because… (Methamphetamine label, Contraindications)

  • Methocarbamolmuscle relaxantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline 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)

  • Methylene blueMAO inhibitorMajor

    • Concomitant use of other drugs in the monoamine oxidase inhibitor (MAOI) class or other drugs that are potent inhibitors of monoamine oxidase, including linezolid), because of an increased risk for hypertensive crisis [see Warnings and Precautions (5.1)]. (Selegiline label, Contraindications)

  • MethylphenidateCNS stimulantMajor

    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)

  • Metoclopramidedopamine antagonistMajor

    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)

  • MilnacipranSNRIMajor

    • Serotonin Syndrome and MAOIs: Do not use MAOIs intended to treat psychiatric disorders with milnacipran hydrochloride or within 5 days of stopping treatment with milnacipran hydrochloride. (Milnacipran label, Contraindications)

  • MirtazapineantidepressantMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • MorphineopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • NalbuphineopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • Naltrexone and bupropionopioid antagonistMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • NaratriptantriptanMajor

    Selective Serotonin Reuptake Inhibitors/Serotonin 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)] . (Naratriptan label, Drug interactions)

  • NefazodoneantidepressantMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • Nortriptylinetricyclic antidepressantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • OlanzapineantipsychoticMajor

    …serotonin reuptake inhibitors-SSRIs, serotonin-norepinephrine reuptake inhibitors-SNRIs, tricyclic antidepressants, tetracyclic antidepressants, triazolopyridine antidepressants) and a non-selective MAOI (e.g., phenelzine, tranylcypromine) or selective MAO-B inhibitors, such as selegiline (ELDEPRYL), rasagiline (AZILECT), and olanzapine (Zydis) selegiline (ZELAPAR). (Selegiline label, Warnings and precautions)

  • Olanzapine and fluoxetineantipsychoticMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • OliceridineopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • OndansetronQT-prolonging drugMajor

    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)

  • Orphenadrinemuscle relaxantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • OxycodoneopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • OxymorphoneopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • Palonosetronserotonergic drugMajor

    Patients should be monitored for the emergence of serotonin syndrome, especially with concomitant use of POSFREA and other serotonergic drugs. (Palonosetron label, Warnings and precautions)

  • ParoxetineSSRIMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • PhendimetrazineCNS stimulantMajor

    …coronary artery disease, stroke, arrhythmias, congestive heart failure, uncontrolled hypertension, pulmonary hypertension) • During or within 14 days following the administration of monoamine oxidase inhibitors • Hyperthyroidism • Glaucoma • Agitated states • History of drug abuse • Pregnancy (see PRECAUTIONS, Pregnancy ) • Nursing • Use in combination with other… (Phendimetrazine label, Contraindications)

  • PhenelzineMAO inhibitorMajor

    • Concomitant use of other drugs in the monoamine oxidase inhibitor (MAOI) class or other drugs that are potent inhibitors of monoamine oxidase, including linezolid), because of an increased risk for hypertensive crisis [see Warnings and Precautions (5.1)]. (Selegiline label, Contraindications)

  • PhentermineCNS stimulantMajor

    …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)

  • ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • • Concomitant use of dextromethorphan, because of reported episodes of psychosis or bizarre behavior. (Selegiline label, Contraindications)

  • Protriptylinetricyclic antidepressantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • PseudoephedrinedecongestantMajor

    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)

  • RasagilineMAO inhibitorMajor

    …serotonin reuptake inhibitors-SSRIs, serotonin-norepinephrine reuptake inhibitors-SNRIs, tricyclic antidepressants, tetracyclic antidepressants, triazolopyridine antidepressants) and a non-selective MAOI (e.g., phenelzine, tranylcypromine) or selective MAO-B inhibitors, such as selegiline (ELDEPRYL), rasagiline (AZILECT), and olanzapine (Zydis) selegiline (ZELAPAR). (Selegiline label, Warnings and precautions)

  • RemifentanilopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • RizatriptantriptanMajor

    Monoamine Oxidase Inhibitors MAXALT is contraindicated in patients taking MAO-A inhibitors and non-selective MAO inhibitors. (Rizatriptan label, Drug interactions)

  • SertralineSSRIMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • SolriamfetolCNS stimulantMajor

    SUNOSI is contraindicated in patients receiving concomitant treatment with monoamine oxidase (MAO) inhibitors, or within 14 days following discontinuation of monoamine oxidase inhibitor, because of the risk of hypertensive reaction [see Drug Interactions ( 7.1 )] . (Solriamfetol label, Contraindications)

  • St. John's wortHerbal and supplementMajor

    Combining St. John's wort with antidepressants and other serotonergic drugs increases the risk of serotonin syndrome. (NCCIH, St. John's Wort)

  • SumatriptantriptanMajor

    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)

  • 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

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • TetrabenazineVMAT2 inhibitorMajor

    • Taking monoamine oxidase inhibitors (MAOIs). (Tetrabenazine label, Contraindications)

  • Tizanidinemuscle relaxantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • TramadolopioidMajor

    ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • ZELAPAR is contraindicated in patients with: • Concomitant use of opioid drugs (e.g., meperidine, tramadol, or methadone). (Selegiline label, Contraindications)

  • TranylcypromineMAO inhibitorMajor

    …serotonin reuptake inhibitors-SSRIs, serotonin-norepinephrine reuptake inhibitors-SNRIs, tricyclic antidepressants, tetracyclic antidepressants, triazolopyridine antidepressants) and a non-selective MAOI (e.g., phenelzine, tranylcypromine) or selective MAO-B inhibitors, such as selegiline (ELDEPRYL), rasagiline (AZILECT), and olanzapine (Zydis) selegiline (ZELAPAR). (Selegiline label, Warnings and precautions)

  • TrazodoneantidepressantMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • Trimipraminetricyclic antidepressantMajor

    John’s wort or cyclobenzaprine (a tricyclic muscle relaxant). (Selegiline label, Contraindications)

  • 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)

  • VenlafaxineSNRIMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • VilazodoneSSRIMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline 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)

  • VortioxetineantidepressantMajor

    • May cause serotonin syndrome when used with antidepressants (5.2) (Selegiline label, Warnings and precautions)

  • ZiprasidoneantipsychoticMajor

    • Concomitant use of monoamine oxidase inhibitors (MAOIs), or use within 14 days of stopping MAOIs. (Ziprasidone label, Contraindications)

Moderate interactions (120)

  • Albuterolbeta-adrenergic agonistModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • AmantadineanticholinergicModerate

    Dyskinesia ZELAPAR may potentiate dopaminergic side effects of levodopa and may cause dyskinesia or exacerbate preexisting dyskinesia. (Selegiline label, Warnings and precautions)

  • AprepitantCYP3A4 inhibitorModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • Arformoterolbeta-adrenergic agonistModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • AripiprazoleantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • ArmodafinilCNS stimulantModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • Articaine and epinephrinelocal anestheticModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • AsenapineantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • BosentanCYP3A4 inducerModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • BrexpiprazoleantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • Brimonidinealpha-adrenergic agonistModerate

    Monoamine oxidase inhibitors may result in increased hypotension. (Brimonidine label, Drug interactions)

  • Brimonidine and timololalpha-adrenergic agonistModerate

    Monoamine oxidase inhibitors may result in increased hypotension. (Brimonidine and timolol label, Drug interactions)

  • Bromocriptinedopamine agonistModerate

    Dyskinesia ZELAPAR may potentiate dopaminergic side effects of levodopa and may cause dyskinesia or exacerbate preexisting dyskinesia. (Selegiline label, Warnings and precautions)

  • Budesonide and formoterolcorticosteroidModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • Bupivacainelocal anestheticModerate

    …of Adverse Reactions Due to Drug Interactions with MARCAINE WITH EPINEPHRINE Risk of Severe, Persistent Hypertension Due to Drug Interactions Between MARCAINE WITH EPINEPHRINE and Monoamine Oxidase Inhibitors and Tricyclic Antidepressants Administration of MARCAINE WITH EPINEPHRINE (containing a vasoconstrictor) in patients receiving monoamine oxidase inhibitors… (Bupivacaine label, Warnings and precautions)

  • Bupivacaine and epinephrinelocal anestheticModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • Butalbital and acetaminophenbarbiturateModerate

    Drug Interactions The CNS effects of butalbital may be enhanced by monoamine oxidase (MAO) inhibitors. (Butalbital and acetaminophen label, Drug interactions)

  • Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • Cabergolinedopamine agonistModerate

    Dyskinesia ZELAPAR may potentiate dopaminergic side effects of levodopa and may cause dyskinesia or exacerbate preexisting dyskinesia. (Selegiline label, Warnings and precautions)

  • CariprazineantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline 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)

  • CenobamateanticonvulsantModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • Chloroprocainelocal anestheticModerate

    Drug Interactions The administration of local anesthetic solutions containing epinephrine or norepinephrine to patients receiving monoamine oxidase inhibitors, tricyclic antidepressants or phenothiazines may produce severe, prolonged hypotension or hypertension. (Chloroprocaine label, Precautions)

  • ChlorpromazineantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • ClemastineantihistamineModerate

    Monoamine oxidase (MAO) inhibitors prolong and intensify the anticholinergic effects of antihistamines. (Clemastine label, Drug interactions)

  • ClobazambenzodiazepineModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • 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)

  • ClorazepatebenzodiazepineModerate

    The actions of the benzodiazepines may be potentiated by barbiturates, narcotics, phenothiazines, monoamine oxidase inhibitors or other antidepressants. (Clorazepate label, Drug interactions)

  • ClozapineantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • Cocainelocal anestheticModerate

    Monoamine-oxidase inhibitors: Concomitant administration may potentiate the effects and toxicity of monoamine-oxidase inhibitors. (Cocaine label, Drug interactions)

  • Deferasiroxiron supplementModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • DexamethasonecorticosteroidModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • 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)

  • DobutaminesympathomimeticModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • Droperidoldopamine antagonistModerate

    …1) clinically significant bradycardia (less than 50 bpm), 2) any clinically significant cardiac disease, 3) treatment with Class I and Class III antiarrhythmics, 4) treatment with monoamine oxidase inhibitors (MAOI's), 5) concomitant treatment with other drug products known to prolong the QT interval (see PRECAUTIONS, Drug Interactions ), and 6) electrolyte imbalance,… (Droperidol label, Warnings)

  • EfavirenzantiretroviralModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • EphedrinesympathomimeticModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • EpinephrinesympathomimeticModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • Ergotamine and caffeineergot alkaloidModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • EslicarbazepineanticonvulsantModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • EstazolambenzodiazepineModerate

    The action of the benzodiazepines may be potentiated by anticonvulsants, antihistamines, alcohol, barbiturates, monoamine oxidase inhibitors, narcotics, phenothiazines, psychotropic medications, or other drugs that produce CNS depression. (Estazolam label, Drug interactions)

  • EtravirineantiretroviralModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • FluphenazineantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • Fluticasone and salmeterolcorticosteroidModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • Formoterolbeta-adrenergic agonistModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • FosphenytoinanticonvulsantModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline 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)

  • Glipizide and metforminsulfonylureaModerate

    Glipizide: The hypoglycemic action of sulfonylureas may be potentiated by certain drugs, including nonsteroidal anti-inflammatory agents, some azoles, and other drugs that are highly protein bound, salicylates, sulfonamides, chloramphenicol, probenecid, coumarins, monoamine oxidase inhibitors, and beta-adrenergic blocking agents. (Glipizide and metformin label, Precautions)

  • 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)

  • GriseofulvinantifungalModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • HaloperidolantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline 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 Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline 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)

  • …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)

  • Ipratropium and albuterolanticholinergicModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • Isofluranegeneral anestheticModerate

    Concomitant Use with MAO Inhibitors Concomitant use of MAO inhibitors and inhalational anesthetics may increase the risk of hemodynamic instability during surgery or medical procedures. (Isoflurane label, Drug interactions)

  • Isoproterenolbeta-adrenergic agonistModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • Levalbuterolbeta-adrenergic agonistModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • 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)

  • Lidocaine and epinephrinelocal anestheticModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • Lopinavir and ritonavirantiretroviralModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • LorlatinibCYP3A4 inducerModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • LoxapineantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • LumateperoneantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • LurasidoneantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • Mepivacainelocal anestheticModerate

    Likewise, solutions of mepivacaine containing a vasoconstrictor, such as epinephrine, should be used with extreme caution in patients receiving monoamine oxidase inhibitors (MAOI) or antidepressants of the triptyline or imipramine types, because severe prolonged hypertension may result. (Mepivacaine label, Warnings)

  • 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)

  • Catecholamine-depleting drugs (e.g., MAO inhibitors): Hypotension, bradycardia. (Metoprolol and hydrochlorothiazide label, Drug interactions)

  • Mirabegronbeta-adrenergic agonistModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • MitapivatCYP3A4 inducerModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • MitotaneCYP3A4 inducerModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • ModafinilCNS stimulantModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • Nafcillinpenicillin antibioticModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • NateglinidemeglitinideModerate

    …Nateglinide Drugs That May Increase the Blood-Glucose-Lowering Effect of Nateglinide and Susceptibility to Hypoglycemia Drugs: Nonsteroidal anti-inflammatory drugs (NSAIDs), salicylates, monoamine oxidase inhibitors, non-selective beta-adrenergic-blocking agents, anabolic hormones (e.g., methandrostenolone), guanethidine, gymnema sylvestre, glucomannan, thioctic acid,… (Nateglinide label, Drug interactions)

  • NevirapineantiretroviralModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • OxcarbazepineanticonvulsantModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • OxymetazolinedecongestantModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • PaliperidoneantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • PerphenazineantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • PhenobarbitalbarbiturateModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • PhenylephrinedecongestantModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • PhenytoinanticonvulsantModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • PimavanserinantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • PimozideantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • Pioglitazone and glimepiridethiazolidinedioneModerate

    …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. (Pioglitazone and glimepiride label, Drug interactions)

  • Pramipexoledopamine agonistModerate

    Dyskinesia ZELAPAR may potentiate dopaminergic side effects of levodopa and may cause dyskinesia or exacerbate preexisting dyskinesia. (Selegiline label, Warnings and precautions)

  • Prilocaine and epinephrinelocal anestheticModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • PrimidoneanticonvulsantModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • ProchlorperazineantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline 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 Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • RifabutinantibioticModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • RifampinantibioticModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • RifapentineantibioticModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • RisperidoneantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • RitonavirantiretroviralModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • Ropiniroledopamine agonistModerate

    Dyskinesia ZELAPAR may potentiate dopaminergic side effects of levodopa and may cause dyskinesia or exacerbate preexisting dyskinesia. (Selegiline label, Warnings and precautions)

  • Salmeterolbeta-adrenergic agonistModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • Sevofluranegeneral anestheticModerate

    Non-selective MAO-inhibitors Concomitant use of MAO inhibitors and inhalational anesthetics may increase the risk of hemodynamic instability during surgery or medical procedures. (Sevoflurane label, Drug interactions)

  • Succinylcholineneuromuscular blockerModerate

    The neuromuscular blocking effect of succinylcholine may be enhanced by drugs that reduce plasma cholinesterase activity (e.g., chronically administered oral contraceptives, glucocorticoids, or certain monoamine oxidase inhibitors) or by drugs that irreversibly inhibit plasma cholinesterase [see Warnings and Precautions (5.9) ]. (Succinylcholine label, Drug interactions)

  • SuzetrigineCYP3A4 inducerModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • Terbutalinebeta-adrenergic agonistModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • ThioridazineantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • ThiothixeneantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • TolcaponeModerate

    Baseline treatment with dopamine agonists or selegiline did not appear to increase the likelihood of experiencing orthostatic hypotension when treated with Tolcapone tablets. (Tolcapone label, Precautions)

  • TopiramateanticonvulsantModerate

    Drugs that induce CYP3A4 (e.g., phenytoin, carbamazepine, nafcillin, phenobarbital, and rifampin) should be used with caution. (Selegiline label, Drug interactions)

  • TrifluoperazineantipsychoticModerate

    Withdrawal Emergent Hyperpyrexia and Confusion Although not reported with ZELAPAR in the clinical development program, a symptom complex resembling the 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… (Selegiline label, Warnings and precautions)

  • Umeclidinium and vilanterolanticholinergicModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

  • Vibegronbeta-adrenergic agonistModerate

    Uncontrolled hypertension has been reported when taking the recommended dose of swallowed selegiline and a sympathomimetic medication (ephedrine). (Selegiline label, Warnings and precautions)

Minor mentions (8)

  • Drug Interactions Since the chemical structure of difenoxin hydrochloride is similar to meperidine hydrochloride, the concurrent use of MOTOFEN ® with monoamine oxidase inhibitors may, in theory, precipitate a hypertensive crisis. (Difenoxin and atropine label, Drug interactions)

  • Entacapone can be taken concomitantly with a selective MAO-B inhibitor (e.g., selegiline). (Entacapone label, Warnings)

  • 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 Selegiline against everything you take. Add your full list; every pair is checked at once.

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Not 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.