Drug interactions
Dexmethylphenidate + Safinamide
Severity: Contraindicated
Dexmethylphenidate and Safinamide: contraindicated interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Safinamide is a MAO-B inhibitor and dexmethylphenidate is a CNS stimulant that raises synaptic dopamine and norepinephrine. Combining them can precipitate a hypertensive crisis and hyperadrenergic or serotonergic toxicity. The labeling of both classes advises against concurrent use.
What this interaction means in plain words
Dexmethylphenidate and Safinamide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Dexmethylphenidate belongs to Central Nervous System; Safinamide belongs to Central Nervous System.
Why it happens
MAO inhibition reduces catecholamine breakdown while the stimulant increases catecholamine release and blocks reuptake, producing additive sympathomimetic effects.
What to do
Do not co-administer; allow a washout of at least 14 days after stopping safinamide before starting dexmethylphenidate. Choose a non-interacting alternative for ADHD.
What to ask your pharmacist
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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Other interactions of Safinamide
- Amitriptyline + Safinamide Contraindicated
- Amoxapine + Safinamide Contraindicated
- Amphetamine polistirex + Safinamide Contraindicated
- Clomipramine + Safinamide Contraindicated
- Cyclobenzaprine + Safinamide Contraindicated
- Desipramine + Safinamide Contraindicated
Other interactions of Dexmethylphenidate
- Dexmethylphenidate + Isocarboxazid Contraindicated
- Dexmethylphenidate + Linezolid Contraindicated
- Dexmethylphenidate + Phenelzine Contraindicated
- Dexmethylphenidate + Procarbazine Contraindicated
- Dexmethylphenidate + Rasagiline Contraindicated
- Dexmethylphenidate + Selegiline Contraindicated
Frequently asked questions
Can I take Dexmethylphenidate with Safinamide?
MediHelp rates the interaction as contraindicated. Dexmethylphenidate and Safinamide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Safinamide is a MAO-B inhibitor and dexmethylphenidate is a CNS stimulant that raises synaptic dopamine and norepinephrine. Combining them can precipitate a hypertensive crisis and hyperadrenergic or serotonergic toxicity. The labeling of both classes advises against concurrent use.
How serious is the interaction between Dexmethylphenidate and Safinamide?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not co-administer; allow a washout of at least 14 days after stopping safinamide before starting dexmethylphenidate. Choose a non-interacting alternative for ADHD.
What other medicines interact with Safinamide?
MediHelp also lists interactions of Safinamide with, for example, Amitriptyline, Amoxapine, Amphetamine polistirex. The full list is on the Safinamide page.
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