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Drug interactions

Dolasetron + Rasagiline

Severity: Moderate

Dolasetron and Rasagiline: moderate 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

Combining a 5-HT3 antagonist with an MAO-B inhibitor has been associated with serotonin syndrome in labeling and case reports, though the risk is considered modest. Features include agitation, tremor, hyperreflexia, sweating, and fever.

What this interaction means in plain words

Dolasetron and Rasagiline can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Dolasetron belongs to Gastrointestinal Tract; Rasagiline belongs to Central Nervous System.

Evidence level: Low

Why it happens

Possible additive serotonergic effect from MAO inhibition together with 5-HT3 antagonism; the mechanism is not firmly established.

What to do

Monitor for signs of serotonin toxicity when starting or changing doses. Stop both drugs and treat supportively if symptoms appear.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Dolasetron with Rasagiline?

MediHelp rates the interaction as moderate. Dolasetron and Rasagiline can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Combining a 5-HT3 antagonist with an MAO-B inhibitor has been associated with serotonin syndrome in labeling and case reports, though the risk is considered modest. Features include agitation, tremor, hyperreflexia, sweating, and fever.

How serious is the interaction between Dolasetron and Rasagiline?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for signs of serotonin toxicity when starting or changing doses. Stop both drugs and treat supportively if symptoms appear.

What other medicines interact with Dolasetron?

MediHelp also lists interactions of Dolasetron with, for example, Apomorphine, Dofetilide, Ibutilide. The full list is on the Dolasetron page.

Full monographs, dosing and an interaction checker in the MediHelp app

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