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Drug interactions

Peginterferon alfa 2a + Rasagiline

Severity: Moderate

Peginterferon alfa 2a 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

Peginterferon alfa 2a may reduce CYP1A2-mediated metabolism of rasagiline and increase its exposure. This could heighten dopaminergic and MAO-B inhibitor adverse effects.

What this interaction means in plain words

Peginterferon alfa 2a 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.

Peginterferon alfa 2a belongs to Anti Virals; Rasagiline belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Interferon-related inhibition of CYP1A2 decreases rasagiline clearance.

What to do

Limit rasagiline to 0.5 mg daily during concomitant use, as labeling advises for CYP1A2 inhibitors. Monitor for adverse effects such as dyskinesia and hypotension.

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 Peginterferon alfa 2a with Rasagiline?

MediHelp rates the interaction as moderate. Peginterferon alfa 2a 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. Peginterferon alfa 2a may reduce CYP1A2-mediated metabolism of rasagiline and increase its exposure. This could heighten dopaminergic and MAO-B inhibitor adverse effects.

How serious is the interaction between Peginterferon alfa 2a 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: Limit rasagiline to 0.5 mg daily during concomitant use, as labeling advises for CYP1A2 inhibitors. Monitor for adverse effects such as dyskinesia and hypotension.

What other medicines interact with Peginterferon alfa 2a?

MediHelp also lists interactions of Peginterferon alfa 2a with, for example, Clozapine, Deferiprone, Hydroxyurea. The full list is on the Peginterferon alfa 2a page.

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