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Drug interactions

Phentermine + Rasagiline

Severity: Contraindicated

Phentermine and Rasagiline: 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

Phentermine is a sympathomimetic amine whose labeling contraindicates use with or shortly after MAO inhibitors. Co-use risks hypertensive crisis and cardiovascular events.

What this interaction means in plain words

Phentermine and Rasagiline 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.

Phentermine belongs to Central Nervous System; Rasagiline belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Reduced catecholamine metabolism from MAO inhibition combined with phentermine-induced norepinephrine release causes exaggerated pressor effects.

What to do

Avoid the combination and do not start phentermine within 14 days of stopping rasagiline. Select an alternative weight-loss agent.

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?

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 Phentermine with Rasagiline?

MediHelp rates the interaction as contraindicated. Phentermine and Rasagiline 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. Phentermine is a sympathomimetic amine whose labeling contraindicates use with or shortly after MAO inhibitors. Co-use risks hypertensive crisis and cardiovascular events.

How serious is the interaction between Phentermine and Rasagiline?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination and do not start phentermine within 14 days of stopping rasagiline. Select an alternative weight-loss agent.

What other medicines interact with Rasagiline?

MediHelp also lists interactions of Rasagiline with, for example, Atomoxetine, Brimonidine, Bupropion-naltrexone. The full list is on the Rasagiline page.

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

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