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Drug interactions

Rasagiline + Vilanterol / fluticasone furoate inhaled

Severity: Moderate

Rasagiline and Vilanterol / fluticasone furoate inhaled: 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

Vilanterol is a long-acting beta2 agonist and MAO inhibitors may potentiate its cardiovascular effects. Heart rate and blood pressure increases are possible, although inhaled exposure is low.

What this interaction means in plain words

Rasagiline and Vilanterol / fluticasone furoate inhaled 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.

Evidence level: Low

Why it happens

MAO inhibition may enhance sympathomimetic cardiovascular effects of systemically absorbed vilanterol.

What to do

Monitor heart rate, blood pressure and palpitations. Consider a different controller if significant cardiovascular effects occur.

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 Rasagiline with Vilanterol / fluticasone furoate inhaled?

MediHelp rates the interaction as moderate. Rasagiline and Vilanterol / fluticasone furoate inhaled 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. Vilanterol is a long-acting beta2 agonist and MAO inhibitors may potentiate its cardiovascular effects. Heart rate and blood pressure increases are possible, although inhaled exposure is low.

How serious is the interaction between Rasagiline and Vilanterol / fluticasone furoate inhaled?

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 heart rate, blood pressure and palpitations. Consider a different controller if significant cardiovascular effects occur.

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.

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