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Drug interactions

Rasagiline + Vilazodone

Severity: Contraindicated

Rasagiline and Vilazodone: 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

Vilazodone taken with rasagiline raises the risk of serotonin syndrome. Labeling for vilazodone prohibits use with MAO inhibitors, including those that are MAO-B selective.

What this interaction means in plain words

Rasagiline and Vilazodone 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.

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

Evidence level: Moderate

Why it happens

Additive serotonergic activity from vilazodone's reuptake inhibition and MAO inhibition by rasagiline.

What to do

Avoid concurrent use. Allow 14 days after stopping rasagiline before starting vilazodone, and 14 days after stopping vilazodone before starting rasagiline.

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 Rasagiline with Vilazodone?

MediHelp rates the interaction as contraindicated. Rasagiline and Vilazodone 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. Vilazodone taken with rasagiline raises the risk of serotonin syndrome. Labeling for vilazodone prohibits use with MAO inhibitors, including those that are MAO-B selective.

How serious is the interaction between Rasagiline and Vilazodone?

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 concurrent use. Allow 14 days after stopping rasagiline before starting vilazodone, and 14 days after stopping vilazodone before starting rasagiline.

What other medicines interact with Vilazodone?

MediHelp also lists interactions of Vilazodone with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Vilazodone page.

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

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