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Drug interactions

Rasagiline + Vortioxetine

Severity: Contraindicated

Rasagiline and Vortioxetine: 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

Rasagiline is an MAO-B inhibitor, and combining it with vortioxetine carries a risk of serotonin syndrome. The vortioxetine label contraindicates MAO inhibitors, and rasagiline labeling advises against antidepressants.

What this interaction means in plain words

Rasagiline and Vortioxetine 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; Vortioxetine belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

MAO inhibition plus serotonin reuptake inhibition leads to excess serotonergic activity.

What to do

Avoid concurrent use. Allow at least 14 days after stopping rasagiline before starting vortioxetine, and at least 14 days after stopping vortioxetine 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 Vortioxetine?

MediHelp rates the interaction as contraindicated. Rasagiline and Vortioxetine 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 is an MAO-B inhibitor, and combining it with vortioxetine carries a risk of serotonin syndrome. The vortioxetine label contraindicates MAO inhibitors, and rasagiline labeling advises against antidepressants.

How serious is the interaction between Rasagiline and Vortioxetine?

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 at least 14 days after stopping rasagiline before starting vortioxetine, and at least 14 days after stopping vortioxetine before starting rasagiline.

What other medicines interact with Vortioxetine?

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

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