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Drug interactions

Selegiline + Solriamfetol

Severity: Contraindicated

Selegiline and Solriamfetol: 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

Solriamfetol raises dopamine and norepinephrine activity, and with MAO inhibitors may cause hypertensive reactions. Labeling prohibits use with MAOIs or within 14 days of stopping them.

What this interaction means in plain words

Selegiline and Solriamfetol 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.

Selegiline belongs to Central Nervous System; Solriamfetol belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Solriamfetol blocks dopamine and norepinephrine reuptake while MAO inhibition prevents their breakdown, causing additive pressor effects.

What to do

Do not coadminister. Wait at least 14 days after stopping an MAOI before starting solriamfetol.

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 Selegiline with Solriamfetol?

MediHelp rates the interaction as contraindicated. Selegiline and Solriamfetol 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. Solriamfetol raises dopamine and norepinephrine activity, and with MAO inhibitors may cause hypertensive reactions. Labeling prohibits use with MAOIs or within 14 days of stopping them.

How serious is the interaction between Selegiline and Solriamfetol?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not coadminister. Wait at least 14 days after stopping an MAOI before starting solriamfetol.

What other medicines interact with Selegiline?

MediHelp also lists interactions of Selegiline with, for example, Amitriptyline, Amoxapine, Atomoxetine. The full list is on the Selegiline page.

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

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