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Interazioni tra farmaci

Rasagiline + Venlafaxine

Gravità: Controindicata

Rasagiline and Venlafaxine: contraindicated interaction.

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Sintesi

Rasagiline is a selective MAO-B inhibitor that, at higher doses, loses selectivity, and combined use with serotonergic antidepressants has been linked to serotonin syndrome. Venlafaxine labeling warns against its use with MAO inhibitors, and severe hyperthermia and CNS toxicity can occur.

Cosa significa questa interazione in parole semplici

Rasagiline and Venlafaxine 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; Venlafaxine belongs to Central Nervous System.

Livello di evidenza: Moderate

Perché avviene

Inhibition of monoamine metabolism combined with serotonin and norepinephrine reuptake inhibition produces additive serotonergic excess.

Cosa fare

Avoid concomitant use. Allow at least 14 days after stopping rasagiline before starting venlafaxine, and at least 7 days after stopping venlafaxine before starting rasagiline.

Cosa chiedere al farmacista

  • 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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Domande frequenti

Can I take Rasagiline with Venlafaxine?

MediHelp rates the interaction as contraindicated. Rasagiline and Venlafaxine 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 a selective MAO-B inhibitor that, at higher doses, loses selectivity, and combined use with serotonergic antidepressants has been linked to serotonin syndrome. Venlafaxine labeling warns against its use with MAO inhibitors, and severe hyperthermia and CNS toxicity can occur.

How serious is the interaction between Rasagiline and Venlafaxine?

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 concomitant use. Allow at least 14 days after stopping rasagiline before starting venlafaxine, and at least 7 days after stopping venlafaxine before starting rasagiline.

What other medicines interact with Venlafaxine?

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

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