Rasagiline and Dextromethorphan Interaction
Drug interaction information between Rasagiline and Dextromethorphan.
Rasagiline and Dextromethorphan have a documented moderate interaction in FDA labeling.
FDA drug labeling documents a moderate-severity interaction between Rasagiline and Dextromethorphan. Major interactions are generally avoided, moderate ones may need monitoring or a dose adjustment, and minor ones are usually low-risk. This page shows the documented mechanism and guidance. Label-documented interactions are not a complete safety review, so always confirm your own medications with a pharmacist or doctor. Educational information, not medical advice.
How They Interact
Taking these drugs at the same time can cause severe changes in your brain chemistry. This can lead to unusual behavior, confusion, or a loss of touch with reality.
What To Do
Avoid using these medications together. Check the labels of over-the-counter cough medicines to make sure they do not contain dextromethorphan.
FDA Label Information
7 DRUG INTERACTIONS Meperidine: Risk of serotonin syndrome (4, 7.1) Dextromethorphan: Risk of psychosis or bizarre behavior (4, 7.2) MAO inhibitors: Risk of non-selective MAO inhibition and hypertensive crisis (4, 7.3) 7.1 Meperidine Serious, sometimes fatal reactions have been precipitated with concomitant use of meperidine (e.g., Demerol and other tradenames) and MAO inhibitors including selective MAO-B inhibitors [see Contraindications (4)] . 7.2 Dextromethorphan The concomitant use of rasagiline tablets and dextromethorphan was not allowed in clinical studies. The combination of MAO...
Rasagiline Also Interacts With
- Meperidine moderate
- Tranylcypromine moderate
- Ciprofloxacin minor
- Dopamine minor
- Norepinephrine minor
Dextromethorphan Also Interacts With
- Safinamide major
- Memantine moderate
- Tranylcypromine moderate
- Abiraterone minor
- Aripiprazole minor
Frequently Asked Questions
Can I take Rasagiline and Dextromethorphan together?
This is a moderate interaction. Avoid using these medications together. Check the labels of over-the-counter cough medicines to make sure they do not contain dextromethorphan.
How serious is the interaction between Rasagiline and Dextromethorphan?
This interaction is classified as "moderate" severity by the FDA. Moderate interactions may worsen your condition or change how your medications work.
Why do Rasagiline and Dextromethorphan interact?
Taking these drugs at the same time can cause severe changes in your brain chemistry. This can lead to unusual behavior, confusion, or a loss of touch with reality.
Understanding the Rasagiline and Dextromethorphan Interaction
FDA-approved prescribing information for these two drugs flags their combination as a moderate-severity interaction. Rasagiline belongs to the MAO-B Inhibitor class and Dextromethorphan belongs to the Antitussive class - two categories that can collide when co-prescribed. The mechanism described in FDA labeling is: Taking these drugs at the same time can cause severe changes in your brain chemistry. Severity tiers matter: major flags generally advise avoidance, moderate flags often require monitoring or dose adjustment, and minor flags may only call for awareness.
Context around a specific patient determines real-world impact. Rasagiline has 7 total documented interactions on file in this dataset, and Dextromethorphan has 15. Each additional medication compounds the interaction surface, which is why pharmacists run full-profile checks rather than evaluating one pair at a time. FDA-derived guidance for this pair is: Avoid using these medications together. Timing of doses, renal and hepatic function, age, and other concurrent prescriptions all shape whether a labeled interaction matters clinically.
An interaction flag is not a verdict. A large share of labeled interactions are managed routinely in clinical practice, the fix may be as simple as spacing doses or adding a monitoring test. Others require the prescriber to choose a different medication entirely. This page surfaces FDA-sourced labeling and openFDA data for educational purposes only; it is not medical advice and cannot account for your full clinical picture. Never start, stop, or adjust either Rasagiline or Dextromethorphan based on a web page, speak with your prescriber or pharmacist before making any change.
Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. Always consult your healthcare provider about drug interactions.
Read our methodology - how this data is sourced, computed, and verified.