Selegiline

48 interactions 6 explained in plain English
Also sold as: Anipryl Zelapar
Dr. Brian Staiger, PharmD, BCPS
Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated Jul 4, 2026 · Editorial policy · Data sources

Sources: FDA prescribing information (Structured Product Labeling), the published literature cited in each entry, DDInter 2.0 (a major open-access drug-interaction database), and legacy DrugBank interaction data distributed by the NIH's RxNav service (decommissioned in 2024) — analyzed and reviewed by our pharmacist team. How we build this library →

Major

Selegiline Albuterol Oral Inhalation Accuneb® Explained An increased risk of cardiovascular adverse effects Details Selegiline Buprenorphine Belbuca Explained An increased risk of serotonin syndrome or opioid-related toxicity Details Selegiline Atropine Ophthalmic Atropine Care 1% Potential to cause hypertensive crisis Details Selegiline Butorphanol Injection Butorphic Increased risk of serotonin syndrome or opioid toxicity Details Selegiline Butorphanol Nasal Spray Stadol® NS Increased risk of serotonin syndrome or opioid toxicity Details Selegiline Dolasetron Anzemet Increased risk of serotonin syndrome Details Selegiline Dolasetron Injection Anzemet Increased risk of serotonin syndrome Details Selegiline Fentanyl Transdermal Patch Duragesic® Potentiation of opioid effects and an increased risk of serotonin syndrome Details Selegiline Granisetron Transdermal Patch Sancuso Increased risk of serotonin syndrome Details Selegiline Granisetron Injection Granisol Increased risk of serotonin syndrome Details Selegiline Hydromorphone Injection Dilaudid Increased risk of serotonin syndrome or opioid toxicity Details Selegiline Hydromorphone Rectal available generically Increased risk of serotonin syndrome or opioid toxicity Details Selegiline Levodopa Oral Inhalation Inbrija Increased risk of levodopa adverse effects, including severe orthostatic hypotension Details Selegiline Lithium Carbonate Lithobid Increased risk of serotonin syndrome Details Selegiline Metoclopramide Injection Gimoti Increased risk of hypertensive crisis Details Selegiline Metoclopramide Nasal Spray Gimoti Increased risk of hypertensive crisis Details Selegiline Nalbuphine Injection Nubain® Increased risk of serotonin syndrome or opioid toxicity Details Selegiline Olodaterol Oral Inhalation Striverdi Potentiated cardiovascular effects Details Selegiline Palonosetron Injection Aloxi® An increased risk of serotonin syndrome Details

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Educational information only, not medical advice. Always confirm interactions with your pharmacist or prescriber before making any change to your medications.