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What Is Azilect?

Azilect is a prescription medicine containing rasagiline, a selective monoamine oxidase B inhibitor used for Parkinson disease. It can be used alone or with other Parkinson medicines, including levodopa. Tablets come in 0.5 mg and 1 mg strengths and are taken once daily. Liver function and interacting medicines affect dose selection.

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What Is Azilect?

Azilect is a prescription medicine containing rasagiline, a selective monoamine oxidase B inhibitor used for Parkinson disease. It can be used alone or with other Parkinson medicines, including levodopa. Tablets come in 0.5 mg and 1 mg strengths and are taken once daily. Liver function and interacting medicines affect dose selection.

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How Does Azilect Affect Dopamine Breakdown?

Rasagiline irreversibly inhibits monoamine oxidase B, an enzyme involved in dopamine metabolism in the brain. Inhibiting this enzyme reduces dopamine breakdown and increases dopaminergic activity. This action contributes to improvement in Parkinson symptoms when rasagiline is used alone or together with levodopa and other Parkinson medicines.

When Is Azilect Used in Parkinson Disease?

Azilect is approved for treatment of Parkinson disease. It is used as monotherapy, as adjunct therapy without levodopa, or as adjunct therapy with levodopa. Patients taking levodopa start with a lower rasagiline dose and can increase after clinical review when symptom control remains inadequate.

How Are Azilect Tablets Dosed?

Monotherapy and adjunct treatment without levodopa use 1 mg once daily. When taken with levodopa, treatment starts at 0.5 mg once daily and can increase to 1 mg daily. Patients taking ciprofloxacin or another CYP1A2 inhibitor should not exceed 0.5 mg daily. Mild liver impairment also uses a 0.5 mg daily limit.

Which Safety Problems Need Attention With Azilect?

Azilect can cause high blood pressure, serotonin syndrome, sudden sleep episodes, daytime sleepiness, low blood pressure, dyskinesia, hallucinations, and compulsive behaviors. It is contraindicated with several medicines, including meperidine, tramadol, methadone, dextromethorphan, cyclobenzaprine, St. John's wort, and other MAO inhibitors. Moderate or severe liver impairment is also a reason to avoid Azilect.

Frequently Asked Questions About Azilect

Is Azilect an MAO-B inhibitor?

Yes. Azilect contains rasagiline, an irreversible monoamine oxidase B inhibitor used for Parkinson disease.

How often is Azilect taken?

Azilect is taken once daily. The dose is 0.5 mg or 1 mg depending on the treatment regimen and patient factors.

Can Azilect be taken with levodopa?

Yes. Azilect is approved as adjunct therapy with levodopa, with a starting dose of 0.5 mg once daily.

Can Azilect be taken with dextromethorphan?

No. Dextromethorphan is contraindicated with Azilect due to the risk of psychosis or unusual behavior.

References

AZILECT (rasagiline) Prescribing Information. https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=a40d0e73-3f9f-4b01-979d-402c9cdaeb60&type=pdf. Date Accessed September 15, 2026.

DailyMed - AZILECT (rasagiline mesylate) tablet. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a40d0e73-3f9f-4b01-979d-402c9cdaeb60. Date Accessed September 15, 2026.

DailyMed - RASAGILINE tablet. https://www.dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9bf059f4-4da8-48fe-aacb-c50717d36606. Date Accessed September 15, 2026.

Rasagiline. MedlinePlus. https://medlineplus.gov/druginfo/meds/a606017.html. Date Accessed September 15, 2026.

Rasagiline Mesylate. PubChem. https://pubchem.ncbi.nlm.nih.gov/compound/161735-79-1. Date Accessed September 15, 2026.