{"id":60412,"date":"2024-02-28T06:47:45","date_gmt":"2024-02-28T06:47:45","guid":{"rendered":"https:\/\/medsname.com\/rasalect\/"},"modified":"2026-05-01T10:49:16","modified_gmt":"2026-05-01T10:49:16","slug":"rasalect","status":"publish","type":"product","link":"https:\/\/medsbase.com\/nb\/product\/rasalect\/","title":{"rendered":"Rasalect"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 Raskt svar<\/h3>\n<p style=\"margin:0;\"><strong>Rasalect<\/strong> er en oral <strong>rasagiline<\/strong> (1 mg) tablet \u2014 a selective <strong>monoamine oxidase type B (MAO-B) inhibitor<\/strong> brukes til \u00e5 behandle <strong>Parkinsons sykdom<\/strong>. By blocking MAO-B in the brain, it slows the breakdown of dopamine and helps lengthen the time levodopa keeps working between doses (reduces &ldquo;off&rdquo; time). Unlike selegiline, rasagiline is <em>ikke<\/em> metabolised to amphetamine derivatives, so insomnia is much less of a problem. Common side effects: insomnia, headache, dyskinesia, dry mouth, postural hypotension. <strong>Viktig:<\/strong> avoid combination with most antidepressants (SSRIs, SNRIs, TCAs), opioids such as pethidine and tramadol, and dextromethorphan &mdash; risk of <em>serotoninsyndrom<\/em>.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Hva du f\u00e5r med MedsBase:<\/strong> WHO-GMP-sertifisert produsent \u00b7 Diskret emballasje \u00b7 Verdensomspennende levering \u00b7 1 400+ verifiserte <a href=\"https:\/\/medsbase.com\/nb\/reviews\/\">kundeanmeldelser<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Hver ordre er dekket av v\u00e5r <a href=\"https:\/\/medsbase.com\/nb\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 hvis pakken din ikke ankommer innen 20 virkedager, sender vi ny.<\/p>\n<h3>Hvorfor bestille fra MedsBase<\/h3>\n<p>V\u00e5re generiske legemidler kommer fra WHO-GMP-sertifiserte produsenter og sendes over hele verden i diskret, n\u00f8ytral emballasje \u2014 ingen legemiddelnavn p\u00e5 utsiden av pakken. Kortbetalinger h\u00e5ndteres av en regulert betalingsbehandler (kontoutskrifter viser en regulert kortbetalingsprosessor \u2014 aldri \u201cMedsBase\u201d eller noe legemiddelnavn). Krypto og SEPA bankoverf\u00f8rsel godtas ogs\u00e5. Hver ordre er dekket av v\u00e5r Reshipment Assurance Policy.<\/p>\n<h2 class=\"wp-block-heading\">What Is Rasalect?<\/h2>\n<p>Rasalect is an oral tablet containing <strong>rasagiline 1 mg<\/strong>. rasagiline is a selective <strong>monoamine oxidase type B (MAO-B) inhibitor<\/strong> originally introduced as <strong>Azilect<\/strong>. Rasalect is manufactured by a WHO-GMP certified facility and is bioequivalent to the originator brand at the same strength.<\/p>\n<p>Rasagiline was developed as a second-generation MAO-B inhibitor specifically to avoid selegiline&rsquo;s amphetamine metabolites. It has a clean active metabolite (aminoindan) which itself has neuroprotective properties in laboratory models. Rasagiline can be used as monotherapy in early Parkinson disease or as adjunct to levodopa for end-of-dose wearing-off.<\/p>\n<h2 class=\"wp-block-heading\">How Does Rasalect (rasagiline) Work?<\/h2>\n<p>Rasagiline irreversibly inactivates MAO-B in the brain, slowing the breakdown of dopamine. Like selegiline it is selective for MAO-B at therapeutic doses (1 mg\/day) but loses selectivity above 1.5&ndash;2 mg\/day. Its main metabolite, aminoindan, has its own potential neuroprotective activity in preclinical models &mdash; the basis for the ADAGIO disease-modification trial, which produced suggestive but not conclusive results.<\/p>\n<h2 class=\"wp-block-heading\">Comparing the MAO-B Inhibitors<\/h2>\n<p>The three MAO-B inhibitors used in Parkinson disease &mdash; selegiline, rasagiline and safinamide &mdash; share a common mechanism but differ meaningfully in metabolites, dosing and clinical positioning:<\/p>\n<table style=\"width:100%;border-collapse:collapse;margin:16px 0;font-size:14px;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;text-align:left;\">Funksjon<\/th>\n<th style=\"padding:10px;text-align:left;\">Selegiline<\/th>\n<th style=\"padding:10px;text-align:left;\">Rasagiline<\/th>\n<th style=\"padding:10px;text-align:left;\">Safinamide<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Typical dose<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">5&ndash;10 mg\/day<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">0.5&ndash;1 mg\/day<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">50&ndash;100 mg\/day<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Active metabolites<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Amphetamine + methamphetamine<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Aminoindan (non-amphetamine)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">No active stimulant metabolite<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Glutamate effect<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Nei<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Nei<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\"><strong>Ja<\/strong> &mdash; sodium-channel\/glutamate-release modulation<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Indikasjon<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Monotherapy or adjunct<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Monotherapy or adjunct<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\"><strong>Adjunct only<\/strong> &mdash; for fluctuating PD on levodopa<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">Insomnia risk<\/td>\n<td style=\"padding:8px;\">Higher (amphetamine metabolites)<\/td>\n<td style=\"padding:8px;\">Lav<\/td>\n<td style=\"padding:8px;\">Lav<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Who Is Rasalect For?<\/h2>\n<p>Rasalect is appropriate for adults with Parkinson disease &mdash; either as monotherapy in early disease or as adjunct to levodopa in patients with motor fluctuations. Compared with selegiline, rasagiline is preferred when insomnia is a concern. Compared with safinamide, rasagiline is the better monotherapy option (safinamide is licensed only as adjunct).<\/p>\n<h2 class=\"wp-block-heading\">Dosering og administrering<\/h2>\n<p>The standard adult dose is <strong>1 mg en gang daglig<\/strong>, taken in the morning with or without food. There is no need for titration &mdash; full effect is reached within 1&ndash;2 weeks. Doses above 1 mg\/day are generally avoided as MAO-B selectivity is lost. In moderate hepatic impairment reduce to 0.5 mg\/day; in severe hepatic impairment avoid.<\/p>\n<table style=\"width:100%;border-collapse:collapse;margin:16px 0;font-size:14px;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;text-align:left;\">Populasjon<\/th>\n<th style=\"padding:10px;text-align:left;\">Dose<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Standard adult<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">1 mg once daily, morning<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Mild leversvikt<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">0.5 mg once daily<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">Moderate-severe hepatic impairment<\/td>\n<td style=\"padding:8px;\">Unng\u00e5<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 22px 0;border-radius:4px;font-size:14px;\"><strong>&#9888; Tyramine and the &ldquo;cheese effect&rdquo;<\/strong> At standard MAO-B-selective doses, dietary tyramine restriction is generally <em>ikke<\/em> required. However, MAO-B selectivity is dose-dependent &mdash; selegiline above 10 mg\/day, rasagiline above 1 mg\/day, and safinamide above 100 mg\/day lose selectivity and inhibit peripheral MAO-A as well. At those doses, tyramine-rich foods (aged cheeses, cured meats, broad beans, fermented soya, draught beer) can trigger a hypertensive crisis. Stay within prescribed doses to avoid this risk.<\/div>\n<h2 class=\"wp-block-heading\">Vanlige bivirkninger<\/h2>\n<p>Headache (the most common &mdash; usually transient), arthralgia, dyspepsia, depression, postural hypotension, flu-like symptoms. Less common: hallucinations, insomnia (much less than selegiline), weight loss, falls. With levodopa: increased dyskinesia.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 22px 0;border-radius:4px;font-size:14px;\"><strong>&#9888; Serotonin syndrome &mdash; dangerous interactions<\/strong> Combining a MAO-B inhibitor with serotonergic drugs can cause <em>serotoninsyndrom<\/em>: agitation, sweating, tremor, hyperreflexia, fever, diarrhoea, in severe cases seizures and death. <strong>Avoid:<\/strong> SSRIs (fluoxetine, sertraline, paroxetine, citalopram, escitalopram), SNRIs (venlafaxine, duloxetine), tricyclics (amitriptyline, imipramine), pethidine (meperidine), tramadol, dextromethorphan, methadone, St John&rsquo;s wort, MDMA. <strong>Wash-out periods:<\/strong> stop fluoxetine 5 weeks before starting MAO-B inhibitor; stop other SSRIs\/SNRIs at least 2 weeks before; do not start fluoxetine within 2 weeks of stopping the MAO-B inhibitor.<\/div>\n<h2 class=\"wp-block-heading\">Legemiddel- og matinteraksjoner<\/h2>\n<ul>\n<li><strong>Antidepressants<\/strong> &mdash; SSRIs, SNRIs, TCAs: avoid. If a serotonergic antidepressant is essential, mirtazapine or bupropion are sometimes used cautiously under specialist supervision.<\/li>\n<li><strong>Opioids<\/strong> &mdash; pethidine, tramadol, methadone: contraindicated. Morphine, codeine, oxycodone are safer alternatives if analgesia is required.<\/li>\n<li><strong>Sympathomimetics<\/strong> &mdash; pseudoephedrine, phenylephrine, ephedrine: risk of hypertensive crisis. Avoid OTC decongestants.<\/li>\n<li><strong>Other MAO inhibitors<\/strong> &mdash; phenelzine, tranylcypromine, isocarboxazid, linezolid, methylene blue: contraindicated.<\/li>\n<li><strong>CYP1A2 inducers\/inhibitors<\/strong> &mdash; rasagiline is metabolised primarily by CYP1A2. Strong CYP1A2 inhibitors (ciprofloxacin, fluvoxamine) raise rasagiline levels &mdash; halve the dose to 0.5 mg\/day. Smoking induces CYP1A2 and lowers levels.<\/li>\n<li><strong>Levodopa<\/strong> &mdash; intentional combination: start at the lower MAO-B dose and watch for dyskinesia (a sign that levodopa effect has been amplified). Levodopa dose may need a 10&ndash;30% reduction.<\/li>\n<\/ul>\n<h2 id=\"faqs\">Vanlige sp\u00f8rsm\u00e5l<\/h2>\n<h3 class=\"wp-block-heading\">Can I take Rasalect instead of levodopa?<\/h3>\n<p>Yes. Rasagiline 1 mg\/day is licensed and effective as monotherapy in early Parkinson disease, with modest but real symptom benefit. As disease progresses, levodopa is almost always added.<\/p>\n<h3 class=\"wp-block-heading\">How quickly will I feel an effect?<\/h3>\n<p>MAO-B inhibitors work gradually. Most patients notice a smoother &ldquo;on&rdquo; period and reduced &ldquo;off&rdquo; time within 2&ndash;4 weeks. The full benefit on motor fluctuations is usually clear by 4&ndash;8 weeks.<\/p>\n<h3 class=\"wp-block-heading\">Will I have to follow a low-tyramine diet?<\/h3>\n<p>At normal prescribed doses (selegiline &le; 10 mg\/day, rasagiline 1 mg\/day, safinamide &le; 100 mg\/day), no special diet is required. Above those doses, MAO-B selectivity is lost and tyramine restriction becomes important.<\/p>\n<h3 class=\"wp-block-heading\">Does Rasalect slow down Parkinson disease itself?<\/h3>\n<p>A neuroprotective or disease-modifying effect of MAO-B inhibitors has been studied (e.g.&nbsp;the DATATOP and ADAGIO trials with selegiline and rasagiline). Results are <em>suggestive<\/em> but not definitive. The drugs are prescribed primarily for symptom control, not as guaranteed disease-modifying therapy.<\/p>\n<h3 class=\"wp-block-heading\">Hva om jeg glemmer en dose?<\/h3>\n<p>Ta den glemte dosen s\u00e5 snart du husker det <strong>that day<\/strong>. If it is already evening or close to bedtime, skip it &mdash; selegiline and rasagiline can both cause insomnia, and a late dose can disrupt sleep. Never double-dose. Resume normal schedule the next day.<\/p>\n<h3 class=\"wp-block-heading\">Can I drink alcohol with Rasalect?<\/h3>\n<p>Moderate alcohol is not strictly forbidden, but heavy drinking and red-wine binges can interact with residual MAO inhibition and increase blood-pressure variability. Many Parkinson patients also have postural hypotension on dopaminergic therapy &mdash; alcohol worsens this. Limit to 1 standard drink occasionally.<\/p>\n<h3 class=\"wp-block-heading\">Can I drive while taking Rasalect?<\/h3>\n<p>Most patients tolerate Rasalect without driving impairment. However, dopaminergic therapy as a whole can cause sudden-onset sleep (sleep attacks), particularly when Rasalect is added to a dopamine agonist or levodopa. Until you know how you respond, avoid driving long distances or operating heavy machinery.<\/p>\n<h3 class=\"wp-block-heading\">Is Rasalect safe in older adults?<\/h3>\n<p>Yes &mdash; rasagiline is widely used in elderly Parkinson patients. Watch for postural hypotension (rise from sitting slowly), confusion, hallucinations, and impulse-control changes. Lower starting doses may be appropriate.<\/p>\n<h3 class=\"wp-block-heading\">Can Rasalect be stopped abruptly?<\/h3>\n<p>No. Sudden withdrawal of any dopaminergic agent in a Parkinson patient can precipitate a <em>neuroleptisk malign-lignende syndrom<\/em> with rigidity, fever and altered consciousness. If discontinuation is needed, taper over 1&ndash;2 weeks under medical supervision.<\/p>\n<h3 class=\"wp-block-heading\">Will Rasalect cause weight loss or weight gain?<\/h3>\n<p>Neither markedly. Some patients on selegiline lose a small amount of weight (the amphetamine-like metabolites can suppress appetite slightly). Rasagiline and safinamide are weight-neutral.<\/p>\n<h3 class=\"wp-block-heading\">How does MedsBase ship Rasalect?<\/h3>\n<p>Verdensomspennende forsendelse i diskre emballasje fra en WHO-GMP-sertifisert produsent. Tabletter sendes i originale forseglede blisterpakninger. Spor bestillingen din fra din MedsBase-konto.<\/p>\n<h2 class=\"wp-block-heading\">Oppbevaring<\/h2>\n<p>Oppbevares ved romtemperatur (15\u201330\u00b0C \/ 59\u201386\u00b0F), beskyttet mot varme, fuktighet og direkte lys. Oppbevares i originalbeholderen med lokket godt lukket. Ut av rekkevidde for barn. Ikke bruk etter utl\u00f8psdatoen som er trykt p\u00e5 emballasjen.<\/p>\n<h2 class=\"wp-block-heading\">Medisinsk ansvarsfraskrivelse<\/h2>\n<p style=\"font-size:13px;color:#555;\">Denne informasjonen er kun til undervisningsform\u00e5l og er ikke en erstatning for r\u00e5d fra en kvalifisert kliniker. Parkinsons sykdom og parkinson-lignende syndromer krever individuell nevrologisk behandling. Diskuter alle medikamenter, kosttilskudd og underliggende tilstander med legen din f\u00f8r du starter, endrer eller avslutter behandling. Ikke avslutt dopaminerg behandling br\u00e5tt \u2014 plutselig avslutning kan utl\u00f8se et neuroleptisk malign-lignende syndrom.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Relaterte alternativer<\/h3>\n<p>Andre produkter innen <strong>Kroniske tilstander<\/strong> som kunder ogs\u00e5 ser p\u00e5:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nb\/zyrik\/\">Zyrik<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/rizatop\/\">Rizatop<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/listril-plus\/\">Listril Plus<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/temotero\/\">Temotero<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/leemigran\/\">Leemigran<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Parkinson&#8217;s symptom relief<br \/>\n\u2705 Movement improvement<br \/>\n\u2705 Tremor reduction<br \/>\n\u2705 Stiffness alleviation<br \/>\n\u2705 Enhanced motor function<\/p>\n<p>Rasalect contains Rasagiline.<\/p>","protected":false},"featured_media":60413,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3924],"product_tag":[4858,4859],"class_list":{"0":"post-60412","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-parkinsons-disease-treatment","9":"product_tag-rasagiline","10":"product_tag-rasalect","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product\/60412","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/comments?post=60412"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/media\/60413"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/media?parent=60412"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_brand?post=60412"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_cat?post=60412"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_tag?post=60412"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}