From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Prescription
Last verified
June 4, 2026
ContraindicatedStrong evidence
What is happening. St. John's Wort is listed among contraindicated products with rasagiline because of serotonin syndrome risk.
Mechanism. Serotonergic herb effects can combine with MAO inhibition.
Recommendation. Do not combine St. John's Wort with rasagiline.
Stack Score
How it moves the number.
Effect on the composite score
If both Rasagiline and St. John's Wort are in the same stack, this pair applies −25 to your Stack Score (per scored contraindication row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
1- 1U.S. National Library of Medicine. Rasagiline tablets US Prescribing Information. 2026.Needs sourceNo link