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Uses

INDICATIONS

Emsam is indicated for the treating major depressive disorder.

INSTRUCTIONS

Use Emsam just as directed for the label, or as it continues to be prescribed from your doctor. Do not use greater than recommended. Follow the directions on the prescription label.
For patients using Emsam: While you are using Emsam and for 2 weeks after you stop, you should not eat foods high in tyramine (listed in the "What should I avoid?" portion of this leaflet. Eating simply because while you are taking Emsam can raise the blood pressure level to dangerous levels.

Foods that you MAY eat include:

fresh meat, poultry, or fish (including lunch meat, sausages, breakfast sausage, and cooked sliced ham);
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any vegetables except broad bean pods (fava beans);
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processed cheese, mozzarella, ricotta, cottage type cheese;
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pizza created using cheeses lower in tyramine;
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soy milk, yogurt; or
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This medication incorporates patient instructions for secure and efficient use. Follow these directions carefully. Ask a medical expert or pharmacist in case you have any questions.

Do not stop using Emsam suddenly or you could possibly have harmful unwanted side effects. It may take weeks of using Emsam before your symptoms improve. For best results, keep while using medication as directed. Store Emsam at room temperature away from heat and dampness.

If you missed a dose - go once you remember. If it is almost time and energy to consider the next pill, skip the missed dose and make medication for your next regularly scheduled time. Do not take extra pills to create in the missed dose.

DOSAGE

The recommended starting dose and target dose for Emsam (selegiline transdermal system) is 6 mg/24 hours.

STORAGE

Store Emsam at 20º to 25º C (68º to 77º F).[See USP Controlled Room Temperature.] Keep far from children, pets kinds.

Side Effects

Get emergency medical help when you have these signs and symptoms of a hypersensitive reaction: hives; lack of breath; swelling of the face, lips, tongue, or throat.

Call your medical professional simultaneously when you have any new or worsening symptoms for example: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you are feeling impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.
Stop using Emsam and call your medical professional immediately for those who have some of these serious side effects:

sudden and severe headache, confusion, blurred vision, difficulty with speech or balance, nausea, vomiting, chest pain, seizure (convulsions), and sudden numbness or weakness (especially on one hand with the body);

feeling light-headed, fainting;

twitching muscle movements; or

painful or difficult urination.

Less serious unwanted side effects may include:

constipation, gas, loss in appetite;

swelling, numbness or tingling, easy bruising, muscle pain;

dry mouth, sore throat, cough;

redness or itching where the patch is worn; or

impotence, loss in interest in sex, or trouble using an orgasm.

This is not a complete list of unwanted effects while others may occur. Tell a medical expert about any unusual or bothersome side-effect.

Precautions

Do not use Emsam should you be allergic to selegiline, if you have an adrenal gland tumor (also known as pheochromocytoma), or if you're planning to own any type of surgery. Do not use Emsam for those who have taken any with the following drugs within the past 2 weeks:

buspirone (BuSpar);

carbamazepine (Tegretol) or oxcarbazepine (Trileptal);

cyclobenzaprine (Flexeril);

dextromethorphan (cough medicine);

meperidine (Demerol), methadone (Dolophine, Methadose), propoxyphene (Darvon, Darvocet), or tramadol (Ultram, Ultracet);

mirtazapine (Remeron);

diet pills, ADHD medications, or cold medicines that have dextromethorphan, ephedrine, pseudoephedrine, or phenylephrine;

St. John's wort;

antidepressants including amitriptyline (Elavil), amoxapine (Asendin), bupropion (Wellbutrin, Zyban), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), protriptyline (Vivactil), sertraline (Zoloft), venlafaxine (Effexor), or trimipramine (Surmontil); or

other MAO inhibitors for example isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or oral selegiline (Eldepryl).

After you stop using Emsam, you have to wait at the very least two weeks before thinking about from the medications in the above list.You must wait a minimum of 5 weeks after stopping fluoxetine (Prozac) before you start employing Emsam.

Tell your doctor should you be allergic to any drugs, or in case you have:

heart disease, high or low blood pressure level;

seizures or epilepsy; or

a personal or genealogy of bipolar disorder (manic depression) or suicide attempt.

You might have thoughts about suicide when you begin using an antidepressant, especially if you are younger than 24 years of age. Tell your physician in case you have worsening signs of depression or suicidal thoughts throughout the first weeks of treatment, or once your dose is changed.

Your family and other caregivers should also be alert to modifications in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
FDA pregnancy category C. Emsam could be harmful to an baby. Tell your medical professional if you are pregnant or plan to get pregnant during treatment. It is not known whether Emsam passes into breast milk or if it might harm a nursing baby. Do not use prescription drugs without telling your physician if you're breast-feeding your baby.

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