selegiline (transdermal) (cont.)
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What should I discuss with my health care provider before using selegiline transdermal (Emsam)?
You should not use this medication if you are allergic to selegiline, or if you have pheochromocytoma (tumor of the adrenal gland).
Do not use selegiline if you have taken any of the following drugs within the past 14 days:
After you stop using selegiline, you must wait at least 14 days before taking any of the medications listed above. You must wait at least 5 weeks after stopping fluoxetine (Prozac) before you can start using selegiline transdermal.
To make sure you can safely take selegiline, tell your doctor if you have any of these other conditions:
You may have thoughts about suicide when you first start using an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.
FDA pregnancy category C. It is not known whether selegiline will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.
Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
It is not known whether selegiline passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I use selegiline transdermal (Emsam)?
Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.
For patients using 9-mg or 12-mg patches: While you are using selegiline and for 14 days after you stop, you must not eat foods high in tyramine (listed in the "What should I avoid?" section of this leaflet. Eating these foods while you are using selegiline 9-mg or 12-mg skin patches can raise your blood pressure to dangerous levels.
Foods that you MAY eat include:
This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.
Before applying a skin patch, wash the skin with soap and water and dry completely. The patch can be worn on a dry, smooth, and hairless area of your back, upper arm, chest, or thigh. Do not apply the patch to a skin wound or irritated skin, or wear it under tight clothing. Never cut a skin patch into smaller pieces.
Remove the patch after 24 hours, taking care not to touch the sticky side with your fingers. Fold the patch in half so that it sticks together. Throw the used patch away where children and pets cannot reach it.
Wash your hands with soap and water after applying a patch, and after removing one.
If you need surgery, tell the surgeon ahead of time that you are using selegiline. You will need to stop using selegiline for at least 10 days before a planned surgery. Do not stop using selegiline without first talking to your doctor.
Use only one patch at a time. While you are wearing the patch, do not expose it to sunlight or other sources of heat such as a heating pad, electric blanket, hot tub, or sauna.
Store the skin patches at room temperature away from heat and moisture. Keep each patch in the foil pouch until you are ready to apply one.
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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