Emsam (Selegiline)
Class and Category of Drug
Before you buy Emsam (Selegiline) online, read common information about the medication.
Chemical class: Phenethylamine derivative
Therapeutic class: Antidepressant (Emsam), antidyskinetic
Pregnancy category: C
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Drug Indications and Dosages
Before purchase Emsam (Selegiline) online , you must read how it works.
As adjunct to carbidopa-levodopa therapy to treat Parkinson's disease
Capsules ,Tablets
Adults. 10 mg once daily, or 5 mg b.i.d.
Instruct patient to take secobarbital exactly as prescribed because of the risk of addiction.
Inform patient that taking drug with food may reduce adverse gastrointestinal effects. Advise patient to avoid alcohol and caffeine and potentially hazardous activities during therapy.
Inform patient about possible hangover effect.
If patient takes an oral contraceptive, recommend using an additional form of birth control during therapy. Caution patient not to stop taking drug abruptly.
Instruct patient to notify prescriber of bone pain, muscle weakness, or unexplained weight loss during therapy.
Dosage Adjustment For patient with levodopa-induced adverse effects, 2.5 mg q.i.d.
As adjunct to carbidopa-levodopa therapy to treat Parkinson's disease in patients whose response to therapy has deteriorated
Orally Disintegrating Tablets (Zelapar)
Adults. Initial: 1.25 mg once daily before breakfast for at least 6 wk; then increased to 2.5 mg once daily, if needed.
To treat depression
Transdermal System (Emsam)
Adults. Initial: 6 mg/24 hr with patch applied daily to upper torso, upper thigh, or outer surface of upper arm. Increased every 2 wk in increments of 3 mg/24 hr, as needed. Maximum: 12 mg/24 hr.
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Generic Drug Interactions
Read contraindications if you want cheap Emsam (Selegiline) online.
Drugs
carbamazepine, oxcarbazepine: Increased blood selegiline level
fluoxetine, fluvoxamine, nefazodone, paroxetine, sertraline, venlafaxine: Increased risk of adverse reactions similar to those of serotonin syndrome (confusion, hypomania, restlessness, myoclonus), autonomic instability, delirium, muscle rigidity, and severe agitation
levodopa: Increased risk of confusion, dyskinesia, hallucinations, nausea, and orthosta-tic hypotension
meperidine, possibly other opioid agonists: Increased risk of diaphoresis, excitation, muscle rigidity, and severe hypertension sympathomimetics: Increased risk of severe hypertension
tricyclic antidepressants: Possibly serious CNS reactions, including decreased level of consciousness, hyperpyrexia, hypertension, muscle rigidity, seizures, and syncope
Foods
caffeine: Increased risk of hypertension foods that contain tyramine or other high-pressor amines: Increased risk of sudden and severe hypertension
Activities
alcohol use: Increased risk of hypertension
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Drugs Adverse Reactions
Central Nervous System: Anxiety, chills, confusion, dizziness, drowsiness, dyskinesia, euphoria, extrapyramidal reactions, fatigue, hallucinations, headache, insomnia, irritability, lethargy, memory loss, mood changes, nervousness, paresthesia, restlessness, suicidal ideation, syncope, tremor, weakness
Cardiovascular: Arrhythmias, chest pain, hypertension, orthostatic hypotension, palpitations, peripheral edema
Eyes, Ears, Nose, And Throat: Altered taste, blepharospasm, blurred vision, burning lips or mouth, diplopia, dry mouth, pharyngitis, sinusitis, tinnitus
Gastrointestinal: Abdominal pain, anorexia, constipation, diarrhea, gastrointestinal bleeding, heartburn, nausea, vomiting
Genitourinary: Dysuria, urinary hesitancy, urinary urgency, urine retention
Musculoskeletal: Arthralgia, back and leg pain, muscle fatigue and spasms, neck stiffness
Respiratory: Asthma
Skin: Diaphoresis, photosensitivity, rash
Other: Application site reactions (Emsam), intense urges to perform certain activities (such as gambling or sex)
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