Emsam is a monoamine oxidase inhibitor (MAOI). Emsam treats depression very effectively.
Emsam pills should be accepted as directed by your healthcare provider.
- Emsam must be swallowed with a full glass of water.
- No matter whether you take Emsam with or without food.
If you are unsure about something in using Emsam, consult your doctor.
If you miss a dose of Emsam (Selegiline), take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
It is necessary to store Emsam at room temperature, between 68 and 77 degrees F (20 and 25 degrees C) away from heat, moisture, and light. Please keep Emsam far from children and away from pets.
Emsam Safety information
Avoid Emsam if you have ever had allergic reaction to it. Also do not use Emsam if:
- you are taking fluoxetine or have taken it within the past 5 weeks;
- you are taking another MAOI (e.g., phenelzine), a sympathomimetic, including an amphetamine, a cold product, or certain diet pills or preparations (e.g., ephedrine, phenylephrine, phenylpropanolamine, pseudoephedrine), or sibutramine, or if you have taken any of these medicines within the past 7 days;
- you are taking a 5-HT agonist (e.g., sumatriptan), apraclonidine, carbamazepine, methylphenidate, oxcarbazepine, or nefazodone;
- you are taking bupropion, buspirone, cyclobenzaprine, dextromethorphan, meperidine, methadone, a norepinephrine reuptake inhibitor (e.g., atomoxetine), propoxyphene, a selective serotonin reuptake inhibitor (SSRI) (e.g., paroxetine), a serotonin and norepinephrine reuptake inhibitor (e.g., duloxetine, venlafaxine), St. John's wort, a tetracyclic antidepressant (e.g., mirtazapine), tramadol, or a tricyclic antidepressant (e.g., amitriptyline), or if you have taken any of these medicines within the past 7 days;
- you have problems with adrenal gland (e.g., pheochromocytoma).
Use Selegiline with caution. It is important to know that Emsam may cause drowsiness lightheadedness, fainting or dizziness. These effects may be increased by excessive intake of alcohol or by certain medicines. It is not recommended to drive or do tasks that require alertness until you know how you react to it.
When you start treatment with Emsam, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
Antidepressants including Emsam should not be stopped abruptly because this may boost the risk of side effects may. Your doctor will decrease doses of Emsam gradually.
Children, teenagers, and young adults who take Emsam may start thinking about suicide. Watch all patients who take Emsam closely. If some of the following symptoms appear, contact the doctor right away: anxious, restless, or irritable behavior; worsened, or sudden depressed mood; panic attacks; unusual change in mood or behavior.
You should not take dietary supplements containing tyramine or non-prescription products containing dextromethorphan, pseudoephedrine, or phenylephrine while you are using Emsam.
Diabetes patients should be aware that Emsam may affect your blood sugar. Check blood sugar levels closely and perform all necessary tests. Ask your doctor before you change the dose of your diabetes medicine.
Emsam Side effects
Notify your doctor if any of these most common side effects persist or become bothersome:
- dizziness; dry mouth; diarrhea; sleeplessness.
Heavy side effects of Selegiline also may occur, although they are not likely:
- severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); abnormal thinking; changes in sexual ability or desire; chest pain; painful menstruation; sensitivity to light; fast, slow, or irregular heartbeat; increased sweating; memory loss; nausea; neck stiffness or soreness; new or worsening agitation, aggressiveness, anxiety, exaggerated feeling of well-being, hostility, impulsiveness, inability to sit still, irritability, panic attacks, or sleeplessness; severe headache; swelling of the arms or legs; vomiting.
If you experience any side effects or your symptoms do not improve or if they become worse, check with your doctor.