SELEGILINE (se LE ji leen) is an monoamine oxidase inhibitor (MAOI). It is used to treat major depression.
This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
They need to know if you have any of these conditions:
dizzy or fainting spells
frequently drink alcohol-containing beverages
history of a suicide attempt
an unusual or allergic reaction to selegiline, other medicines or patches, foods, dyes, or preservatives
pregnant or trying to get pregnant
This medicine is for external use only. Follow the directions on the prescription label. Apply the patch to dry, smooth skin on the upper back, chest, or thigh or to the outer part of the upper arm. Avoid injured, irritated, calloused, or scarred areas. Do not cut or trim the patch. When you apply a new patch, use a new area of skin. Use only 1 patch each day. Remove the old patch before applying a new one. Do not use your medicine more often than directed. Do not stop taking except on your doctor's advice.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your pediatrician regarding the use of this medicine in children. This medicine is not approved for use in children. Do not use in children under 12 years of age.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
If you miss a dose, apply it as soon as you can. If it is almost time for your next dose, apply only that dose. Do not apply double or extra doses.
Do not take this medicine with any of the following medications:
other medicines containing selegiline, like Eldepryl
certain medicines for depression, anxiety, or psychotic disturbances
herbal medicines like ginseng, green tea, guarana, SAM-e, and St. John's Wort
MAOIs like Marplan, Nardil, and Parnate
medicines for migraine headaches
stimulants like amphetamine, dextroamphetamine or methylphenidate
This medicine may also interact with the following medications:
medicines for high blood pressure
prescription pain medicines
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
Tell your doctor if your symptoms do not get better or if they get worse. Visit your doctor or health care professional for regular checks on your progress. Because it may take several weeks to see the full effects of this medicine, it is important to continue your treatment as prescribed by your doctor.
Patients and their families should watch out for new or worsening thoughts of suicide or depression. Also watch out for sudden changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of treatment or after a change in dose, call your health care professional.
If your doctor or health care professional increases the dose of this medicine to more than 9 mg a day, ask about possible interactions with foods that contain tyramine. At higher doses, this medicine may interact with these foods to produce severe headaches, a rise in blood pressure, or irregular heart beat.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.
Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.
Do not treat yourself for coughs, colds, or allergies without asking your doctor or health care professional for advice. Do not take any medications for weight loss without advice either. Some ingredients in these products may increase possible side effects.
This medicine may affect blood sugar levels. If you have diabetes, check with your doctor or health care professional before you change your diet or the dose of your diabetic medicine.
Tell your health care professional that you are taking this medicine if you are scheduled to have any surgery, procedure or medical testing. You should usually stop taking this drug at least 10 days before elective surgery.
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
angry, excitable, panic attack, mania, restless
eyes more sensitive to light, enlarged pupils
feeling faint or lightheaded, falls
fever, clammy skin, sweaty
high blood pressure
pain passing urine or change in the amount of urine
suicidal thoughts or other mood changes
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
constipation or diarrhea
loss of appetite
muscle aches, pains
stomach gas, upset
swelling of the feet or legs
unusual taste in mouth
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Keep out of the reach of children.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Keep this medicine in the foil pouch until you are ready to use it. When you remove a patch, fold with sticky sides together, put in an empty opened pouch and throw away. Throw away any unused medicine after the expiration date.