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Over-the-counter supplements or cough and cold medicines that contain tyramine;

Antidepressants increased the risk of suicidal thoughts and behaviors in pediatric and young adult patients in short-term studiesClosely monitor all antidepressant-treated patients for clinical worseningand for emergence of suicidal thoughts and behaviors.

Dizzinessdrowsinessredness/irritation at the application sitetirednessweaknessproblems sleepingconstipationand dry mouth may occurIf any of these effects persist or worsennotify your doctor or pharmacist promptly.

Apply the Emsam patch to cleandryand hairless skin on your chestbackthighor the outer part of your upper armPress the patch firmly into placeYou may leave the patch on while bathingshoweringor swimmingRemove the skin patch after 24 hours and replace it with a new oneChoose a different place on your body to wear the patch each time you put on a new one.

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You should not use Emsam if you are allergic to selegilineor if you have pheochromocytomatumor of the adrenal gland

A very serious allergic reaction to this drug is rareHoweverget medical help right away if you notice any symptoms of a serious allergic reactionincludingrashitching/swellingespecially of the face/tongue/throatdizzinesstrouble breathing.

Keep both used and unused Emsam skin patches out of the reach of children or petsThe amount of selegiline in a used skin patch could be fatal to a child or pet who accidentally chews on the patchSeek emergency medical attention if this happens.

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Thusat least with EMSAMthe risk of a cheese reaction appears to be minimalNonethelessdue to the possibility of a cheese reaction to 9 and 12 mg/day dosesa tyramine-free diet must be followed as mandated by the FDA.

If you have been taking fluoxetineProzacSarafemyou must stop taking it for 5 weeks before you begin using Emsam.

Some young people have thoughts about suicide when first taking an antidepressantYour doctor should check your progress at regular visitsYour family or other caregivers should also be alert to changes in your mood or symptoms.

2 Anxiety and Depression ClinicMontefiore Medical CenterNew YorkNYUSA.

Use this medication regularly in order to get the most benefit from itTo help you rememberuse it at the same time each dayIt may take several weeks for the full benefits of this medication to be noticedDo not stop using this medication without consulting your doctor.

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