Generic name: SelegilineBrand names: Emsam
Emsam is a skin patch prescribed to treat major depression.
Antidepressants can increase the risk of suicidal thinking and behavior in children and teenagers. Adult and pediatric patients taking antidepressants should be watched closely for changes in moods or actions, especially when they first start therapy or when their dose is increased or decreased. Patients and their families should contact the doctor immediately if new symptoms develop or seem to get worse. Signs to watch for include anxiety, hostility, insomnia, restlessness, impulsive or dangerous behavior, and thoughts about suicide or dying.
Apply an Emsam patch to dry, smooth skin on your upper chest or back (below the neck and above the waist), upper thigh or to the outer surface of the upper arm. Choose a new site each time you change your patch. Do not use the same site two days in a row. The patch delivers medicine for 24 hours.
Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Emsam.
You should not use Emsam if you are taking another medication that will interact with it, or if you are allergic to any of the ingredients in it. Talk with your doctor to find the best way to treat depression.
You must not eat foods or drink beverages that contain high amounts of tyramine while using the Emsam 9 milligrams or 12 milligrams patches. You do not have to make any diet changes with the Emsam 6 milligrams patch. Do not take other medicines while using Emsam or for 2 weeks after you stop using it unless your doctor has told you it is okay. Do not drive or operate dangerous machinery until you know how Emsam affects you. Emsam may impair your judgment, ability to think, or coordination.
Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Emsam. Also, talk to your doctor about your complete medical history, especially if you have heart problems, manic episodes, seizures, fainting, or are pregnant.
If Emsam is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Emsam with the following:
Anxiety medicationDiet or weight-loss pillsOther antidepressants, especially monoamine oxidase inhibitors (MAOIs)Pain medicationSeizure medicationSt. John's wort
While on Emsam, it is best to avoid tyramine-rich foods such as dried or aged meats (e.g., sausages and salamis), fava beans, aged cheeses, tap beers, yeast, sauerkraut, and soybean products.
The effects of Emsam during pregnancy and breastfeeding are unknown. Talk with your doctor before taking Emsam if you are pregnant, plan to become pregnant, or are breastfeeding.
Emsam comes in three patch strengths: 6 milligrams, 9 milligrams, and 12 milligrams. Each patch delivers medicine for 24 hours.
Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.