Do not take this medicine with any of the following medications -other medicines containing selegiline, like emsam -altretamine -atomoxetine -caffeine -carbamazepine -certain medicines for depression, anxiety, or psychotic disturbances -cocaine -dextromethorphan -diphenoxylate -ephedrine -fluoxetine -herbal medicines like ginseng, green tea, guarana, sam-e, and st.

Information about Emsam.

Tell your health care professional if you have any side effect that bothers you or does not go awayThese are not all the side effects of EMSAMFor more informationask your health care professional or pharmacist.

It is very important that you follow special dietary restrictions in order to limit the amount of tyramine in your diet if you are using the higher strength patches9 or 12 milligramsAvoid drinking large amounts of beverages containing caffeinecoffeeteacolasor eating large amounts of chocolateCaffeine can increase the side effects of this medicationFoodsand beverages high in tyramine should be avoided while you are using this medication and for at least 2 weeks after you stop using this medication.

Check the labels on all your medicinessuch as allergycough-and-cold productsdiet pillsbecause they may contain dextromethorphandecongestantsor stimulantsAsk your pharmacist about the safe use of those products.

Do not wear more than one Emsam patch at a timeUsing extra skin patches will not make the medication more effectiveNever cut a skin patchWhile you are wearing the patchdo not expose it to sunlight or other sources of heat such as a heating padelectric blankethot tubor sauna.

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.

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