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Selegiline Transdermal Patch Dosing

When first beginning treatment with the selegiline transdermal patch, dosing generally starts with a 6 mg patch that is applied each day to the upper torso, upper thigh, or outer arm. This dose can be increased to 9 mg or 12 mg each day. However, with these higher doses of the selegiline transdermal patch, you will have to follow a special diet in order to avoid dangerous food interactions.

An Overview of Selegiline Transdermal Patch Dosing

The dose of the selegiline transdermal patch (Emsam®) your healthcare provider prescribes will vary depending on a number of factors, including:
  • Other medical conditions you may have
  • Other medications you may be currently taking.
As always, do not adjust your dose unless your healthcare provider specifically instructs you to do so.

Selegiline Transdermal Patch Dosing for Depression

The recommended starting dose of the selegiline transdermal patch for treating depression is one 6 mg patch applied every day. For many people, this dose will be enough to treat symptoms of depression. However, your healthcare provider may decide to increase your dose if needed. If you are taking the 6 mg dosage, you do not need to change your diet. If you are taking 9 mg or 12 mg, you will need to follow a special diet in order to avoid dangerous food interactions (see Emsam Food Interactions for more information).

General Selegiline Transdermal Patch Dosing Information

Some considerations for people taking the selegiline transdermal patch include:
  • The selegiline transdermal patch comes as a skin patch. It is applied once a day. The old patch is removed when the new patch is applied each day.
  • It is important to place the selegiline transdermal patch on clean, dry skin on the upper torso (below the neck and above the waist), upper thigh, or outer arm. Make sure to rotate where you place the patch (do not use the same place each day).
  • Make sure to put the selegiline transdermal patch on skin that is not hairy, oily, scarred, irritated, or broken.
  • Never, under any circumstances, cut the selegiline transdermal patch. This could result in an overdose.
  • Be careful to avoid applying heat to the selegiline transdermal patch, as this could increase the amount of medication absorbed into your skin. Heat sources such as heating pads, heated waterbeds, hot tubs, saunas, and electric blankets should be avoided. Also, try not to expose the patch to too much sunlight for long periods of time.
  • Keep selegiline transdermal patches in their original pouches until you are ready to use them.
  • You should apply your selegiline transdermal patch at the same time each day to maintain an even level of the medication in your blood. Do not forget to take the old patch off when you put on the new one.
  • Dispose of a used patch by folding it in half (so that the patch sticks to itself) and throwing it away (in a safe place out of the reach of children or pets). The used patch still contains some medicine.
  • If some of the adhesive remains on your skin after removing the patch, wash the skin with warm water and mild soap. If necessary, a little baby oil or lotion can help to remove any remaining adhesive. Always wash your hands with soap and water after handling a selegiline transdermal patch.
  • If you forget to change your patch as scheduled, simply change your patch as soon as you remember and continue with your regular schedule. If a selegiline transdermal patch falls off, replace it with a new patch, and continue with your regular schedule.
  • The selegiline transdermal patch may not work immediately -- though it may work more quickly than many other antidepressants. Try to give the selegiline transdermal patch a chance to work before becoming discouraged.
  • For the selegiline transdermal patch to work properly, you have to take it as prescribed. The selegiline transdermal patch will not work if you take it in a way other than how your healthcare provider has prescribed.
  • If you are unsure about anything related to your dosage or selegiline transdermal patch dosing in general, please talk with your doctor, nurse, or pharmacist. Do not stop taking the selegiline transdermal patch without first discussing it with your healthcare provider.
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Selegiline Transdermal Patch (Emsam)

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