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Precautions

It is vital that your doctor look at progress at regular visits to allow for modifications in your dose and look for any unwanted effects.

Do not take selegiline if you might have used meperidine (e.g., Demerol®) or even an MAO inhibitor (MAOI) (e.g., isocarboxazid, phenelzine, tranylcypromine, Marplan®, Nardil®, or Parnate®) within the past fourteen days. If you do, you may develop agitation, confusion, restlessness, stomach or intestinal symptoms, sudden high body's temperature, extremely high blood pressure, or severe convulsions.

Do not take cough medicines (e.g., dextromethorphan, Robitussin®, Pediacare®) or pain medicines (e.g., methadone, propoxyphene, tramadol, Darvon®, Dolophine®, Ultram®) while you are using this medicine. Using these medicines together can cause unwanted side effects.

Selegiline could potentially cause serious unwanted side effects when used along with some antidepressants. Tell your medical professional if you've used amitriptyline, doxepin, fluoxetine, fluvoxamine, nortriptyline, paroxetine, sertraline, Elavil®, Luvox®, Pamelor®, Paxil®, Prozac®, or Zoloft® within the past 14 days.

When selegiline is taken at doses of 10 mg or less each day for your treatments for Parkinson's disease, there isn't any restrictions on food or beverages you consume or drink. However, the opportunity exists that dangerous reactions, such as sudden high blood pressure level, may occur if doses more than those employed for Parkinson's disease are taken with particular foods, beverages, or other medicines. These foods, beverages, and medicines include:

• Foods who have a high tyramine content (most common in foods which are aged or fermented to improve their flavor), like cheeses; fava or broad bean pods; yeast or meat extracts; smoked or pickled meat, poultry, or fish; fermented sausage (bologna, pepperoni, salami, summer sausage) or another fermented meat; sauerkraut; or any overripe fruit. If a listing of these food types and beverages just isn't given to you, ask your doctor to deliver one.
• Alcoholic beverages or alcohol-free or reduced-alcohol beer and wine.
• Large levels of caffeine-containing food or beverages such as coffee, tea, cola, or chocolate.
• Any other medicine unless approved or prescribed through your doctor. This especially includes nonprescription (over-the-counter [OTC]) medicine, such as that for colds (including nose drops or sprays), cough, asthma, hay fever, and appetite control; “keep awake” products; or goods that cause you to sleepy.

Also, for about two weeks once you stop taking this medicine, these food types, beverages, as well as other medicines may continue to react with selegiline whether it was drawn in doses greater than those usually employed for Parkinson's disease.

Check with your medical professional or hospital hospital immediately if severe headache, stiff neck, chest pains, fast heartbeat, or nausea and vomiting occur while you happen to be investing in this medicine. These may be symptoms of a serious side-effect which will have a doctor's attention.

Dizziness, lightheadedness, or fainting may occur, specially when you receive up from the lying or sitting position. Getting up slowly could help. If the problem continues or gets worse, check with your medical professional.

Selegiline could potentially cause dryness with the mouth. For temporary relief, use sugarless candy or gum, melt components of ice within your mouth, or use a saliva substitute. However, in case your mouth is constantly on the feel dry in excess of fourteen days, check using your physician or dentist. Continuing dryness from the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections.

It is vital that your medical professional check your skin for melanoma (tumor) regularly if you've Parkinson's disease.

Do not stop taking this medicine without first checking with a medical expert. Your doctor may wish that you reduce gradually the amount you are taking before stopping completely.

Hallucinations may exist in some patients. This is more established with elderly patients. If you might have hallucinations, check with your medical professional.

Some those who have used this medicine had unusual changes in their behavior. Talk with a medical expert if you start having troubles with gambling or increased sexual libido while using this medicine.