This medicine is used to treat movement problems due to Parkinson's disease. It does not cure Parkinson's disease, however it may improve shakiness (tremor), muscle stiffness, loss of normal motion as your dose of other Parkinson's medicine wears down (end-of-dose failure), and sudden switching between normal movement and stiffness ("on-off" problems). It may enhance your range of motion and ability to walk, dress, and exercise. Selegiline is often used in combination with other medicines (e.g., levodopa, carbidopa).
Selegiline is an enzyme blocker (MAO inhibitor) that actually works by slowing the breakdown of certain substances that are natural the brain (neurotransmitters such as for instance dopamine, norepinephrine, and serotonin).
Take this medication by mouth, frequently twice daily with lunch and breakfast. Taking selegiline late in the day may cause trouble sleeping. Dosage is based on your medical condition and response to therapy. Do not increase your dose or often take it more than directed.
After you have been taking selegiline for 2 or 3 days, your doctor may direct you to lower your levodopa dose. Follow your medical professional's instructions closely. Usually do not stop or alter the dose of any of your medications without first talking together with your doctor.
It might probably take a few weeks for the full advantages of the drug to be noticed. Never stop taking this drug without first consulting your doctor. Talk to your medical practitioner if the medication stops working well or if your trouble worsens.
Dizziness, abdominal pain, dry mouth, nausea, stomach upset, difficulty sleeping, and headache may occur. If some of these effects persist or worsen, notify your pharmacist or doctor immediately.
If you are also taking levodopa, you may experience more side effects from the levodopa when taking selegiline. Tell your doctor right away if any of these adverse effects occur: nausea, shakiness, muscle stiffness, mental/mood changes such as hallucinations/abnormal dreams. Your doctor may need to change your dose or medication. Never stop or change the dose of your levodopa without talking with your physician first.
Remember that your medical practitioner has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have adverse that is serious.
Some individuals selegiline that is taking fallen asleep suddenly during their usual daily activities (such as talking on the phone, driving). In some full cases, sleep took place without any emotions of drowsiness beforehand. This rest effect may occur anytime during treatment with selegiline even though you used this medication for a long time. If you experience increased sleepiness or fall asleep during the day, do not drive or take part in other possibly dangerous activities until you have discussed this effect with your doctor. Your risk of this sleep effect is increased by utilizing alcohol or other medications that can allow you to drowsy. See also Precautions area.
Tell your doctor right away if you have any serious adverse effects, including: fainting, lack of balance, mental/mood changes (age.g., agitation, confusion, depression, hallucinations), uncommon strong urges (such as increased gambling, increased sexual urges), worsening muscle stiffness/twitching, changes in sexual ability/interest, increased shaking (tremor), distended ankles/legs, difficulty urinating, unusual fat gain, easy bleeding/bruising, black/tarry stools, vomit that looks like coffee grounds.
This drug may rarely cause an attack of extremely blood that is high (hypertensive crisis), which may be fatal. Many drug and food interactions can increase this risk. (See also Drug Interactions section.) Get medical help right away if any one of these serious negative effects occur: frequent/severe headache, fast/slow/irregular/pounding heartbeat, chest pain, neck stiffness/soreness, severe nausea/vomiting, sweating/clammy skin (sometimes with fever), widened pupils, vision changes (age.g., double/blurred vision), sudden sensitiveness to light (photophobia).
This medicine may increase serotonin and rarely cause a tremendously condition that is serious serotonin syndrome. The risk increases you take if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs. Get medical help right away if you develop some associated with following symptoms: hallucinations, unusual restlessness, lack of coordination, fast heartbeat, severe dizziness, unexplained fever, severe nausea/vomiting/diarrhea, twitching muscle.
A tremendously serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a severe allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), dizziness, trouble breathing.
This isn't a complete list of possible adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the usa -
Phone your medical professional for medical advice about side effects. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Phone your doctor for medical advice about adverse effects. You may report effects that are side wellness Canada at 1-866-234-2345.
Before taking selegiline, tell your doctor or pharmacist if you have any other allergies if you are allergic to it; or. This product may contain ingredients that are inactive which may cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your medical professional or pharmacist your medical history, especially of: a particular sort of adrenal gland cyst (pheochromocytoma), cerebrovascular disease (e.g., stroke), heart related illnesses (e.g., congestive heart failure, heart attack), bleeding problems, history of severe/frequent headaches, peptic ulcer, diabetes, personal/family history of mental/mood disorders (e.g., schizophrenia, bipolar condition), personal/family history of hypertension, liver infection, overactive thyroid (hyperthyroidism).
This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness you can perform such activities safely until you are sure. Limit alcoholic beverages. See also Side Effects section.
To minimize dizziness plus the danger of fainting, get right up slowly when rising from a sitting or lying position.
Before having surgery, tell your dentist or doctor you are taking this medication. You may need to stop taking this drug beforehand. Follow your physician's guidelines carefully.
Selegiline must be used only if obviously required during pregnancy. Discuss the risks and benefits with your doctor.
It is really not known if this drug passes into breast milk. Consult your physician before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.