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Emsam has helped me with my depression. However, when it is a very muggy humid day, the patch has a hard time staying adherred. I went to my pharmacist and he gave me something in addition to help hold it on. When the weather is fine, I have no problem, even through the swimming pool or a bath. Yesterday I had a patch that had the larger part of the sticky end missing.

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Emsam is by far the best antidepressant I have come across in over 20 years of treatment in which I have been given everything under the sun. Welbutrin was ok but was weak, edgy and stops working after about 6 months. I have been on Emsam twice now for stints of about a year each. Unlike other antidepressants it doesn't have that plastic, fake agitaged feeling to it. Feels like natural emotions. It cuts my depression roughly in half. Still suicidal often, but not every moment of every day. I have a severe skin reaction to the adhessive that looks horrific but its worth it. Other than that and worsening insomnia it really doesn't have side effects. Well worth the rash. I have to stay at 6mg because the higher doses produce psychosis in me.

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There were suicides in the adult trials, but the number was not sufficient to reach any conclusion about drug effect on suicide.

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Nardil may have dietary restrictions that EMSAM doesn't, but it's also known to have strong anti-anxiety effects, so if you really need to try an MAOI and adding Klonopin or another anti-anxiety drug to EMSAM isn't an option, maybe Nardil might be worth a try.

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The clinical information represents the expertise and practical knowledge of top physicians and pharmacists from leading academic medical centers in the United States and worldwide.

Patients with severe depression may benefit from buspirone augmentation of selective serotonin reuptake inhibitors: results from a placebo-controlled, randomized, double-blind, placebo wash-in study.

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Apply an EMSAM patch to dry, smooth skin on your (A) upper chest or back (below the neck and above the waist), (B) upper thigh, or (C) to the outer surface of the upper arm.

This specific side effect appears to be an interaction of medication plus skin patch since the placebo skin patch had a significantly lower rate (12%) of irritation than the EMSAM patch.

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Never take any medication (including non-prescription medications) without first checking with your healthcare provider.

If you use more than one Emsam patch at a time, remove Emsam patches right away and call your doctor or local poison control center.

You should discuss this with your provider before taking.

The following adverse reactions have been identified during post-approval use of EMSAM.

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You can ask your pharmacist or doctor for information about EMSAM (selegiline transdermal system) that is written for health professionals.

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Do not use vilazodone if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days.

During the premarketing assessment in major depressive disorder, EMSAM (selegiline transdermal system) was administered to 2036 patients in Phase III studies.

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So why does the EMSAM 6 mg patch not require the MAOI diet?

The dosage for adults and the elderly is usually 25 to 150 mg daily depending on the severity of the condition being treated.

You know the pill form Selegiline is very inexpensive and supposed to do the same thing.

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It started taking effect in a few days for me; after awhile I went up to the 9mg patch.

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Despite the wide availability of clinically efficacious therapies for depression, as many as 50% of patients who begin treatment do not respond to it, and up to 30% do not gain benefits from a range of therapy regimens.

Follow your doctor's instructions closely.

To treat bipolar disorder with Prozac (fluoxetine), another medication must be prescribed in combination.

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Instead, this commentary is intended to highlight general principles of clinical psychopharmacology that came to mind when I reviewed the Trend Watch data at the request of the journal.

The third step is working through a behavioral change therapeutic program that will involve one-on-one therapy with a licensed psychologist, group therapy, classes in drug addiction, journaling and other therapies to help you get in touch with your emotions, career planning, family or couples counseling, and recreational activities.

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