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Selegiline No Prescription
Selegiline is prescribed for the adjunct treatment for Parkinson's disease and depression.
Selegiline is prescribed to help control the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance) in people who are taking levodopa and carbidopa combination (Sinemet). Selegiline may help people with Parkinson's disease by decreasing the dose of levodopa/carbidopa needed to control symptoms, stopping the effects of levodopa/carbidopa from wearing off between doses, and increasing the length of time that levodopa/carbidopa will continue to control symptoms. Selegiline is in a group of prescriptions called monoamine oxidase type B (MAO-B) inhibitors. It works by increasing the amount of dopamine (a natural substance that is needed to control movement) in the brain.
A selective, irreversible inhibitor of Type B monoamine oxidase. It is prescribed in newly diagnosed patients with Parkinson&
Selegiline is contraindicated in patients with a known hypersensitivity to Selegiline.
Selegiline is contraindicated for use with meperidine (DEMEROL & other trade names). This contraindication is often extended to other opioids.
Selegiline Without a Prescription
Selegiline comes as a capsule and an orally disintegrating (dissolving) tablet to take by mouth. The capsule is usually taken twice a day with breakfast and with lunch. The orally disintegrating tablet is usually taken once a day before breakfast without food, water, or other liquids. If you take too much selegiline, you may experience a sudden and dangerous increase in your blood pressure.
If you are taking the orally disintegrating tablet, do not remove the blister that contains the tablets from the outer pouch until you are ready to take a dose. When it is time for your dose, remove the blister card from the outer pouch and use dry hands to peel open one blister. Do not try to push the tablet through the foil. Place the tablet on your tongue and wait for it to dissolve. Do not swallow the tablet. Do not eat or drink anything for 5 minutes before you take the tablet and for 5 minutes after you take the tablet.
If you are taking the orally disintegrating tablet, your doctor may start you on a low dose of selegiline and increase your dose after six weeks.
Tell your doctor if you experience nausea, stomach pain, or dizziness. Your doctor may decrease your dose of levodopa/carbidopa during your treatment with selegiline, especially if you experience these symptoms or other unusual symptoms. Follow these directions carefully and ask your doctor or pharmacist if you do not know how much prescription you should take. Do not change the doses of any of your prescriptions unless your doctor tells you that you should.
Selegiline may help to control the symptoms of PD, but it will not cure the condition. Do not stop taking selegiline without talking with your doctor. If you suddenly stop taking prescriptions for Parkinson's disease such as selegiline, you may experience fever, sweating, stiff muscles, and loss of consciousness. Call your doctor if you experience these or other unusual symptoms after you stop taking selegiline.
Dopamine is an essential chemical that occurs in many parts of the body. It is the premature degradation of dopamine that results in the symptoms of Parkinson's disease. Monoamine oxidase (MAO) is an enzyme which accelerates the breakdown of dopamine. Selegiline can prolong the effects of dopamine in the brain by preventing its breakdown through seletively blocking MAO. It also may prevent the removal of dopamine between nerve endings and enhance release of dopamine from nerve cells.
Selegiline Side Effects
Selegiline side effects that you should report to your health care professional or doctor as soon as possible:
- chest pain;
- chest pain;
- cold, clammy skin;
- coma (loss of consciousness for a period of time);
- difficulty breathing;
- difficulty falling asleep or staying asleep;
- difficulty swallowing;
- dry mouth;
- fast and irregular pulse;
- fast, irregular, or pounding heartbeat;
- hallucinations (seeing things or hearing voices that do not exist);
- jaw tightness;
- muscle pain or weakness;
- pain, especially in the legs or back;
- purple blotches on the skin;
- redness, irritation, or sores in the mouth (if you are taking the orally disintegrating tablets);
- severe headache;
- slowed breathing;
- stiff or sore neck;
- stiffness and arching of the back;
- stomach pain;
- sudden, severe nausea and vomiting;
- uncontrollable shaking of a part of your body;
- unusual dreams;
- unusual movements that are difficult to control;