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Many drugs can interact with selegilineand some drugs should not be used togetherTell your doctor about all your current medicines and any you start or stop usingespecially:

Dizzinessdrowsinessredness/irritation at the application sitetirednessweaknessproblems sleepingconstipationand dry mouth may occurIf any of these effects persist or worsennotify your doctor or pharmacist promptly.

Be sure to remove the old patchfold it in half so it sticks to itselfand throw it away out of the reach of children and petsDo not touch the sticky side with your fingersWash your hands with soap and water after handling the patch.

What follows is a discussion of possible factors that may have contributed to the underutilization of EMSAMOf coursethese suggestions are speculativebased on a literature reviewand years of supervising and teaching psychiatric residentsfellowsand attending physiciansUnfortunatelythere has not been a survey focusing on the hesitance of use of EMSAM by psychiatrists.

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