eldepryl

Selegiline-tabletti

Mitä tämä lääke on?

SELEGILINE on monoamiinioksidaasin estäjä (MAOI). Sitä käytetään levodopa-karbidopan kanssa Parkinsonin taudin hoidossa. Se lisätään tavallisesti hoitoon, kun levodopan vaste on vähentynyt.

Mitä minun pitäisi kertoa terveydenhuollon tarjoajalle, ennen kuin otan tämän lääkkeen?

Heidän on tiedettävä, onko sinulla jotain seuraavista ehdoista:

juoda usein alkoholipitoisia juomia
munuaissairaus
maksasairaus
epätavallinen tai allerginen reaktio selegiliinille, muille lääkkeille, elintarvikkeille, väriaineille tai säilöntäaineille
raskaana tai yrittää tulla raskaaksi
imetys

Miten minun pitäisi käyttää tätä lääkettä?

Ota tämä lääke suun kautta lasillisen vettä. Ota annostasi säännöllisin väliajoin. Älä käytä lääkettä useammin kuin suunnattu. Älä lopeta ottamista lukuun ottamatta lääkärisi tai terveydenhuollon ammattilaisen ohjeita.

Keskustele lapsesi kanssa tämän lääkkeen käytön kanssa lapsilla. Erityistä varovaisuutta voi tarvita.

Yliannostus: Jos olet sitä mieltä, että olet ottanut liikaa lääkettä, ota yhteys myrkytyskeskukseen tai hätätilaan heti.

HUOMAUTUS: Tämä lääke on vain sinulle. Älä jaa tätä lääkettä muiden kanssa.

Mitä jos unohdan annoksen?

Jos unohdat annoksen, ota se niin pian kuin pystyt. Jos se on melkein aika seuraavalle annokselle, ota vain tämä annos. Älä ota kaksinkertaisia tai ylimääräisiä annoksia.

Mitä voi olla vuorovaikutuksessa tämän lääkkeen kanssa?

Älä ota tätä lääkettä mihinkään seuraavista lääkkeistä:

altretamiini
Atomoxetine
kofeiini
karbamatsepiini
kokaiini
dekstrometorfaania
difenoksylaattia
efedriini
kasviperäisiä lääkkeitä kuten ginseng, vihreä tee, guarana, SAM-e ja St. John's Wort
isoniatsidi
linetsolidi
paikalliset anesteesit
lääkkeet mielenterveyden masennukseen
migreenipäänsärkyä aiheuttavat lääkkeet
meperidiini-
prokarbatsiinia
pseudoephedrine
stimulants like amphetamine, dextroamphetamine or methylphenidate
tramadol
tryptophan

This medicine may also interact with the following medications:

medicines for high blood pressure
prescription pain medicines

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. It can take up to 4 weeks to see the full effects of this medicine. Do not suddenly stop taking your medicine. This may make your condition worse or cause withdrawal symptoms. Ask your doctor or health care professional for advice about gradually reducing your dosage. Even after you stop taking this medicine the effects can last for at least two weeks.

Patients and their families should watch out for depression or thoughts of suicide that get worse. Also watch out for sudden or severe changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of antidepressant treatment or after a change in dose, call your health care professional.

If your doctor or health care professional increases the dose of this medicine to more than 10 mg a day, ask him/her about possible interactions with foods that contain tyramine. At higher doses, this medicine may interact with these foods to produce severe headaches, a rise in blood pressure, or irregular heart beat.

You may get drowsy, dizzy or have blurred vision. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may increase dizziness or drowsiness. Do not drink alcoholic beverages while taking this medicine.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.

Do not treat yourself for coughs, colds, flu or allergies without asking your doctor or health care professional for advice. Do not take any medications for weight loss without advice either. Some ingredients in these products may increase possible side effects.

This medicine may affect blood sugar levels. If you have diabetes, check with your doctor or health care professional before you change your diet or the dose of your diabetic medicine.

Tell your health care professional that you are taking this medicine if you are scheduled to have any surgery, procedure or medical testing.

What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
angry, excitable, panic attack, mania, restless
breathing problems
chest pain
difficulty passing urine
eyes more sensitive to light, enlarged pupils
feeling faint or lightheaded, falls
fever, clammy skin, increased sweating, sore throat
high blood pressure
irregular heartbeat
muscle or neck stiffness or spasm
seizures
suicidal thoughts or other mood changes
trouble sleeping
yellowing of the skin or eyes

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

change in sex drive or performance
constipation or diarrhea
increased appetite or weight increase
increased sensitivity to sunlight
muscle aches or pains, trembling
nausea or vomiting
swelling of the feet or legs
tiredness or weakness

This list may not describe all possible side effects.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.