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Antidepressants may increase suicidal thoughts or actions in childrenteenagers and young adultsDepression and other serious mental illnesses are the most important cause of suicidal thoughts and actionsPay close attention to any changesespecially sudden changesin moodbehaviorsthoughts or feelingsThis is very important when an antidepressant is started or when the dose is changedCall a health care professional right away to report any new or sudden changes in moodbehaviorthoughts or feelingsKeep follow-up visits with your health care professionalas scheduledand call if you have concerns about symptomsEMSAM Transdermal System is not for children less than 12 years of age as it may cause a severe decrease in blood pressure.

Report any new or worsening symptoms to your doctorsuch asmood or behavior changesanxietypanic attackstrouble sleepingor if you feel impulsiveirritableagitatedhostileaggressiverestlesshyperactivementally or physicallymore depressedor have thoughts about suicide or hurting yourself.

The tyramine-free diet has been simplified and streamlinedbecoming more user-friendly for patientsSharing the extent of this safety record may not have been significantly stressed in the literature or by pharmaceutical companiesSince the FDA does require that tyramine-free diets be followed for EMSAM 9 mg and 12 mg dosesit is imperative for clinicians and patients to have a full understanding of this dietthe potential risks in not following ithow restrictive it isetcEducation for the physician and the patient regarding tyramine-free diets has been lacking.

It is not known whether selegiline passes into breast milk or if it could harm a nursing babyYou should not breast-feed while using this medicine and for at least 5 days after your last dose.

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