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Be careful using coreg if you take monoamine oxidase inhibitors tranylcypromine such as parnate , isocarboxazid such as marplan , selegiline such as zelapar, eldepryl, emsam , phenelzine such as nardil ; verapamil such as calan,verelan, covera-hs ; paroxetine such as paxil ; cimetidine such as tagamet ; rifampin such as rifadin, rimactane ; clonidine such as catapres , cyclosporine such as sandimmune, neoral ; digoxin such as lanoxin, lanoxicaps ; quinidine; diltiazem such as tiazac, cardizem ; fluoxetine such as prozac ; epinephrine such as epipen ; oral diabetes medicines and insulin; propafenone such as rythmol ; reserpine such as serpalan .

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Concomitant Medication . Advise patients to inform their physicians if they are taking.or plan to take.any prescription or over-the-counter medications.including herbals.because of a potential for dangerous interactions. Instruct patients not to take EMSAM with medication that is contraindicated or within two weeks of stopping such medication (5 weeks for fluoxetine). Contraindicated medication should not be started within two weeks of stopping EMSAM [see CONTRAINDICATIONS ].

If a Emsam patch falls off.try sticking it back into place. If it does not stick well.put on a new patch and leave it on only for the rest of your wearing time. Do not change your patch removal schedule.

Monitor all antidepressant-buy emsam uk patients for clinical worsening and emergence of suicidal thoughts and behaviors.especially during the initial few months of drug therapy and at times of dosage changes. Counsel family members or caregivers of patients to monitor for changes in behavior and to alert the healthcare provider. Consider changing the therapeutic buy emsam uk.including possibly discontinuing EMSAM.in patients whose depression is persistently worse.or who are experiencing emergent suicidal thoughts or behaviors.

Before having surgery.tell your doctor or dentist you are on this medication. You may need to stop using this drug beforehand. Follow your doctor’s instructions carefully.

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