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Since the fda does require that tyramine-free diets be followed for emsam 9 mg and 12 mg doses, it is imperative for clinicians and patients to have a full understanding of this diet, the potential risks in not following it, how restrictive it is, etc.
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Mean pressor doses tyr30 of tyramine capsules administered without food were 338 mg and 385 mg in subjects treated with emsam and oral selegiline, respectively.
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An emsam patch is applied to a clean, dry area of skin on the upper body, and the medicine is absorbed through the skin.
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Be sure to mention any of the following acetaminophen tylenol, others ; antihistamines; aspirin; atropine in lonox, in lomotil ; cyclosporine gengraf, neoral, sandimmune ; barbiturates such as pentobarbital nembutal , phenobarbital luminal , and secobarbital seconal ; digoxin lanoxicaps, lanoxin ; haloperidol haldol ;insulin; ipratropium atrovent ; lithium eskalith, lithobid ; levodopa in sinemet, in stalevo ; medications for anxiety, blood pressure, irritable bowel disease, motion sickness, nausea, parkinson s disease, ulcers, or urinary problems; monoamine oxidase mao inhibitors, including isocarboxazid marplan , phenelzine nardil , selegiline eldepryl, emsam, zelapar , and tranylcypromine parnate ; narcotic medications for pain; sedatives; sleeping pills; tetracycline bristacycline, sumycin ; or tranquilizers.
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