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Selegiline (se LE ji leen)

Pediatric Medication

Brand Names: U.S.

Eldepryl; Emsam; Zelapar

Brand Names: Canada

Apo-Selegiline; Gen-Selegiline; Mylan-Selegiline; Novo-Selegiline; Nu-Selegiline

Warning

Skin patch:

  • Children and teens who take this drug may be at a greater risk of having thoughts or actions of suicide. Adults may also be at risk. The risk may be greater in people who have had these thoughts or actions in the past. Watch people who take this drug closely. Call the doctor right away if signs like low mood (depression), nervousness, restlessness, grouchiness, panic attacks, or changes in mood or actions are new or worse. Call the doctor right away if any thoughts or actions of suicide occur.
  • This drug is not approved for use in children. Talk with the doctor.
  • Do not give to a child younger than 12 years of age.

What is this drug used for?

Skin patch:

  • It is used to treat low mood (depression).

Capsules, skin patch, and tablets:

  • It may be given to your child for other reasons. Talk with the doctor.

Oral-disintegrating tablet:

  • If your child has been given this form of this drug, talk with the doctor for information about all of the benefits and risks. Talk with the doctor if you have questions or concerns about giving this drug to your child.

What do I need to tell the doctor BEFORE my child takes this drug?

  • If your child has an allergy to this drug or any part of this drug.
  • If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If your child has pheochromocytoma.
  • If your child is taking another drug that has the same drug in it.
  • If your child is taking any of these drugs: Dextromethorphan, meperidine, methadone, propoxyphene, tramadol, or another narcotic (opioid) drug.
  • If your child takes any drugs (prescription or OTC, natural products, vitamins) that must not be taken with this drug, like certain drugs that are used for low mood (depression) or other mood problems, seizures, weight loss, and the common cold. There are many drugs that must not be taken with this drug.
  • If your child is having surgery, talk with the doctor.
This is not a list of all drugs or health problems that interact with this drug.
Tell the doctor and pharmacist about all of your child’s drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for your child to take this drug with all of their drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor.

What are some things I need to know or do while my child takes this drug?

All products:

  • Tell dentists, surgeons, and other doctors that your child is using this drug.
  • Have your child’s blood pressure and heart rate checked often. Talk with your child’s doctor.
  • Have your child avoid tasks or actions that call for alertness until you see how this drug affects your child. These are things like riding a bike, playing sports, or using items such as scissors, lawnmowers, electric scooters, toy cars, or motorized vehicles.
  • To lower the chance of feeling dizzy or passing out, have your child get up slowly over a few minutes when sitting or lying down. Have your child be extra careful climbing stairs.
  • Do not stop giving this drug to your child all of a sudden without calling the doctor. Your child may have a greater risk of side effects. If your child needs to stop this drug, you will want to slowly stop it as told by the doctor.
  • Some foods and drinks like cheese and red wine, when taken with higher doses of this drug, may cause very bad and sometimes deadly effects such as sudden high blood pressure. Talk with the doctor about your child’s risk for these effects. Get a list of foods to avoid giving to your child.
  • Some types of this drug are used to treat Parkinson’s disease. The chance of a type of skin cancer called melanoma may be raised in people with Parkinson’s disease. It is not known if this drug may also raise the chance. Your child may need to have skin exams while taking this drug. Talk with the doctor.
  • Alcohol may interact with this drug. Be sure your child does not drink beer, wine, or mixed drinks.
  • Some people taking the oral form of this drug have fallen asleep during activities like driving, eating, or talking. Some people did not feel sleepy and felt alert right before falling asleep. This has happened up to 1 year after this drug was started. If your child falls asleep during activities, have your child avoid tasks or actions that call for alertness while taking this drug. Call the doctor right away if this happens or your child feels very sleepy.

If your child is pregnant or breast-feeding a baby:

  • Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks of using this drug.

Skin patch:

  • Have your child avoid use of heat sources (such as sunlamps, tanning beds, heating pads, electric blankets, heat lamps, saunas, hot tubs, heated waterbeds). Avoid long, hot baths or sunbathing. Your child’s temperature may rise and cause too much drug to pass into your child’s body.

What are some side effects that I need to call my child’s doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child’s doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:

All products:

  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Trouble controlling body movements, twitching, change in balance, trouble swallowing or speaking.
  • Shakiness, trouble moving around, or stiffness.
  • Change in thinking clearly and with logic.
  • Mood changes.
  • Change in how you act.
  • Hallucinations.
  • Change in balance.
  • Strong urges that are hard to control (such as gambling or sex).
  • A skin lump or growth.
  • Change in color or size of a mole.
  • Chest pain or pressure.
  • Muscle pain or weakness.
  • Neck stiffness.
  • Very bad dizziness or passing out.
  • Very bad headache.

Skin patch:

  • Very bad skin irritation.

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:

All products:

  • Dizziness.
  • Feeling sleepy.
  • Headache.
  • Upset stomach or throwing up.
  • Not able to sleep.
  • Dry mouth.
  • Loose stools (diarrhea).
  • Back pain.
  • Runny nose.
  • Stuffy nose.

Skin patch:

  • Skin irritation.
These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to your national health agency.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read and follow the dosing on the label closely.

All products:

  • Give as you have been told, even if your child feels well.

Tablets and capsules:

  • Give this drug with food.

Skin patch:

  • Wash your hands before and after use.
  • Put patch on clean, dry, healthy skin on your child’s upper back. The chest, upper leg, or upper arm may also be used in older children.
  • Do not use patches that are cut or do not look right.
  • Put the patch in a new area each time you change the patch.
  • Do not put on more than 1 patch at a time.
  • If the patch falls off, replace with a new one on a new site.
  • After you take off a skin patch, be sure to fold the sticky sides of the patch to each other.

What do I do if my child misses a dose?

  • Give a missed dose as soon as you think about it.
  • If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
  • Do not give 2 doses at the same time or extra doses.

How do I store and/or throw out this drug?

All products:

  • Store at room temperature.
  • Store in a dry place. Do not store in a bathroom.
  • Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.

Skin patch:

  • Store in pouch until ready for use.

General drug facts

  • If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
  • Do not share your child’s drug with others and do not give anyone else’s drug to your child.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Copyright

Copyright © 2014 Clinical Drug Information, LLC and Lexi-Comp, Inc.