Do not take this medicine with any of the following medications:

-atomoxetine
-cyclobenzaprine
-dextromethorphan
-MAOIs like Marplan, Nardil, and Parnate
-meperidine
-methadone
-other medicines containing selegiline, like Emsam or Eldepryl
-rasagiline
-safinamide
-stimulant medicines for attention disorders
-St. John''s wort
-tramadol
-viloxazine
This medicine may also interact with the following medications:

-certain medicines for depression, anxiety, or psychotic disorders
-certain medicines for seizures like carbamazepine, phenobarbital, phenytoin
-ephedrine
-epinephrine or racepinephrine
-medicines for nasal congestion like phenylephrine, pseudoephedrine
-metoclopramide
-nafcillin
-narcotic medicines for pain
-norepinephrine
-rifampin
-stimulant medicines for weight loss or staying awake

They need to know if you have any of these conditions:

-high blood pressure
-liver disease
-low blood pressure
-narcolepsy
-phenylketonuria
-sleep apnea
-an unusual or allergic reaction to selegiline, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your health care professional for regular checks on your progress. Tell your health care professional if your symptoms do not start to get better or if they get worse. Do not stop taking except on your health care professional''s advice. You may develop a severe reaction. Your health care professional will tell you how much medicine to take.

This medicine can interact with certain foods that contain high amounts of tyramine. The combination may cause severe headaches, a rise in blood pressure, or irregular heartbeat. Foods that contain significant amounts of tyramine include aged cheeses, meats and fish (especially aged, smoked, pickled, or processed such as bologna, pepperoni, salami, summer sausage), beer and ale, alcohol-free beer, wine (especially red), sherry, hard liquor, liqueurs, avocados, bananas, figs, raisins, soy sauce, miso soup, yeast/protein extracts, bean curd, fava or broad bean pods, or any over-ripe fruit. Ask your doctor or health care professional, pharmacist, or nutritionist for a complete listing of tyramine-containing foods.

You may get drowsy or dizzy. 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 can interfere with the effect of this medicine. Avoid alcoholic drinks.

When taking this medicine, you may fall asleep without notice. You may be doing activities like driving a car, talking, or eating. You may not feel drowsy before it happens. Contact your health care provider right away if this happens to you.

There have been reports of increased sexual urges or other strong urges such as gambling while taking this medicine. If you experience any of these while taking this medicine, you should report this to your health care provider as soon as possible.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy and drinking plenty of water may help. Contact your health care professional 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.

If you are diabetic there is a possibility that this medicine may affect your blood sugar. Ask your doctor or health care professional for advice if there is any change in your blood or urine sugar tests.

If you are scheduled for any medical or dental procedure, tell your healthcare provider that you are taking this medicine. This medicine can interact with other medicines used during surgery.

You should check your skin often for changes to moles and new growths while taking this medicine. Call your doctor if you notice any of these changes.

Keep out of the reach of children and pets.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep this medicine in the original packaging until you are ready to take it. Protect from moisture. Get rid of any unused medicine 3 months after opening a pouch. Get rid of any unopened, unused medicine after the expiration date.
To get rid of medicines that are no longer needed or have expired:

-Take the medicine to a medicine take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medicine, check the label or package insert to see if the medicine should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your health care provider. If it is safe to put it in the trash, take the medicine out of the container. Mix the medicine with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.