Emsam

Depression, Parkinson's Disease, Attention Deficit Hyperactivity Disorder

Treatment

2 FDA approvals

20 Active Studies for Emsam

What is Emsam

Selegiline

The Generic name of this drug

Treatment Summary

Deprenyl is a medication used to treat symptoms of Parkinson’s disease. It is an inhibitor of Type B monoamine oxidase and works by slowing the progression of the clinical disease and delaying the need for levodopa therapy. Deprenyl may also be prescribed in combination with levodopa when the symptoms of Parkinson’s disease become more severe.

Eldepryl

is the brand name

image of different drug pills on a surface

Emsam Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Eldepryl

Selegiline

1989

29

Approved as Treatment by the FDA

Selegiline, commonly known as Eldepryl, is approved by the FDA for 2 uses like Parkinson's Disease (PD) and Parkinson's Disease .

Parkinson's Disease (PD)

Used in combination with other therapies

Parkinson's Disease

Used in combination with other therapies

Effectiveness

How Emsam Affects Patients

Dopamine is an important chemical found in various parts of the body. People with Parkinson's disease have too little dopamine because it breaks down too quickly. Selegiline helps to prevent the breakdown of dopamine by blocking an enzyme called monoamine oxidase (MAO). It can also help keep more dopamine between nerve cells and make it easier for dopamine to be released from those cells.

How Emsam works in the body

Selegiline works by blocking an enzyme called monoamine oxidase type B (MAO-B). This enzyme breaks down dopamine, which is important for controlling movement. By blocking MAO-B, selegiline helps increase the amount of dopamine in the brain, which can improve movement problems in people with Parkinson's disease. At higher doses, selegiline can also block monoamine oxidase type A (MAO-A), which is helpful for treating depression.

When to interrupt dosage

The advocated dosage of Emsam is contingent upon the determined disorder, including Attention Deficit Hyperactivity Disorder, Depression and Parkinson's Disease. The amount of dosage can be seen in the table below, relative to the mode of administration (e.g. Patch or Oral).

Condition

Dosage

Administration

Attention Deficit Hyperactivity Disorder

, 5.0 mg, 1.25 mg, 0.6 mg/hour, 0.9 mg/hour, 1.2 mg/hour

, Capsule, Oral, Capsule - Oral, Tablet, Tablet - Oral, Tablet, orally disintegrating - Oral, Tablet, orally disintegrating, Transdermal, Patch - Transdermal, Patch

Depression

, 5.0 mg, 1.25 mg, 0.6 mg/hour, 0.9 mg/hour, 1.2 mg/hour

, Capsule, Oral, Capsule - Oral, Tablet, Tablet - Oral, Tablet, orally disintegrating - Oral, Tablet, orally disintegrating, Transdermal, Patch - Transdermal, Patch

Parkinson's Disease

, 5.0 mg, 1.25 mg, 0.6 mg/hour, 0.9 mg/hour, 1.2 mg/hour

, Capsule, Oral, Capsule - Oral, Tablet, Tablet - Oral, Tablet, orally disintegrating - Oral, Tablet, orally disintegrating, Transdermal, Patch - Transdermal, Patch

Warnings

Emsam Contraindications

Condition

Risk Level

Notes

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

contraindicated drugs

Do Not Combine

Pulse Frequency

Do Not Combine

Pheochromocytoma

Do Not Combine

Pulse Frequency

Do Not Combine

There are 20 known major drug interactions with Emsam.

Common Emsam Drug Interactions

Drug Name

Risk Level

Description

4-Methoxyamphetamine

Major

Selegiline may increase the hypertensive activities of 4-Methoxyamphetamine.

5-methoxy-N,N-dimethyltryptamine

Major

The metabolism of 5-methoxy-N,N-dimethyltryptamine can be decreased when combined with Selegiline.

7,8-Dichloro-1,2,3,4-tetrahydroisoquinoline

Major

The risk or severity of adverse effects can be increased when Selegiline is combined with 7,8-Dichloro-1,2,3,4-tetrahydroisoquinoline.

Alaproclate

Major

Selegiline may increase the serotonergic activities of Alaproclate.

Almotriptan

Major

The metabolism of Almotriptan can be decreased when combined with Selegiline.

Emsam Toxicity & Overdose Risk

The lethal dose of this drug for rats when administered intravenously is 63mg/kg.

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Emsam Novel Uses: Which Conditions Have a Clinical Trial Featuring Emsam?

308 active clinical trials are being conducted to assess the potential of Emsam in providing relief from Depression, Parkinson's Disease and Attention Deficit Hyperactivity Disorder.

Condition

Clinical Trials

Trial Phases

Attention Deficit Hyperactivity Disorder

63 Actively Recruiting

Not Applicable, Phase 3, Phase 4, Phase 1, Phase 2

Depression

213 Actively Recruiting

Phase 3, Phase 2, Not Applicable, Phase 4, Phase 1, Early Phase 1

Parkinson's Disease

39 Actively Recruiting

Not Applicable, Phase 1, Phase 4, Phase 2, Phase 3, Early Phase 1

Emsam Reviews: What are patients saying about Emsam?

5

Patient Review

10/18/2013

Emsam for Major Depressive Disorder

The 12mg dosage has worked for me; however, I am now being checked out for a fluid retention side effect. My legs have swollen from below my knees to the top of my feet.

5

Patient Review

7/23/2020

Emsam for Major Depressive Disorder

This patch has been an incredible help for my short bowel syndrome. I was struggling for over three years before finally trying this, and it's made such a difference in my quality of life.

5

Patient Review

6/11/2014

Emsam for Major Depressive Disorder

After trying a 6mg dosage and seeing no results, I upped it to 9mg. This completely changed my life for the better and saved me from suicidal thoughts.

5

Patient Review

5/16/2019

Emsam for Major Depressive Disorder

Emsam has been an amazing medication for me. I feel like myself again, full of energy and social confidence. This is the first SSRI that has ever worked for me, and at such a low dose too!

4.7

Patient Review

11/10/2017

Emsam for Major Depressive Disorder

This treatment has been extremely effective for me and has overall improved my quality of life. The only downsides are that it's caused insomnia and a low sex drive, but I'm still very satisfied with it.

4.3

Patient Review

3/28/2012

Emsam for Major Depressive Disorder

I started using on December 8th and stopped by July 11th. The depression came back due to stress, but I may restart use. This drug has some sexual side effects that were a little concerning, but overall it helped more than it hurt.

4.3

Patient Review

7/28/2015

Emsam for Major Depressive Disorder

I began using the patch (6 mg) six weeks ago and it seems to be working; however, I have developed tingling in my hands and feet as well as some light itching. I'm not sure if these side effects will eventually go away or not. Has anyone else experienced this? Also, if I need to increase the dosage, am I likely to experience more severe side effects?

4.3

Patient Review

7/26/2013

Emsam for Major Depressive Disorder

I've been living with bi-polar 2 and personality disorder for the last 30 years, and I've tried every treatment under the sun. This was my last resort before electroconvulsive therapy. I take 6mg of lithium and 600mg of another medication. I started by applying it to my arms, then moved to my chest area—which worked much better. There was a noticeable change after using this product.

3.3

Patient Review

6/6/2013

Emsam for Major Depressive Disorder

I'm wondering if anyone else is still using Emsam 6mg. The last post I saw was from 8/17/12.

3

Patient Review

3/9/2022

Emsam for Major Depressive Disorder

I felt much better after taking this, but unfortunately it also gave me nausea and gas. My anxiety came back later on, and the patch didn't help at all. I ended up switching to a different medication.

1

Patient Review

12/25/2018

Emsam for Major Depressive Disorder

The EMSAM patch caused horrible side effects like paranoia, mania, aggression, and insomnia. It also didn't do much to help my depression. Ultimately, it cost me my marriage.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about emsam

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is Emsam good for anxiety?

"However, it did take some getting used to, and when I first started using it I had to keep an eye on my skin to be sure it did not get too dry. Overall, it was a great help and I would recommend it to others.”

EMSAM was a great help for my depression and anxiety. I had to get used to it a bit, and when I first started using it I kept an eye on my skin to make sure it didn't get too dry. Overall it was a big help, and I would recommend it to others."

Answered by AI

What is Emsam used to treat?

"Emsam (selegiline) is a patch that is applied to the skin once daily. It is used to treat depression in adults and is a good option for people who can't or don't want to take medications by mouth."

Answered by AI

Is Emsam still available?

"There is no version of Emsam currently available in the United States that is therapeutically equivalent. Note: Fraudulent online pharmacies may attempt to sell an illegal generic version of Emsam. These medications may be counterfeit and potentially unsafe."

Answered by AI

Clinical Trials for Emsam

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Psilocybin-Assisted Therapy for Depression and Alcoholism

18 - 65
All Sexes
Toronto, Canada

The goal of this clinical trial is to determine the safety and efficacy of psilocybin assisted Therapy (PAT) in individuals with comorbid Major Depressive Disorder (MDD) and Alcohol Use Disorder (AUD). The main question it aims to answer is: \- What is the feasibility and safety of administering PAT in adults with MDD-AUD by evaluating recruitment, retention, tolerability, and safety? Researchers will compare the psilocybin (25 mg) and placebo groups to see if there are any significant differences in frequency of dropouts or serious adverse events. Participants will: * be randomized to receive either psilocybin (25 mg) or placebo * visit the site (in-person and remotely) for a total of 14 times to complete study tasks * receive psilocybin-assisted therapy (PAT) at five various timepoints

Phase 2
Waitlist Available

Centre for Addiction and Mental Health

Image of University of California San Francisco in San Francisco, United States.

Deep Brain Stimulation for Parkinson's Disease

18+
All Sexes
San Francisco, CA

The purpose of this study is to test a new way to treat Parkinson's disease (PD). Subjects will be implanted with deep brain stimulator (DBS) devices and electrodes placed under the scalp. The main questions it aims to answer are: * Is there a less invasive method to collect useful brain signals? Find out if these brain signals can be related to movement and/or sleep symptoms. * How to use these brain signals to tailor adaptive deep brain stimulation settings for movement and/or sleep symptoms Researchers will compare study derived adaptive DBS settings to subject's clinically programmed continuous DBS settings to see which is better at treating patients PD symptoms.

Waitlist Available
Has No Placebo

University of California San Francisco

Simon Little

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Pharmacogenomic-Guided Medication Management for Depression

18+
All Sexes
Pittsburgh, PA

The goal of this prospective, randomized clinical trial is to learn whether pharmacogenomic (PGx)-guided comprehensive medication management delivered by pharmacists in community pharmacies will improve antidepressant treatment outcomes. The primary aim is to determine whether comprehensive medication management with review of PGx testing results improves depression symptoms, compared with usual care. Participants 18 years of age or older who have undergone PGx testing (e.g. through an independent biobanking study (Pitt+Me Discovery) who require initiation or adjustment of antidepressant therapy will be randomly assigned to receive either PGx-guided comprehensive medication management or usual care. Those who receive usual care will receive their PGx results at the end of the study. Researchers will compare the groups to assess whether PGx-guided care provided in partnership with community pharmacists and prescribers results in better depression and medication outcomes.

Waitlist Available
Has No Placebo

University of Pittsburgh

Philip E Empey, PharmD, PhD

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Lumateperone for Depression and Childhood Trauma

21 - 70
All Sexes
Austin, TX

The purpose of this clinical research study is to understand how effective and safe an investigational study drug called lumateperone is and whether it works to reduce the severity of depressive symptoms in adults with Major Depressive Disorder (MDD) and early life trauma. The main questions it aims to answer are: Aim 1: To assess the efficacy of lumateperone 42 mg administered once daily compared with placebo in the treatment of patients with Major Depressive Disorder and early life abuse. Aim 2: To assess neurocircuitry encoding of threat and reward learning as predictors of lumateperone response and as mechanisms of treatment action, and assess the change from pre-dose to post-dose of task-evoked brain activation.

Phase 4
Waitlist Available

Health Discovery Building

Have you considered Emsam clinical trials?

We made a collection of clinical trials featuring Emsam, we think they might fit your search criteria.
Go to Trials

Have you considered Emsam clinical trials?

We made a collection of clinical trials featuring Emsam, we think they might fit your search criteria.
Go to Trials