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.

image of a doctor in a lab doing drug, clinical research

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

Image of Invicro (dba Perceptive) in New Haven, United States.

[18F]MK-0947 for Parkinson's Disease

18 - 80
All Sexes
New Haven, CT

This clinical study is being conducted to learn more about a new imaging drug called \[18F\]MK-0947, which is designed to help doctors see changes in the brain related to Parkinson's disease (PD). PD is a condition that affects movement, balance, and thinking. The drug works with a type of scan called PET (Positron Emission Tomography) to show areas of the brain where a protein called α-synuclein builds up. This buildup is linked to PD and other brain disorders. The main goal of this study is to find out if \[18F\]MK-0947 is safe for people and if it works well to show α-synuclein in the brain. The study will also look at how the drug moves through the body and how much radiation it gives off. Researchers hope this information will help develop better tools for diagnosing PD and tracking how it changes over time. Who can join? Adults who have PD or who are healthy may be able to take part. Participants will have screening tests to make sure they qualify. What does participation involve? People in the study will have PET scans, blood tests, and other safety checks. Some participants will also have an MRI scan. The study is divided into two parts: Part 1 looks at how the drug works in the brain of PD patients and healthy elderly participants, and Part 2 measures radiation levels in healthy participants. Why is this important? There is currently no cure for PD, and better imaging tools could help researchers develop new treatments. By joining this study, participants will help advance research that may improve care for people with PD and similar conditions in the future.

Phase < 1
Recruiting

Invicro (dba Perceptive)

Merck Sharp & Dohme LLC

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Image of UCLA Semel Institute in Los Angeles, United States.

Psilocybin-assisted CBT for Depression

21 - 60
All Sexes
Los Angeles, CA

The primary objectives of this clinical investigation are to (1) determine the acceptability and feasibility of joining psilocybin-assisted therapy with cognitive-behavioral therapy (PA-CBT) for patients with depression, (2) optimize CBT to most effectively integrate the psilocybin experience with psychotherapy and (3) examine the clinical benefit of psilocybin as an adjunct to cognitive-behavioral therapy (CBT) for major depressive disorder. This study is a randomized, two-arm, fixed dose trial that will test the feasibility, acceptability, and participant and therapist adherence to PA-CBT. Both treatment arms will receive two doses of psilocybin (10mg and then 25mg, separated by one month). In Phase II, participants will be randomized (1:1) to either a 12-session PA-CBT or a 6-session standard psilocybin-assisted therapy (PAT) condition (3 hours of preparation plus 3 hours of supportive therapy integration following the psilocybin experiences).

Phase 1 & 2
Recruiting

UCLA Semel Institute

Image of Seattle Children's Hospital in Seattle, United States.

Organizational Skills Training vs Mindfulness for ADHD

13 - 17
All Sexes
Seattle, WA

This randomized control trial comparing Organizational Skills Training (OST) and Mindfulness-Based Intervention (MBI) among adolescents with a pre-existing ADHD diagnosis presenting to the Duke ADHD Program. Both treatments are eight 90 minute sessions. The research component will involve a pre-treatment assessment and post-treatment assessment. Both assessments will involve adolescents and one caregiver to complete questionnaires over REDCap. Rating scales will include ADHD symptom severity (Conners 3: self and parent report), functional impairment (IRS: self and parent report), executive functioning (BRIEF-2: parent report), emotion dysregulation (DERS: self and parent report), trait mindfulness (FFMQ: self report), organizational skills (BRIEF-2: parent report), treatment satisfaction (self report and parent report) and credibility (self report and parent report). Post-treatment assessments for feasibility will include attendance (measured over the course of treatment) and homework completion rates on a scale of 1 to 5 in which 5 indicates higher homework completion. We will also assess acceptability via individual items on a Likert scale (self report): overall satisfaction, how much was learned about ADHD, usefulness of information learned, content relevance to individual experience, comprehension of strategies, confidence about using strategies, likelihood of using strategies, helpfulness to share with the group, benefits from hearing from other group members, willingness to recommend the same treatment to others, and whether or not treatment was beneficial.

Recruiting
Has No Placebo

Seattle Children's Hospital

Image of University of Rochester Medical Center in Rochester, United States.

Deaf CBT-TS for Suicide Risk

18+
All Sexes
Rochester, NY

The goal of this clinical trial is to learn if a short, Zoom-based intervention, Cognitive Behavioral Therapy for Treatment-Seeking for Deaf Individuals (Deaf CBT-TS) can change beliefs about mental health treatment and increase treatment-seeking behaviors in Deaf adults with untreated mental health or alcohol use problems. It will also see if Deaf CBT-TS may reduce suicide risk and explore factors that may increase the effectiveness of Deaf CBT-TS. The main questions it aims to answer are: * Does Deaf CBT-TS increase positive beliefs about treatment and increase treatment-seeking behaviors? * Does Deaf CBT-TS increase hope and reduce mental health symptoms, suicide ideation, and alcohol use? * Is Deaf CBT-TS more effective for individuals with less cultural stress compared to those with high levels of cultural stress? * Is Deaf CBT-TS more effective for Deaf individuals in residential areas with more Deaf resources than those with less Deaf resources? Researchers will compare individuals who complete Deaf CBT-TS to those on a waitlist to see if Deaf CBT-TS works to increase positive beliefs about treatment and treatment-seeking behaviors. Participants will: * Complete a baseline assessment including demographic information, measures of hope, general mental health and functioning, alcohol use, suicide ideation, cultural stress, and beliefs about treatment. * Receive Deaf CBT-TS (2 sessions) or be placed on a waitlist with the option of receiving Deaf CBT-Ts after 4 months * Complete two follow-up assessments in 2 and 4 months.

Waitlist Available
Has No Placebo

University of Rochester Medical Center

Image of Sunwise Clinical Research /ID# 277555 in Walnut Creek, United States.

Icalcaprant for Depression

18 - 65
All Sexes
Walnut Creek, CA

Major depressive disorder (MDD; depression) is a mood disorder that causes a continued feeling of sadness and loss of interest. It is a common and serious illness that can cause both emotional and physical symptoms such as feelings of sadness, irritability, not being able to focus on activities, tiredness, changes in eating habits, and aches and pains. This study will assess the changes in disease activity and adverse events of oral Icalcaprant in adult participants with major depressive disorder who are currently experiencing a major depressive episode (MDE). Icalcaprant is an investigational drug being developed for the treatment of depressive episodes in adult participants with major depressive disorder. Participants are placed in 1 of 3 groups, called treatment arms. There is a 1 in 3 chance that a participant will be assigned to placebo treatment. Around 195 adult participant with major depressive disorder will be enrolled in approximately 35 sites in North America. Participants will receive oral capsules of Icalcaprant or matching placebo once daily for 6 weeks, with a 30-day safety follow-up. There may be a higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Phase 2
Recruiting

Sunwise Clinical Research /ID# 277555 (+9 Sites)

ABBVIE INC.

AbbVie

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Psychotherapy for Depression

18 - 65
Female
Hamilton, Canada

The RESPOND trial explores the link between early life adversity and later life depressive symptoms. The investigators have designed a new psychological therapy tailored to address the symptoms that can be caused by difficult experiences in early life. These symptoms include low mood, emotional dysregulation, and distressing thoughts and beliefs related to difficult or traumatic experiences. The investigators would like to see if this new therapy helps people feel better. The investigators are also studying the biological changes that can occur as a result of early life adversity, and how this therapy may influence those changes. To do this, The investigators ask questions about participants' physical and mental health and take blood samples.

Recruiting
Has No Placebo

St. Joseph's Healthcare Hamilton

Sheryl Green, PhD

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