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You should know that your mental health may change in unexpected ways when you take transdermal selegiline or other antidepressants even if you are an adult over age 24. You may become suicidal.especially at the beginning of your treatment and any time that your dose is increased or decreased. You.your family.or your caregiver should call your doctor right away if you experience any of the following symptoms. new or worsening depression. thinking about harming or killing yourself.or planning or trying to do so. extreme worry. agitation. panic attacks. difficulty falling asleep or staying asleep. aggressive behavior. irritability. acting without thinking. severe restlessness. and frenzied abnormal excitement. Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor when you are unable to seek treatment on your own.

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Monitor all antidepressant-treated patients for clinical worsening and emergence of suicidal thoughts and behaviors.especially during the initial few months of drug therapy and at times of dosage changes. Counsel family cheap emsam medication or caregivers of patients to monitor for changes in behavior and to alert the healthcare provider. Consider changing the therapeutic regimen.including possibly discontinuing patients whose depression is persistently worse.or who are experiencing emergent suicidal thoughts or behaviors.

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