You should also tell your doctor or pharmacist if you are taking the following medications or have stopped taking them within the past two weeks antidepressants such as amitriptyline elavil , amoxapine asendin , clomipramine anafranil , desipramine norpramin , doxepin adapin, sinequan , imipramine tofranil , nortriptyline aventyl, pamelor , protriptyline vivactil , and trimipramine surmontil monoamine oxidase inhibitors maois , including isocarboxazid marplan , phenelzine nardil , selegiline eldepryl, emsam , and tranylcypromine parnate .
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Consequentlyit may be useful to inform patientsor their familiesabout the signs and symptoms associated with MAOI induced hypertensive reactionsIn particularpatients should be urged to reportimmediatelyany severe headache or other atypical or unusual symptoms not previously experienced.
It is unknown whether selegiline is excreted in human breast milkThe excretion of selegiline in milk has not been studied in animalsPhysico-chemical data on selegiline point to excretion in breast milk and a risk to the suckling child cannot be excludedSelegiline should not be used during breast-feeding.
Concomitant use of hypertensive agentsantihypertensivespsychostimulantscentral suppressant drugssedativeshypnoticsand alcohol should be avoided.
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