The following information is NOT intended to endorse drugs or recommend therapy. While these reviews might be helpful, they are not a substitute for the expertise, skill, knowledge and judgement of healthcare practitioners in patient care.
Emsam (selegiline) for Depression: I have tried what seems like every medicine for my depression and have only experience temporary minor relief of symptoms. My psychiatrist wanted to try ECT because nothing else was working and I was tired of being in the hospital, but I refused. She then mentioned that MAOIs(monoamine oxidase inhibitors) can sometimes be helpful for those who don't respond to other medicines so I agreed to try it. It has been a miracle worker for me! I have been on it for about 10 months and I have not had any severe depressive episodes and find myself going through the day without all of the terrible thoughts and cravings that used to haunt me. I went from extremely suicidal to functioning normally. I didn't even know I could feel this way!
Emsam (selegiline) for Depression: I have been on many pills over and over trying to get my depression/bipolar under control. I would find something but then it would only work for a couple of months then back to square one. Ever since I was put on the Emsam patch I have loved it, I feel more alive, and wanting to get out and do things. I feel better about myself, I do my hair, makeup, and feel like I am part of society again. I have energy and the food restriction hasn't been that big of an issue, it has been a healthy change for me. Yes it is expensive and can have high copays but worth it. I was paying more for all the doctor copays and medicine copays then I am now for the Emsam patch. I would recommend it to everyone!
Review by vietnam70 (taken for 6 months to 1 year):
Emsam (selegiline) for Depression: For depression, this is the very best for me. I still eat the foods that you can't with a pill form of a MAO Inhibitor. I have to avoid other stimulants, over-the-counter or meds. I take different meds for my anxiety. The Emsam patch has stopped my depressive episodes that started in Vietnam in 1970
13 users found this comment helpful.
Emsam (selegiline) for Depression: I lived in a world of gray with a circle of awareness as little as two feet. I was the quintessential invisible man. I tried all the antidepressants for over 50 years. Everything was totally useless and with horrible side effects to the extent that one wonders why anyone would prescribe it. The first thing that actually worked was Nardil which opened me to a world of light and color that I didn't know existed, but it had its problems and became ineffective after a time. 6 years ago my doctor finally gave up and gave me this. She started me on the low dose patch which didn't seem to do much but the fog did lift . I seem to have few if any side effects. Emsam is worth trying.
15 users found this comment helpful.
Emsam (selegiline) for Depression: This helps my depression more than anything I've tried. I'm using Emsam and the ease of use is excellent. I have fibromyalgia and this might also be helping my pain, fatigue, and libido since I've noticed improvement with all. At first I craved sweets but don't now. I have mild irritation at the patch site. I wake up at least once at night to urinate (where I didn't before) and I also want a snack at that time, too. Even with night eating, I think I'm losing weight on this medication. My one concern is that I am definitely losing my hair on this. I will see my psychiatrist next week for a one month follow up and if the hair loss is easily remedied, I'll stick with it. Expensive without insurance.
11 users found this comment helpful.
Review by Anonymous (taken for less than 1 month):
Emsam (selegiline) for Depression: This is my first day on Emsam 9 mg. Very low blood pressure so far. Going to call doctor, in morning about that. Otherwise so far I have a little neck pain but nothing I can't handle.
Emsam (selegiline) for Depression: Emsam is by far the best antidepressant I have come across in over 20 years of treatment in which I have been given everything under the sun. Welbutrin was ok but was weak, edgy and stops working after about 6 months. I have been on Emsam twice now for stints of about a year each. Unlike other antidepressants it doesn't have that plastic, fake agitaged feeling to it. Feels like natural emotions. It cuts my depression roughly in half. Still suicidal often, but not every moment of every day. I have a severe skin reaction to the adhessive that looks horrific but its worth it. Other than that and worsening insomnia it really doesn't have side effects. Well worth the rash. I have to stay at 6mg because the higher doses produce psychosis in me.
23 users found this comment helpful.
Emsam (selegiline) for Depression: I tried EVERYTHING to get over what was first diagnosed as depression (30 years ago). About 12 years ago I started seeing a psychiatrist who thought I might be bipolar, type 2 (mostly depressive, no full-blown manic state) and started me on Emsam. It took some time-can't really remember but maybe a month but it works. Yes, there are side effects-insomnia being the worst but that dissipated in a few months. We all know that what works for one person may not for another but this is not an SSRI which can't "touch" depression associated with bipolar. And you don't have to be bipolar for it to work. I know it's frustrating but give it a shot-maybe you'll be like me and never have to try another medicine again!
27 users found this comment helpful.
Emsam (selegiline) for Depression: EMSAM greatly helped the depression and anxiety. I had energy and a life again. But I had insomnia very hard to treat. I tried Ambien, Lunesta, Seroquel, Ativan and Trazodone but nothing helped. My Psychiatrist suggested Chloral Hydrate.
21 users found this comment helpful.
Emsam (selegiline) for Depression: I've been taking selegiline (Emsam) for depression for three years after 40 of pretty much everything else. This has been the most effective treatment I've had, lasting the longest with the best results. Side effects have been limited to skin irritation from the patch. The dietary restrictions aren't proving to be too restrictive. On a couple of occasions, I've had food with tyramine by accident. A bad headache for a few hours was the only result. (I didn't realize that I'd had the tyramine until after the headache had come and gone.)
The price and need for prior authorization are my only real complaints.
26 users found this comment helpful.
Emsam (selegiline) for Depression: I started Emsam when hospitalized. My doctor noticed the positive effects before I did. She noticed I was thinking more clearly and more active. After 2 weeks I began to notice my mental clarity. After 1 month I cleaned my house in 1 day and began to shower, dress, apply make up and do my hair every day. I did not have to think about what need to be done I JUST DID IT. This was the first time in my life I can ever remember just being ME. After 6 months I became allergic to the adhesive, I can no longer use Emsam. What I wouldn't give to once again KNOW WHO I AM. But I am lost in depression and pain. I would gladly live with the restriction of Emsam because I WOULD BE LIVING.
31 users found this comment helpful.
Emsam (selegiline) for Depression: Where has this medication been hiding? I've suffered from depression for 18 years, having to change medicines every couple years and usually never feeling too good...just pulling myself through everyday. I've been on Zoloft, Effexor, Prozac, Cymbalta with low dose Abilify and Wellbutrin. Finally a month ago a new Doctor suggested the EMSAM patch. I feel like the darkness has been lifted. I have energy, can concentrate and actually look forward to doing or planning things. Even the Adderall I had once taken to help increase my energy level didn't do what this patch is doing. EMSAM has changed not only my life, but my family's as well.
39 users found this comment helpful.
Emsam (selegiline) for Depression: Have been using the 6MG patch for 4 weeks now with absolutely no results. No side effects. No skin irritation. Nothing. Doctor says I should be patient and wait till the 6 week point where it might finally kick in. If it doesn't we will go to the higher dosage. Probably just double it to the 12MG patch. Not looking forward to the dietary restrictions but it's a trade off I'm willing to take for relief from 30+ years of despair.
22 users found this comment helpful.
Emsam (selegiline) for Depression: I've been on this medication for several years now. During winter months we up my dose and in spring reduce it. After about 12 years of trying SSRI's and not having a lot of success we tried this drug. It has been the best medication for my depression. There are a number of precautions that you must remember to take. #1 Challenge each doctor to check and see if a new medication will react badly to the Emsam, a lot of the medications have interaction with Emsam. Also you must give up aged things, like Pepperoni, Salomi, Beer, Wine, and Worchester and Soy sauces. I learned the hard way about the last 2. Most important thing is challenge all new medications and MAKE the doctor look them up.
30 users found this comment helpful.
Emsam (selegiline) for Depression: I have tried what feels like every medicine available for the past 10 years, and this is the first time that I feel like I enjoy life for long periods of time. Sure, with severe depression/anxiety, you will always have down days, but since taking this medicine, they have become less, and the depressed feeling doesn't last as long. I'm pretty upbeat now, and sometimes can be very chatty.
54 users found this comment helpful.
Emsam (selegiline) for Depression: Emsam transdermal has given me back my life! From a depression so severe that I was non-functional, I am now back to the person who loves life and living. My doctor tried every ssri you can imagine with my condition only worsening. The only adverse side effects seem to be skin irritation and constipation. I still have a lot of stress in my life but I am now able to deal with my problems instead of trying to escape from the world.
45 users found this comment helpful.
Emsam (selegiline) for Depression: Emsam had helped me with my depression however I has several issues when taking this medication. 1.Fatigue 2.Leg cramps 3.Stiffness of joints. 4.Mood swings 5.Irritability. I noticed a draumatic decrease in these symptoms after I had stopped using the Emsam patch. Believe me, I wanted this to work so bad. I have tried several other medications with various side effects and was hoping for miracle.
37 users found this comment helpful.
Emsam (selegiline) for Depression: Emsam has helped me with my depression. However, when it is a very muggy humid day, the patch has a hard time staying adherred. I went to my pharmacist and he gave me something in addition to help hold it on. When the weather is fine, I have no problem, even through the swimming pool or a bath. Yesterday I had a patch that had the larger part of the sticky end missing.
27 users found this comment helpful.
Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.
Data sources include Micromedex™ (updated May 16th, 2013), Cerner Multum™ (updated May 20th, 2013), Wolters Kluwer™ (updated Apr 30th, 2013) and others. To view content sources and attributions, refer to our editorial policy.