You need to be aware of what could happen when taking certain medications at the same time. Some medications are fine to take with EMSAM, but taking others may cause serious side effects.
Tell your health care professional all the medicines that you are taking or plan to take while on EMSAM. This includes both prescription and nonprescription medicines, such as vitamins and herbal supplements.
- Tell ALL your health care professionals that you are using EMSAM
- Your health care professional considers a number of factors when selecting a treatment for you. Do not stop or change your treatment with EMSAM, or take anything new, without talking with your health care professional first
Do not take the medicines in the chart below while using EMSAM and for 2 weeks after stopping EMSAM. Doing so could cause severe side effects that can be life-threatening. Click here for a downloadable reference.
Prescription medications you should NOT take with EMSAM
Other medications to treat depression (antidepressants)
Other monoamine oxidase inhibitors (MAOIs), including oral selegiline (eg. Eldepryl®)
BuSpar® (buspirone), an anxiety medicine
Pain medications containing meperidine (eg, Demerol®), tramadol (eg, Ultram®), methadone
(eg, Dolophine®), and propoxyphene (eg, Darvon®)
Flexeril® (cyclobenzaprine) or other medicines that contain cyclobenzaprine, a medicine used to treat muscle spasms
Tegretol® (carbamazepine), or other medicines that contain carbamazepine, a seizure medicine
Trileptal® (oxcarbazepine), or other medicines that contain oxcarbazepine, a seizure medicine
Medincines called amphetamines, also called stimulants or "uppers"
Medicines containing decongestants (pseudoephedrine, phenylephrine, phenylpropanolamine [PPA],
and/or ephedrine), or the cough suppressant dextromethorphan
Over-the-counter products you should NOT take with EMSAM
St. John's Wort, an herbal supplement
Any herbal or dietary supplement that contains tyramine
Diet pils or herbal weight-loss products containing ephedrine
Cold/cough medicines containing pseudoephedrine, phenylephrine, PPA, or dextromethorphan
Some of these medicines will have to be stopped for 1 week (or more) before you can start EMSAM. Again, be sure to discuss all medicines you are taking with your health care professional.