The selegiline skin patch is a transdermal medication used to treat depression in adults. Proper application is crucial for effectiveness and safety. Key steps include selecting an appropriate skin site (upper chest, back, thigh, or outer arm), ensuring the area is clean and dry, applying firm pressure for adhesion, and rotating sites daily. Additional precautions involve avoiding damaged skin, heat exposure, and proper hand hygiene before/after application. The patch should be changed every 24 hours and disposed of carefully by folding adhesive sides together.
Key Points Explained:
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Preparation Before Application
- Wash hands thoroughly with soap and water before handling the patch
- Clean the application site with warm water (avoid soaps/alcohols which may irritate)
- Ensure skin is completely dry before application
- Choose intact skin without hair, oils, rashes, or tight clothing contact points
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Proper Application Sites
- Upper chest (below collar bone)
- Upper back (between shoulder blades)
- Outer upper arm
- Upper thigh
- Avoid areas prone to friction from clothing or movement
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Application Technique
- Remove patch from pouch without touching adhesive surface
- Peel off protective liner immediately before application
- Press firmly onto skin for 30 seconds with palm
- Ensure all edges adhere completely
- Use medical tape (not bandages) if edges lift
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Usage Schedule & Rotation
- Apply new patch every 24 hours
- Rotate application sites (don't reuse same spot for 7+ days)
- Note application time to maintain consistent dosing
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Post-Application Care
- Wash hands after application/disposal
- Avoid external heat sources (heating pads, hot baths)
- Monitor for skin reactions at application site
- If patch falls off, apply new one to different site
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Special Considerations
- Not for use on broken/irritated skin
- Avoid concurrent use with certain medications (check interactions)
- Elderly patients may require dosage adjustments
- Dispose used patches by folding adhesive sides together
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Emergency Situations
- Remove patch immediately if severe skin reaction occurs
- Seek medical help if accidental ingestion occurs
- Have prescribing physician's contact available for questions
The transdermal delivery system provides steady medication absorption when applied correctly. Following these guidelines helps ensure therapeutic effectiveness while minimizing potential side effects. Patients should maintain a application log to track sites and monitor skin condition.
Summary Table:
| Step | Key Action | Important Notes |
|---|---|---|
| Preparation | Wash hands & clean application site with water (no soap/alcohol) | Ensure skin is dry, intact, and free from oils/rash |
| Application Site | Upper chest, back, outer arm, or thigh | Avoid areas with friction (e.g., waistbands) |
| Technique | Press firmly for 30 seconds; avoid touching adhesive | Use medical tape if edges lift |
| Schedule | Replace every 24 hours; rotate sites (no reuse for 7+ days) | Track application times/sites for consistency |
| Post-Care | Wash hands; avoid heat sources; monitor for skin reactions | Fold used patches adhesive-side together before disposal |
| Emergencies | Remove patch if severe reaction occurs; seek help for accidental ingestion | Keep prescribing physician’s contact handy |
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