To properly use the selegiline patch, apply it once daily to a clean, dry, and smooth area of skin on your upper torso, back, upper thigh, or the outer part of your upper arm. The patch should be worn for a full 24 hours and replaced at the same time each day to ensure a consistent dose. Never apply more than one patch unless directed by your doctor.
The selegiline transdermal patch is a simple delivery system for a powerful medication. Therefore, meticulous attention to application procedures, dietary restrictions, and safety precautions is not optional—it is essential for the treatment's effectiveness and your well-being.

Understanding the Medication's Role
What is Selegiline?
The selegiline patch is a prescription medication used to treat major depressive disorder in adults. It belongs to a class of drugs known as monoamine oxidase inhibitors (MAOIs).
How the Transdermal Patch Works
MAOIs function by increasing the levels of certain natural chemicals in the brain that are essential for maintaining mental balance. The transdermal patch delivers the medication steadily through your skin over a 24-hour period.
The Correct Application Protocol
Step 1: Choose the Right Location
You should apply the patch to one of four approved areas: the upper chest, back, upper thigh, or the outer surface of the upper arm. Rotate the application site each day to avoid skin irritation.
Step 2: Prepare the Skin
The chosen skin area must be dry and smooth. Avoid skin that is hairy, oily, irritated, broken, scarred, or calloused, as this can affect how the medication is absorbed.
Step 3: Establish a Daily Routine
Apply a new patch at the same time every day. This creates a consistent 24-hour cycle that is critical for maintaining stable levels of the medication in your system.
What to Do If a Patch Comes Loose
If a patch loosens, press it firmly back into place. If it falls off completely, apply a new patch to a different, appropriate site and continue with your original daily replacement schedule.
Critical Safety and Usage Precautions
The Tyramine Dietary Restriction
This is the most critical precaution. Patients using the 9 mg or 12 mg patches must avoid foods and beverages high in tyramine. This restriction must be followed during treatment and for two weeks after stopping the medication.
Avoid Direct Heat and Sunlight
Do not expose the patch to direct heat sources like heating pads, electric blankets, saunas, or prolonged, direct sunlight. Heat can increase the rate of medication absorption, leading to a potentially dangerous dose.
Disclose Your Full Medical Profile
Before starting, inform your doctor of any other conditions you have, especially pheochromocytoma, seizures, heart disease, or issues with dizziness. Also, provide a complete list of all other medications, vitamins, and supplements you take.
Potential for Drowsiness
The medication may cause drowsiness. Avoid driving or operating heavy machinery until you understand how the patch affects you. Discuss any alcohol consumption with your doctor.
Safe Storage and Disposal
Store patches at room temperature, away from heat and moisture. Keep both used and unused patches out of reach of children and pets. Even a used patch contains enough residual medication to be fatal if chewed or ingested.
Making the Right Choice for Your Goal
Following your doctor's instructions precisely is the key to a successful treatment outcome.
- If your primary focus is correct application: Always rotate between the four approved sites on clean, dry, and intact skin.
- If your primary focus is safety: Strictly follow all dietary (tyramine) and heat-exposure warnings, especially at doses of 9 mg or higher.
- If your primary focus is treatment consistency: Change your patch at the same time every day and immediately replace any patch that falls off.
Properly managing your selegiline patch treatment empowers you to take an active and effective role in your mental health care.
Summary Table:
| Key Aspect | Crucial Information |
|---|---|
| Application Sites | Upper chest, back, upper thigh, or outer upper arm. Rotate daily. |
| Skin Preparation | Must be clean, dry, smooth, and intact. |
| Replacement Schedule | Apply a new patch at the same time every 24 hours. |
| Critical Precaution | Avoid tyramine-rich foods (for 9mg/12mg doses) and direct heat. |
| Storage & Disposal | Store at room temperature. Keep used/unused patches away from children/pets. |
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