The selegiline transdermal patch, known by the brand name Emsam, is a prescription medication approved for the treatment of major depressive disorder (MDD) in adults and adolescents aged 12 and older. It is a type of antidepressant called a monoamine oxidase inhibitor (MAOI). Emsam works by preventing the breakdown of certain chemicals in the brain that are often imbalanced in people experiencing depression.
The Emsam patch treats major depression by delivering selegiline, a monoamine oxidase inhibitor (MAOI), directly through the skin. This transdermal method provides a sustained, stable level of medication to the brain, offering a different approach compared to traditional oral antidepressants.

How Selegiline Works for Depression
A Monoamine Oxidase Inhibitor (MAOI)
Selegiline belongs to a class of medications known as monoamine oxidase inhibitors (MAOIs). These drugs were among the first types of antidepressants developed.
Restoring Chemical Balance
The medication works by blocking the action of the monoamine oxidase enzyme. This action prevents the breakdown of important mood-regulating neurotransmitters in the brain, helping to restore a more stable chemical balance.
The Transdermal Patch Advantage
Why a Patch Instead of a Pill?
Using a skin patch allows for the direct and continuous delivery of selegiline into the bloodstream over a 24-hour period. This method provides higher and more sustained medication levels in the brain compared to low-dose oral selegiline, which is used for different conditions like Parkinson's disease.
Anatomy of the Patch
A transdermal patch is a sophisticated delivery system with several key parts working together.
- Backing Layer: Provides structure and protects the patch from the environment.
- Drug Reservoir: Contains the active ingredient, selegiline.
- Adhesive Layer: Ensures the patch sticks firmly to the skin and often helps regulate the medication's release.
- Release Liner: A protective layer that is peeled off just before application.
Proper Application and Use
A Consistent Daily Routine
The Emsam patch is designed to be applied to the skin once a day and left in place for 24 hours. The old patch must be removed before a new one is applied, and this should be done at the same time each day to maintain consistent medication levels.
Step-by-Step Application
Following the application instructions carefully is critical for the medication's effectiveness.
- Choose a clean, dry, and non-irritated area of skin, such as the upper chest or upper arm.
- After washing and drying your hands, remove the old patch.
- Open the new patch pouch and peel off the protective liner.
- Apply the sticky side to the chosen skin site and press down firmly for at least 30 seconds to ensure it is sealed.
- Wash your hands again after applying the patch.
Important Cautions and Considerations
Who Should Use Emsam with Caution?
This medication is not suitable for everyone. It is crucial to inform your doctor if you have a history of certain medical conditions, as Emsam may worsen them.
Conditions requiring careful medical evaluation include bipolar disorder, mania, hypomania, heart problems, low blood pressure, or pheochromocytoma (a type of tumor).
The Importance of Medical Supervision
Emsam is a powerful medication that requires a doctor's prescription and ongoing supervision. Never use more patches or apply them more frequently than prescribed by your healthcare provider.
Making the Right Choice for Your Treatment
A conversation with your doctor is the only way to determine if Emsam is the right choice for you.
- If your primary focus is a consistent medication level: The transdermal patch is designed to deliver a stable, continuous dose over a 24-hour period, avoiding the peaks and troughs of some oral medications.
- If you are managing other health conditions: You must discuss your full medical history with your doctor, as Emsam can negatively interact with pre-existing issues like heart problems or bipolar disorder.
- If you need clear usage instructions: Following a strict daily routine for applying the patch to clean, dry skin is essential for the medication to work as intended.
Understanding how this medication functions is the first step in having an informed discussion with your healthcare provider about your treatment plan.
Summary Table:
| Feature | Details |
|---|---|
| Primary Use | Treatment of Major Depressive Disorder (MDD) |
| Age Group | Adults and adolescents (12 years and older) |
| Drug Class | Monoamine Oxidase Inhibitor (MAOI) |
| Dosage Form | Transdermal Patch |
| Application | Apply one patch to clean, dry skin once every 24 hours |
Partner with Enokon for Your Transdermal Patch Development
As a bulk manufacturer of reliable transdermal patches and pain plasters, Enokon provides healthcare and pharmaceutical distributors and brands with the technical expertise for custom R&D and development. If you are looking to develop or source a high-quality, consistent transdermal delivery system like the Emsam patch, our team can help bring your product to market.
Contact our experts today to discuss your project requirements and benefit from our manufacturing excellence.
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