Microsoft Word – OCFS-LDSS-7002 Written Medication Consent Form
This form must be completed in a language in which the child care provider is literate. … Read Full Source
PRIOR AUTHORIZATION QUESTIONNAIRE-AMRIX®
Is the patient currently being treated with, or has he/she used a MAOI in the past 14 days? Yes No Ex. Isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), selegiline (Eldepryl, Emsam) 3. … Get Content Here
MO HEALTHNET Revised 05/23/2012 DRUG PRIOR AUTHORIZATION …
MO HEALTHNET Revised 05/23/2012 . DRUG PRIOR AUTHORIZATION POLICY . This site contains policy sheets for each of the categories of drugs prior authorized through … Fetch Doc
Selegiline
February 2006 the FDA approved selegiline transdermal patch (Emsam®), the first patch approved for use in depression (see separate monograph: Selegiline, Transdermal); the lowest dose of the patch can be used without the typical tyramine and other dietary restrictions common to all MAOIs. … Read Full Source
Office Of Vermont Health Access – Therapeutic Class Review …
B Inhibitors (MAO-B) are one of several pharmacologic options used for the management of the EMSAM ® [package insert]. Bristol-Myers Squibb and Somerset Pharmaceuticals. … Doc Viewer
INTRODUCTION
Projects enable students to gather and organize information. Puzzles and creative writing are used to link comprehension and vocabulary development. … Get Content Here
Psychotropic Drug Therapy
Drugs used to control anxiety benzodiazepines Schedule IV drugs Caution required if a history of drug (Emsam) High tyramine foods avoided if taking Emsam 9mg/24h or 12mg/24h … Content Retrieval
Dey Pharma Fact Sheet
EMSAM should not be used with oral selegiline or other MAO inhibitors (MAOIs e.g., isocarboxazid, phenelzine, and tranylcypromine) (see WARNINGS). … Fetch Document
Dey Pharma Fact Sheet
As with all antidepressants, EMSAM should be used cautiously in patients with a history of mania. Class of Food Tyramine-Rich Foods Acceptable Foods and Drinks, and Beverage and Beverages to Avoid Containing No or Little Tyramine … Read Content
Applicable Codes, Patient Idinformation To Support The Request.
Other: EMSAM should not be used with oral selegiline or other MAOinhibitors (MAOIs e.g., isocarboxazid, phenelzine, and tranylcypromine). Carbamazepine and … Retrieve Full Source
MEDICATION GUIDE
It is used for the treatment of attention deficit and hyperactivity disorder (ADHD). (tranylcypromine sulfate) and Emsam® (selegiline transdermal system). • have an eye problem called narrow angle glaucoma … View This Document
(SELEGILINE TRANSDERMAL SYSTEM) CONTINUOUS DELIVERY FOR ONCE …
EMSAM® (SELEGILINE TRANSDERMAL SYSTEM) CONTINUOUS DELIVERY FOR ONCE-DAILY APPLICATION DESCRIPTION EMSAM® (selegiline transdermal system) is a transdermally administered antidepressant. … Document Viewer
Fee-for Service Prior Authorization Criteria
07/06 . Fee-for Service Prior Authorization Criteria . Drug . Emsam (transdermal selegiline) Delivering 6 mg in 24 hours, 9 mg in 24 hours, or 12 mg in 24 hours Therapeutic Area Depression … Access Full Source
Antidepressants, Other Review
The bioavailability of drugs metabolized by that enzyme; caution must be used when using nefazodone concurrently with these drugs. – carbamazepine – the bioavailability of nefazodone is reduced by 95 percent when used concurrently with carbamazepine selegiline (Emsam) … Access Content
Introduction To The Clinical Practice Guidelines For The …
At its lowest strength, Emsam can be used without the dietary restrictions that are needed for all oral MAO inhibitors that are approved for treating major depression. … Access Doc
MAO Inhibitors: Risks, Benefits, And Lore
The selegiline transdermal system (Emsam) is the first ap-proved transdermal patch for treatment of major depres-sion. Unlike oral MAO inhibitors, the patch can be used … Retrieve Content
DEPRESSION Compiled By Charles (Chuck) Maack – Prostate …
At its lowest strength, Emsam can be used without the dietary restrictions required for all oral MAO inhibitors, making it a far more attractive drug option for people whose depression responds best to MAO inhibitors. … Access Content