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Antidepressants increased the risk of suicidal thoughts and behaviors in pediatric and young adult patients in short-term studiesClosely monitor all antidepressant-treated patients for clinical worseningand for emergence of suicidal thoughts and behaviors.

Some young people have thoughts about suicide when first taking an antidepressantYour doctor should check your progress at regular visitsYour family or other caregivers should also be alert to changes in your mood or symptoms.

It is very important that you follow special dietary restrictions in order to limit the amount of tyramine in your diet if you are using the higher strength patches9 or 12 milligramsAvoid drinking large amounts of beverages containing caffeinecoffeeteacolasor eating large amounts of chocolateCaffeine can increase the side effects of this medicationFoods and beverages high in tyramine should be avoided while you are using this medication and for at least 2 weeks after you stop using this medication.

Eating tyramine while you are using selegiline can raise your blood pressure to dangerous levels which could cause life-threatening side effectsYou should become very familiar with the list of foods to avoid while you are using Emsam 9-mg or 12-mg patches.

EMSAM is contraindicated in patients less than 12 years of age because of an increased risk of hypertensive crisis.

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