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Accepted at over 60,000 pharmacies nationwide
Generic Name: selegiline (oral)
(se LE ji leen)
What is Jumex?
Jumex prevents the breakdown of a chemical in your brain called dopamine (DO pa meen). Low levels of this chemical are associated with Parkinson's disease.
Jumex is used together with other medicines to treat symptoms of Parkinson's disease.
Jumex may also be used for other purposes not listed in this medication guide.
What is the most important information I should know about Jumex?
There are many other medicines that can cause serious medical problems if you take them together with Jumex. Tell your doctor about all other prescription and over-the-counter medications you use, including vitamins, minerals, and herbal products.
While taking Jumex, do not drink alcohol or eat foods that are high in tyramine, listed in the "What should I avoid while using selegiline?" section of this leaflet. Eating tyramine while you are using selegiline can raise your blood pressure to dangerous levels and cause life-threatening symptoms.
You should become very familiar with the list of foods to avoid while you are using Jumex.
Do not stop taking Jumex suddenly or you may have harmful side effects. Keep taking the medicine as prescribed. Talk with your doctor before stopping the medication.
You may have increased sexual urges, unusual urges to gamble, or other intense urges while taking this medication. Talk with your doctor if you believe you have any intense or unusual urges while taking Jumex.
What should I discuss with my healthcare provider before using Jumex?
Do not use this medication if you are allergic to Jumex, or if you have used any of the following drugs within the past 14 days:
- cough or cold medicine that contains dextromethorphan
- meperidine (Demerol), propoxyphene (Darvon, Darvocet), or tramadol (Ultram, Ultracet)
- methadone (Dolophine, Methadose); or
- other MAO inhibitors such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or transdermal Jumex (Emsam).
After you stop taking Jumex, you must wait at least 14 days before taking any of the medications listed above.
Before using this medicine, tell your doctor if you have kidney disease, liver disease, heart disease, high or low blood pressure, or a seizure disorder. If you have any of these conditions, you may need a dose adjustment or special tests to safely take Jumex.
You may have increased sexual urges, unusual urges to gamble, or other intense urges while taking Jumex. It is not known whether the medicine actually causes this effect. Talk with your doctor if you believe you have any intense or unusual urges while taking selegiline.
FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before you take Jumex, tell your doctor if you are pregnant or plan to become pregnant during treatment.
It is not known whether Jumex passes into breast milk or if it could harm a nursing baby. Do not take selegiline without telling your doctor if you are breast-feeding a baby.
The Jumex disintegrating tablets may contain phenylalanine. Talk to your doctor before using this form of selegiline if you have phenylketonuria (PKU).
How should I take Jumex?
Take Jumex exactly as it was prescribed for you. Do not take the medication in larger amounts or for longer than recommended by your doctor. Larger doses will not have any greater effect, but serious side effects could result. Follow the directions on your prescription label.
While you are using Jumex and for 14 days after you stop, you must not eat foods listed in the "What should I avoid while using selegiline?" section of this leaflet. Eating these foods while you are using selegiline can raise your blood pressure to dangerous levels.
Foods that you MAY eat include:
Jumex capsules are usually taken twice a day, at breakfast and lunch. Follow your doctor's instructions.
The disintegrating tabletform of Jumex (Zelapar) should be taken once a day before breakfast and without any liquid.
To take Jumex orally disintegrating tablets(Zelapar):
- Keep the tablet in its blister pack until you are ready to take the medicine. Open the package and peel back the foil from the tablet blister. Do not push a tablet through the foil or you may damage the tablet.
- Using dry hands, remove the tablet and place it in your mouth. It will begin to dissolve right away.
- Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing. Swallow several times as the tablet dissolves.
- Do not drink or eat anything for at least 5 minutes after taking a Zelapar orally disintegrating tablet.
Parkinson's disease is often treated with a combination of different drugs. To best treat your condition, use all of your medications as directed by your doctor. When you start taking Jumex, your doses of the other medications may need to change. Do not change your doses or medication schedule without advice from your doctor.
Do not stop taking Jumex suddenly or you may have harmful side effects. For best results, keep taking the medicine as prescribed.
Store this medicine at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine.
Overdose symptoms may include severe headache, hallucinations, vision problems, sweating, cool or clammy skin, fast or uneven heart rate, feeling light-headed, fainting, or seizure (convulsions).
What should I avoid while using Jumex?
You must NOT eat foods that are high in tyramine, including:
Eating tyramine while you are taking Jumex can raise your blood pressure to dangerous levels which could cause life-threatening side effects.
You should become very familiar with the list of foods to avoid while you are taking Jumex.
Avoid drinking alcohol while taking Jumex.
Jumex can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
What are the possible side effects of Jumex?
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Stop taking Jumex and call your doctor at once if you have any of these serious side effects:
- sudden and severe headache, confusion, blurred vision, problems with speech or balance, nausea, vomiting, chest pain, seizure (convulsions), and sudden numbness or weakness (especially on one side of the body)
- feeling light-headed, fainting
- feeling restless, agitated, or irritable
- twitching muscle movements; or
- painful or difficult urination.
Less serious side effects may include:
- dizziness, weakness
- sleep problems (insomnia)
- runny or stuffy nose
- back pain
- constipation; or
- mouth sores or ulcers, pain with swallowing (while using Zelapar).
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect Jumex?
Before taking Jumex, tell your doctor if you are using any of the following drugs:
- carbamazepine (Tegretol)
- diet pills or cold medicines that contain ephedrine, pseudoephedrine, or phenylephrine
- nafcillin (Unipen)
- phenobarbital (Luminal, Solfoton)
- rifampin (Rifadin, Rifater, Rifamate, Rimactane); or
- an antidepressant such as amitriptyline (Elavil), amoxapine (Ascendin), bupropion (Wellbutrin, Zyban), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), protriptyline (Vivactil), sertraline (Zoloft), venlafaxine (Effexor), or trimipramine (Surmontil).
This list is not complete and there are many other medicines that can cause serious medical problems if you take them together with Jumex. Do not take selegiline before telling your doctor about all other prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Keep a list with you of all the medicines you use and show this list to any doctor, dentist, or other healthcare provider who treats you.
Where can I get more information?
Your pharmacist can provide more information about Jumex.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2009 Cerner Multum, Inc. Version: 5.02. Revision Date: 4/12/2009.