Talking With Your Pharmacist
Pharmacists are experts on medication. They can be a huge help in reviewing doctor’s instructions, answering questions about how to take medication, and providing guidance and explanations about warnings, precautions, and storage. Pharmacists are well trained in the chemical composition of drugs, how they act in the body, and how they interact with other drugs.
Pharmacies and pharmacists are worth getting to know.
Take the time to find good pharmacists. Ask them if they are familiar with Parkinson’s disease medications. Make sure they are able to explain things to you clearly, such as the differences between various Parkinson’s disease medications, their side effects, and their interactions with other medications you may be taking.
You’ll also want to make sure your pharmacy and pharmacist are available to you. Check out pharmacies that are close to you, that offer free delivery, rapid refill options, or reordering by computer or voicemail. Do you need one that is open 24 hours per day or one your caregiver can drive through? They exist! Pick one out. Then go in and speak to the pharmacist or pharmacists.
Before filling a new prescription:
Make sure to get an emergency number in case of severe problems.
Tylenol is a registered trademark of McNeil Consumer & Specialty Pharmaceuticals.
IMPORTANT SAFETY INFORMATION
Zelapar is added to levodopa/carbidopa treatment of Parkinson’s disease in patients who are experiencing a reduced response to this therapy. There is no evidence from clinical studies that Zelapar provides any benefit if used without levodopa therapy.
Important Safety Information
Zelapar should not be taken by patients who are allergic to selegiline or any of the ingredients in Zelapar. Zelapar should not be taken along with certain other medications, including:
Zelapar is not usually recommended in combination with antidepressant medications such as tricyclic antidepressants, serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs). Be sure to discuss with your doctor any medication you are taking.
Do not take more than 2 tablets of Zelapar a day (2.5 mg) because of rare cases of high blood pressure reported when conventional selegiline tablets were taken along with foods containing tyramine.
In clinical studies, cases of low blood pressure were higher in elderly patients taking Zelapar than in patients taking placebo (a sugar pill), but this was not seen in nonelderly patients. Zelapar may increase some side effects of levodopa and may cause or worsen dyskinesia. Lowering the dose of levodopa may reduce this side effect. Tell your doctor if you are pregnant or may become pregnant, because Zelapar is used during pregnancy only if the potential benefit to the mother justifies the potential risk to the fetus.
The most common side effects reported in clinical studies were dizziness, nausea, pain, headache, sleeplessness, runny nose, dyskinesia, back pain, soreness in the mouth or throat, and indigestion.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 800.FDA.1088.
Click here for full prescribing information.