NARDIL

Drug Name: NARDIL

NARDIL DESCRIPTION:
MAO INHIBITORS - ORAL

COMMON NARDIL BRAND NAME(S):
Nardil, Parnate

NARDIL SIDE EFFECTS:
May cause drowsiness, dizziness, increased sun sensitivity or blurred vision. Use caution performing tasks that require alertness. May initially cause dizziness and lightheadedness when rising too quickly from a sitting or lying position. Other side effects include stomach upset, loss of appetite, tremors, irritability, sleeplessness, or flushing. These effects should subside as your body adjusts to the medication. Notify your doctor promptly if the following effects occur: severe headache, rapid or irregular heart rate, skin rash, fever, yellowing of the eyes or skin. If you notice other effects not listed above, contact your doctor or pharmacist.

HOW TO USE NARDIL:
NARDIL: May be taken with food if stomach upset occurs. Take this exactly as prescribed. Try to take each dose at the same time(s) each day so you remember to routinely take it. It may take a few weeks for the full benefits of this medication to be noticed. Do not stop taking NARDIL without first consulting your doctor.

NARDIL USES:
NARDIL is used to treat depression.

NARDIL PRECAUTIONS:
Before using NARDIL, tell your doctor your medical history, especially of: heart or circulation problems, liver or kidney disease, head trauma, pheochromocytoma (specific type of tumor), alcohol use, mental/emotional conditions, frequent or severe headaches, high blood pressure, any allergies. NARDIL should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. NARDIL may be excreted into breast milk and pose a risk to a nursing infant. Consult your doctor before breast-feeding.

NARDIL DRUG INTERACTIONS:
Be sure to tell your doctor what medicines (both prescription and nonprescription) you are taking, including: meperidine and other narcotic pain relievers; drugs used for depression especially SSRI's (e.g., fluoxetine, paroxetine) and tricyclic antidepressants (e.g., amitriptyline, doxepin); other MAO inhibitors (e.g., furazolidone, linezolid, selegiline); dextromethorphan (an ingredient found in cough syrups); sumatriptan; bethanidine; indoramin; buspirone; levodopa; certain sympathomimetics found in over-the-counter cold remedies and asthma inhalers (e.g., epinephrine, pseudoephedrine, phenylephrine); dexfenfluramine; fenfluramine; insulin and oral antidiabetic drugs; sedatives and drugs used to aid sleep; blood pressure medications. Consult your doctor about the need to watch your intake of foods containing tyramine. It is possible consuming tyramine- containing foods while using NARDIL could cause headache and/or increased blood pressure and could lead to a medical emergency. Tyramine food precautions should be observed for at least 2 weeks after you stop using NARDIL. The following is a partial list of tyramine-containing foods: Meat or Fish - pickled herring/liver/dry sausage/salami/meats prepared with tenderizer; Dairy - yogurt/sour cream/aged cheeses (cream or cottage cheese are okay); Beverages - beer/red wine/sherry - Avoid excessive amount of caffeine-containing colas/coffee/tea; Fruits and Vegetables - avocado/bananas/figs/raisins/broad beans/sauerkraut; Other - yeast extract/soy sauce/large amounts of chocolate. Do not start or stop any medicine without doctor or pharmacist approval.

NARDIL OVERDOSE:
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include convulsions, cool or clammy skin, severe dizziness or headache, hallucinations, drowsiness, slow or shallow breathing, fainting, irritability, sleeplessness, anxiety, weakness, sweating, confusion, unconsciousness, unusual fast heartbeat, or chest pain.

NARDIL NOTES:
Do not share NARDIL with others.

MISSED NARDIL DOSE:
If you miss a dose, take as soon as remembered unless the next scheduled dose is within 2 hours. If so, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

NARDIL STORAGE:
Store at room temperature away from moisture and sunlight. Do not store in the bathroom. Your condition can cause complications in a medical emergency. For information on enrollment call Medic Alert(TM) at 1-800-854-1166. In Canada call 1-800-668-1507.