2007
DOI: 10.2165/00003495-200767020-00006
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Selegiline Transdermal System

Abstract: The monamine oxidase (MAO) inhibitor selegiline is selective for MAO-B at the low oral dosages used in the treatment of Parkinson's disease. However, MAO-A is also inhibited at the high oral dosages needed to effectively treat depression (not an approved indication), necessitating a tyramine-restricted diet. The selegiline transdermal system was designed to deliver antidepressant drug concentrations to the CNS, without substantially impairing small intestine MAO-A activity. At the target dose of 6 mg/24 hours,… Show more

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Cited by 28 publications
(6 citation statements)
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“…The elimination half-life for the transdermal selegiline patch is 27.6 to 36.6 h [144,145]. For the pharmacokinetics of selegiline among the major depressive disorder population, the Cmax was 2.162 ng/mL after 18.4 h post application of the transdermal selegiline 6 mg/24 h patch [146]. The elimination half-life was 20.1 h [146].…”
Section: Transdermal Patches For Central Nervus System (Cns) Disordermentioning
confidence: 99%
“…The elimination half-life for the transdermal selegiline patch is 27.6 to 36.6 h [144,145]. For the pharmacokinetics of selegiline among the major depressive disorder population, the Cmax was 2.162 ng/mL after 18.4 h post application of the transdermal selegiline 6 mg/24 h patch [146]. The elimination half-life was 20.1 h [146].…”
Section: Transdermal Patches For Central Nervus System (Cns) Disordermentioning
confidence: 99%
“…This dosage and application overcomes the MAO-B selectivity and leads to MAO-A inhibition, seen to be necessary for antidepressive effects. In several controlled studies selegiline transdermal system exhibited significant treatment effects on MDD including core depression symptoms, vegetative symptoms and motor retardation (Frampton and Plosker, 2007; Robinson et al, 2007). A combination of selegiline and 5-hydroxytryptophan has been tested in a pilot study and proved antidepressant efficacy (Mendlewicz and Youdim, 1978).…”
Section: Indications In Parkinson's Diseasementioning
confidence: 99%
“…The bioavailability of selegiline when given as "melting-tablet" is more homogene and better reproduceable compared to the peroral type of application (Clarke et al, 2003a; 2003b). In addition a transdermal galenic form of selegiline has been developed for the treatment of major depression again reducing selegilines first-pass biotransformation (Frampton and Plosker, 2007; Robinson et al, 2007). …”
Section: Indications In Parkinson's Diseasementioning
confidence: 99%
“…TDDSs have the advantages of avoiding interference and degradation of the gastrointestinal tract and liver, improving the bioavailability and therapeutic effect of drugs, reducing side effects and discomfort, facilitating use in children and older adults, realizing local and systemic treatment, controlling the time of drug release, and having the ability to stop drug administration at any time [ 22 , 23 , 24 ]. The first transdermal patch for the treatment of depression was the Selegiline Transdermal System, which was marketed in 2006 [ 25 , 26 , 27 ]. Since the introduction of this patch, the development of transdermal antidepressant drug delivery systems has attracted considerable attention.…”
Section: Introductionmentioning
confidence: 99%