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Re: Switching from Emsam patch to Selegiline pills » Phillipa

Posted by saturn on April 4, 2007, at 13:33:37

In reply to Re: Switching from Emsam patch to Selegiline pills » saturn, posted by Phillipa on April 4, 2007, at 11:59:18

> It doesn't bypass the liver either does it? love Phillipa

Emsam goes *less* through the liver than oral selegeline in that it lacks first-pass metabolism--meaning it does not go through the liver *first*, before getting into the blood and eventually brain. But it will eventually go through the liver, just at a much lower dose.

For this reason, you can hypothetically get a desired response at a lower dose than orally, and therefore with potentially less side effects.


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