{"id":60970,"date":"2024-02-28T07:18:18","date_gmt":"2024-02-28T07:18:18","guid":{"rendered":"https:\/\/medsname.com\/selgin\/"},"modified":"2026-05-01T10:49:16","modified_gmt":"2026-05-01T10:49:16","slug":"selgin","status":"publish","type":"product","link":"https:\/\/medsbase.com\/nb\/product\/selgin\/","title":{"rendered":"Selgin"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 Raskt svar<\/h3>\n<p style=\"margin:0;\"><strong>Selgin<\/strong> er en oral <strong>selegiline<\/strong> (5 mg) tablet \u2014 a selective <strong>monoamine oxidase type B (MAO-B) inhibitor<\/strong> brukes til \u00e5 behandle <strong>Parkinsons sykdom<\/strong>. By blocking MAO-B in the brain, it slows the breakdown of dopamine and helps lengthen the time levodopa keeps working between doses (reduces &ldquo;off&rdquo; time). Selegiline is metabolised to <strong>L-amphetamine and L-methamphetamine<\/strong>, which can contribute to insomnia &mdash; take morning doses only. Common side effects: insomnia, headache, dyskinesia, dry mouth, postural hypotension. <strong>Viktig:<\/strong> avoid combination with most antidepressants (SSRIs, SNRIs, TCAs), opioids such as pethidine and tramadol, and dextromethorphan &mdash; risk of <em>serotoninsyndrom<\/em>.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Hva du f\u00e5r med MedsBase:<\/strong> WHO-GMP-sertifisert produsent \u00b7 Diskret emballasje \u00b7 Verdensomspennende levering \u00b7 1 400+ verifiserte <a href=\"https:\/\/medsbase.com\/nb\/reviews\/\">kundeanmeldelser<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Hver ordre er dekket av v\u00e5r <a href=\"https:\/\/medsbase.com\/nb\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 hvis pakken din ikke ankommer innen 20 virkedager, sender vi ny.<\/p>\n<h3>Hvorfor bestille fra MedsBase<\/h3>\n<p>V\u00e5re generiske legemidler kommer fra WHO-GMP-sertifiserte produsenter og sendes over hele verden i diskret, n\u00f8ytral emballasje \u2014 ingen legemiddelnavn p\u00e5 utsiden av pakken. Kortbetalinger h\u00e5ndteres av en regulert betalingsbehandler (kontoutskrifter viser en regulert kortbetalingsprosessor \u2014 aldri \u201cMedsBase\u201d eller noe legemiddelnavn). Krypto og SEPA bankoverf\u00f8rsel godtas ogs\u00e5. Hver ordre er dekket av v\u00e5r Reshipment Assurance Policy.<\/p>\n<h2 class=\"wp-block-heading\">What Is Selgin?<\/h2>\n<p>Selgin is an oral tablet containing <strong>selegiline 5 mg<\/strong>. selegiline is a selective <strong>monoamine oxidase type B (MAO-B) inhibitor<\/strong> originally introduced as <strong>Eldepryl \/ Jumex<\/strong>. Selgin is manufactured by a WHO-GMP certified facility and is bioequivalent to the originator brand at the same strength.<\/p>\n<p>Selegiline was the first MAO-B inhibitor used in Parkinson disease, in clinical use since the 1980s. It can be used as <em>monotherapy<\/em> in early Parkinson disease (modest symptomatic benefit, may delay the need for levodopa by months) or as <em>tilleggsbehandling<\/em> to levodopa to reduce &ldquo;wearing-off&rdquo; between doses. Its distinctive feature among MAO-B inhibitors is that it is metabolised to amphetamine derivatives, which contribute to a mild stimulant effect &mdash; useful for fatigue but a frequent cause of insomnia.<\/p>\n<h2 class=\"wp-block-heading\">How Does Selgin (selegiline) Work?<\/h2>\n<p>In the brain, dopamine is degraded mainly by monoamine oxidase type B (MAO-B). Selegiline irreversibly inactivates MAO-B at standard doses (5&ndash;10 mg\/day), so dopamine released from surviving neurones lingers longer in the synapse. The result: smoother symptom control and a longer benefit from each levodopa dose. Selegiline is also metabolised to L-amphetamine and L-methamphetamine, which independently contribute mild stimulant and dopaminergic effects. Above 10 mg\/day, selectivity for MAO-B is lost and MAO-A inhibition becomes clinically meaningful &mdash; tyramine restriction then becomes important.<\/p>\n<h2 class=\"wp-block-heading\">Comparing the MAO-B Inhibitors<\/h2>\n<p>The three MAO-B inhibitors used in Parkinson disease &mdash; selegiline, rasagiline and safinamide &mdash; share a common mechanism but differ meaningfully in metabolites, dosing and clinical positioning:<\/p>\n<table style=\"width:100%;border-collapse:collapse;margin:16px 0;font-size:14px;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;text-align:left;\">Funksjon<\/th>\n<th style=\"padding:10px;text-align:left;\">Selegiline<\/th>\n<th style=\"padding:10px;text-align:left;\">Rasagiline<\/th>\n<th style=\"padding:10px;text-align:left;\">Safinamide<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Typisk dose<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">5&ndash;10 mg\/day<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">0.5&ndash;1 mg\/day<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">50&ndash;100 mg\/day<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Active metabolites<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Amphetamine + methamphetamine<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Aminoindan (non-amphetamine)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">No active stimulant metabolite<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Glutamate effect<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Nei<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Nei<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\"><strong>Ja<\/strong> &mdash; sodium-channel\/glutamate-release modulation<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Indikasjon<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Monotherapy or adjunct<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Monotherapy or adjunct<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\"><strong>Adjunct only<\/strong> &mdash; for fluctuating PD on levodopa<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">Insomnia risk<\/td>\n<td style=\"padding:8px;\">Higher (amphetamine metabolites)<\/td>\n<td style=\"padding:8px;\">Lav<\/td>\n<td style=\"padding:8px;\">Lav<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Who Is Selgin For?<\/h2>\n<p>Selgin is appropriate for adults with Parkinson disease &mdash; either as initial monotherapy in early disease (when symptoms are mild and the patient is reluctant to start levodopa) or as adjunct to levodopa in patients with end-of-dose &ldquo;wearing-off&rdquo;. Older patients prone to insomnia may tolerate rasagiline or safinamide better. Not appropriate during current SSRI\/SNRI\/TCA therapy or for patients planning to take pethidine, tramadol or other contraindicated medications.<\/p>\n<h2 class=\"wp-block-heading\">Dosering og administrering<\/h2>\n<p>Standarddosen for voksne er <strong>5 mg once daily with breakfast<\/strong>, increased to <strong>5 mg twice daily (breakfast and lunch) after 1&ndash;2 weeks<\/strong> if needed for symptom control. <em>Avoid evening doses<\/em> &mdash; the amphetamine metabolites cause insomnia. Maximum 10 mg\/day at standard MAO-B selectivity. Doses up to 20&ndash;30 mg\/day have been used historically but cross into non-selective MAO inhibition with full tyramine-diet implications.<\/p>\n<table style=\"width:100%;border-collapse:collapse;margin:16px 0;font-size:14px;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;text-align:left;\">Fase<\/th>\n<th style=\"padding:10px;text-align:left;\">Dose<\/th>\n<th style=\"padding:10px;text-align:left;\">Tidsramme<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Week 1&ndash;2 (initiation)<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">5 mg en gang daglig<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">With breakfast<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Vedlikehold<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">5 mg to ganger daglig<\/td>\n<td style=\"padding:8px;border-bottom:1px solid #eee;\">Breakfast and lunch &mdash; never evening<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;\">Maximum at MAO-B selectivity<\/td>\n<td style=\"padding:8px;\">10 mg\/day<\/td>\n<td style=\"padding:8px;\">Beyond this, tyramine restriction needed<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 22px 0;border-radius:4px;font-size:14px;\"><strong>&#9888; Tyramine and the &ldquo;cheese effect&rdquo;<\/strong> At standard MAO-B-selective doses, dietary tyramine restriction is generally <em>ikke<\/em> required. However, MAO-B selectivity is dose-dependent &mdash; selegiline above 10 mg\/day, rasagiline above 1 mg\/day, and safinamide above 100 mg\/day lose selectivity and inhibit peripheral MAO-A as well. At those doses, tyramine-rich foods (aged cheeses, cured meats, broad beans, fermented soya, draught beer) can trigger a hypertensive crisis. Stay within prescribed doses to avoid this risk.<\/div>\n<h2 class=\"wp-block-heading\">Vanlige bivirkninger<\/h2>\n<p>Insomnia (very common &mdash; the most common reason for discontinuation), headache, nausea, dizziness, postural hypotension, dry mouth, increased liver enzymes. Less common: confusion, hallucinations, agitation, mood changes. With levodopa: increased dyskinesia, may need to lower the levodopa dose by 10&ndash;30%.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 22px 0;border-radius:4px;font-size:14px;\"><strong>&#9888; Serotonin syndrome &mdash; dangerous interactions<\/strong> Combining a MAO-B inhibitor with serotonergic drugs can cause <em>serotoninsyndrom<\/em>: agitation, sweating, tremor, hyperreflexia, fever, diarrhoea, in severe cases seizures and death. <strong>Avoid:<\/strong> SSRIs (fluoxetine, sertraline, paroxetine, citalopram, escitalopram), SNRIs (venlafaxine, duloxetine), tricyclics (amitriptyline, imipramine), pethidine (meperidine), tramadol, dextromethorphan, methadone, St John&rsquo;s wort, MDMA. <strong>Wash-out periods:<\/strong> stop fluoxetine 5 weeks before starting MAO-B inhibitor; stop other SSRIs\/SNRIs at least 2 weeks before; do not start fluoxetine within 2 weeks of stopping the MAO-B inhibitor.<\/div>\n<h2 class=\"wp-block-heading\">Legemiddel- og matinteraksjoner<\/h2>\n<ul>\n<li><strong>Antidepressants<\/strong> &mdash; SSRIs, SNRIs, TCAs: avoid. If a serotonergic antidepressant is essential, mirtazapine or bupropion are sometimes used cautiously under specialist supervision.<\/li>\n<li><strong>Opioider<\/strong> &mdash; pethidine, tramadol, methadone: contraindicated. Morphine, codeine, oxycodone are safer alternatives if analgesia is required.<\/li>\n<li><strong>Sympathomimetics<\/strong> &mdash; pseudoephedrine, phenylephrine, ephedrine: risk of hypertensive crisis. Avoid OTC decongestants.<\/li>\n<li><strong>Other MAO inhibitors<\/strong> &mdash; phenelzine, tranylcypromine, isocarboxazid, linezolid, methylene blue: contraindicated.<\/li>\n<li><strong>CYP1A2 inducers\/inhibitors<\/strong> &mdash; selegiline is metabolised by multiple CYP enzymes; clinically significant interactions are uncommon at MAO-B selective doses.<\/li>\n<li><strong>Levodopa<\/strong> &mdash; intentional combination: start at the lower MAO-B dose and watch for dyskinesia (a sign that levodopa effect has been amplified). Levodopa dose may need a 10&ndash;30% reduction.<\/li>\n<\/ul>\n<h2 id=\"faqs\">Vanlige sp\u00f8rsm\u00e5l<\/h2>\n<h3 class=\"wp-block-heading\">Can I take Selgin instead of levodopa?<\/h3>\n<p>Yes, especially in early Parkinson disease. Selegiline as monotherapy gives modest symptom benefit and may delay the need for levodopa by months. As disease progresses, levodopa is almost always added.<\/p>\n<h3 class=\"wp-block-heading\">How quickly will I feel an effect?<\/h3>\n<p>MAO-B inhibitors work gradually. Most patients notice a smoother &ldquo;on&rdquo; period and reduced &ldquo;off&rdquo; time within 2&ndash;4 weeks. The full benefit on motor fluctuations is usually clear by 4&ndash;8 weeks.<\/p>\n<h3 class=\"wp-block-heading\">Will I have to follow a low-tyramine diet?<\/h3>\n<p>At normal prescribed doses (selegiline &le; 10 mg\/day, rasagiline 1 mg\/day, safinamide &le; 100 mg\/day), no special diet is required. Above those doses, MAO-B selectivity is lost and tyramine restriction becomes important.<\/p>\n<h3 class=\"wp-block-heading\">Does Selgin slow down Parkinson disease itself?<\/h3>\n<p>A neuroprotective or disease-modifying effect of MAO-B inhibitors has been studied (e.g.&nbsp;the DATATOP and ADAGIO trials with selegiline and rasagiline). Results are <em>suggestive<\/em> but not definitive. The drugs are prescribed primarily for symptom control, not as guaranteed disease-modifying therapy.<\/p>\n<h3 class=\"wp-block-heading\">Hva om jeg glemmer en dose?<\/h3>\n<p>Ta den glemte dosen s\u00e5 snart du husker det <strong>that day<\/strong>. If it is already evening or close to bedtime, skip it &mdash; selegiline and rasagiline can both cause insomnia, and a late dose can disrupt sleep. Never double-dose. Resume normal schedule the next day.<\/p>\n<h3 class=\"wp-block-heading\">Can I drink alcohol with Selgin?<\/h3>\n<p>Moderate alcohol is not strictly forbidden, but heavy drinking and red-wine binges can interact with residual MAO inhibition and increase blood-pressure variability. Many Parkinson patients also have postural hypotension on dopaminergic therapy &mdash; alcohol worsens this. Limit to 1 standard drink occasionally.<\/p>\n<h3 class=\"wp-block-heading\">Can I drive while taking Selgin?<\/h3>\n<p>Most patients tolerate Selgin without driving impairment. However, dopaminergic therapy as a whole can cause sudden-onset sleep (sleep attacks), particularly when Selgin is added to a dopamine agonist or levodopa. Until you know how you respond, avoid driving long distances or operating heavy machinery.<\/p>\n<h3 class=\"wp-block-heading\">Is Selgin safe in older adults?<\/h3>\n<p>Yes &mdash; selegiline is widely used in elderly Parkinson patients. Watch for postural hypotension (rise from sitting slowly), confusion, hallucinations, and impulse-control changes. Lower starting doses may be appropriate.<\/p>\n<h3 class=\"wp-block-heading\">Can Selgin be stopped abruptly?<\/h3>\n<p>No. Sudden withdrawal of any dopaminergic agent in a Parkinson patient can precipitate a <em>neuroleptisk malign-lignende syndrom<\/em> with rigidity, fever and altered consciousness. If discontinuation is needed, taper over 1&ndash;2 weeks under medical supervision.<\/p>\n<h3 class=\"wp-block-heading\">Will Selgin cause weight loss or weight gain?<\/h3>\n<p>Neither markedly. Some patients on selegiline lose a small amount of weight (the amphetamine-like metabolites can suppress appetite slightly). Rasagiline and safinamide are weight-neutral.<\/p>\n<h3 class=\"wp-block-heading\">How does MedsBase ship Selgin?<\/h3>\n<p>Verdensomspennende forsendelse i diskre emballasje fra en WHO-GMP-sertifisert produsent. Tabletter sendes i originale forseglede blisterpakninger. Spor bestillingen din fra din MedsBase-konto.<\/p>\n<h2 class=\"wp-block-heading\">Oppbevaring<\/h2>\n<p>Oppbevares ved romtemperatur (15\u201330\u00b0C \/ 59\u201386\u00b0F), beskyttet mot varme, fuktighet og direkte lys. Oppbevares i originalbeholderen med lokket godt lukket. Ut av rekkevidde for barn. Ikke bruk etter utl\u00f8psdatoen som er trykt p\u00e5 emballasjen.<\/p>\n<h2 class=\"wp-block-heading\">Medisinsk ansvarsfraskrivelse<\/h2>\n<p style=\"font-size:13px;color:#555;\">Denne informasjonen er kun til undervisningsform\u00e5l og er ikke en erstatning for r\u00e5d fra en kvalifisert kliniker. Parkinsons sykdom og parkinson-lignende syndromer krever individuell nevrologisk behandling. Diskuter alle medikamenter, kosttilskudd og underliggende tilstander med legen din f\u00f8r du starter, endrer eller avslutter behandling. Ikke avslutt dopaminerg behandling br\u00e5tt \u2014 plutselig avslutning kan utl\u00f8se et neuroleptisk malign-lignende syndrom.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Relaterte alternativer<\/h3>\n<p>Andre produkter innen <strong>Kroniske tilstander<\/strong> som kunder ogs\u00e5 ser p\u00e5:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nb\/diamox\/\">Diamox<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/tridon\/\">Tridon<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/meta-spray\/\">Meta Spray<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/conimune-me\/\">Conimune ME<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nb\/rivamer-2\/\">Rivamer<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Manages Parkinson&#8217;s symptoms<br \/>\n\u2705 Enhances mood<br \/>\n\u2705 \u00d8ker dopaminniv\u00e5er<br \/>\n\u2705 Forbedrer motorisk funksjon<br \/>\n\u2705 Bremser sykdomsutvikling<\/p>\n<p>Selgin contains Selegiline Hydrochloride.<\/p>","protected":false},"featured_media":60971,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3924],"product_tag":[4958,4959,4960],"class_list":{"0":"post-60970","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-parkinsons-disease-treatment","9":"product_tag-selegiline","10":"product_tag-selegiline-hydrochloride","11":"product_tag-selgin","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product\/60970","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/comments?post=60970"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/media\/60971"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/media?parent=60970"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_brand?post=60970"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_cat?post=60970"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_tag?post=60970"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}