A client, who is taking transdermal selegiline (Emsam) for depressive symptoms, states, "My physician told me there was no need to worry about dietary restrictions." Which would be the most appropriate nursing response?
1. "Because your dose of Emsam is 6 mg in 24 hours, dietary restrictions are not recommended."
2. "You must have misunderstood. An MAOI like Emsam always has dietary restrictions."
3. "Only oral MAOIs require dietary restrictions."
4. "All transdermal MAOIs do not require dietary modifications."
1
Rationale: Selegiline is a Monoamine Oxidase Inhibitor (MAOI). Hypertensive crisis, caused by the ingestion of foods high in tyramine, has not shown to be a problem with selegiline transdermal system at the 6 mg/24 hr dosage, and dietary restrictions at this dose are not recommended. Dietary modifications are recommended, however, at the 9 mg/24 hr and 12 mg/24 hr dosages.
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