If so, do you have this problem as well? INDICATIONS EXELON®PATCH(rivastigmine transdermal system) is a prescription medicine used to treat mild, moderate, and severe memory problems (dementia) associated with Alzheimer’s disease. Learn vocabulary, terms, and more with flashcards, games, and other study tools. I smoke (a LOT) and I was on EMSAM twice for several months each, never noticed this....not sure what you mean though, as far as how long the depressed/tired/anxious feelings last after each cigarette.I am a pseudo-smoker (around 5 cigs per day) that just started on the medication Emsam for depression and anxiety.When I smoke, I feel awful afterwards - depressed, very tired, sorta anxious, etc...Anybody else taking Emsam that also are smokers? If you're not a smoker, do you know what or why this bad interaction would be taking place between Emsam and nicotine?I may have to quit smoking because of this (which would be great), or if I can't do that, smoke a very low or nicotine-free cigarette (Quest). As a result, one of the side effect is restlessnes in higher dose, paraeshesia ( pins and needles feeling in the body) and insomnia. Nicotine stimulates the release of acetylcholine, and other catecholamines ( noradrenaline, dopamine ), while EMSAM ( Selegiline ) inhibits the breakdown of Mono Amines type B, reversibly ( such as Dopamine and Phenylethylamine ). Still, an MAOI is a good option for some people. I smoke (a LOT) and I was on EMSAM twice for several months each, never noticed this....not sure what you mean though, as far as how long the depressed/tired/anxious feelings last after each cigarette.I am a pseudo-smoker (around 5 cigs per day) that just started on the medication Emsam for depression and anxiety.When I smoke, I feel awful afterwards - depressed, very tired, sorta anxious, etc...Anybody else taking Emsam that also are smokers? I am a pseudo-smoker (around 5 cigs per day) that just started on the medication Emsam for depression and anxiety.When I smoke, I feel awful afterwards - depressed, very tired, sorta anxious, etc...Anybody else taking Emsam that also are smokers? If so, do you have this problem as well? Follow the directions on your prescription label.Store galantamine at room temperature away from moisture and heat.Before taking Reminyl (Galantamine), tell your doctor if you are allergic to any drugs, or if you have urination problems, heart disease, a heart rhythm disorder, stomach ulcers or bleeding, a seizure disorder, kidney disease, liver disease, or asthma.Do not use this medication if you are allergic to galantamine. Start studying Matching for Exam 1 Meds (Generic Name). Stop using galantamine and call your doctor at once if you have any of these serious side effects: Please Enable JavaScript in Your Internet Web Browser to Continue Shopping.Reminyl (Galantamine) est un inhibiteur de la cholinestérase qui augmente la quantité d'une certaine substance (l'acétylcholine) dans le cerveau, ce qui diminue les symptômes de démence aux patients qui ont la maladie d'Alzheimer. If so, do you have this problem as well? Galantamine (Razadyne®) Pramipexole (Mirapex®) Rivastigmine (Exelon®) Ropinirole (Requip®) Selegiline (Emsam®, Zelapar®) Bradycardia Delirium Orthostatic hypotension Syncope Antidepressants Amitriptyline (Elavil®) Clomipramine (Anafranil®) Doxepin (Silenor®) Imipramine (Tofranil®) Mirtazapine (Remeron®) Nortriptyline Trazodone Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Combination of both, depending the strength of the EMSAM used, the higher the dose, the more likely it will lose its selectivity in inhibiting of only Mono Amine type B. Selegiline alone, will be partly metabolised into amphetamine in our body, but its action is only peripheral, it does not affect the CNS/ brain as ADDERALL or other amphetamine salts. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations.Our general interest e-newsletter keeps you up to date on a wide variety of health topics.Tyramine (TIE-ruh-meen) is an amino acid that helps regulate blood pressure. Blocking this enzyme helps relieve depression.If you take an MAOI and you eat high-tyramine foods, tyramine can quickly reach dangerous levels.