− | Selegiline is a selective monoamine oxidase (MAO) type B inhibitor (I), also commonly known as L-deprenyl. Monoamine Oxidase (MAO) is the main enzyme responsible for breakdown of the monoamine neurotransmitters (adrenaline, nor-adrenaline, serotonin, histamine and dopamine). Selegiline has a high specificity for dopamine. MAO-Is function by preventing oxidative deamination of brain amines, augmenting levels of these substances<ref>Overall, K.L., 2001. Pharmacological Treatment in Behavioural Medicine: The Importance of Neurochemistry, Molecular Biology and Mechanistic Hypotheses. The Veterinary Journal, 162, 9-23</ref>. | + | Selegiline is a selective monoamine oxidase (MAO) type B inhibitor (I), also commonly known as L-deprenyl. Monoamine Oxidase (MAO) is the main enzyme responsible for breakdown of the monoamine neurotransmitters (adrenaline, nor-adrenaline, serotonin, histamine and dopamine). Selegiline has a high specificity for dopamine. MAO-Is function by preventing oxidative deamination of brain amines, augmenting levels of these substances<ref name="Overall">Overall, K.L., 2001. Pharmacological Treatment in Behavioural Medicine: The Importance of Neurochemistry, Molecular Biology and Mechanistic Hypotheses. The Veterinary Journal, 162, 9-23</ref>. |
| Two forms exist, these are different in terms of their distribution in tissues and substrate specificity: | | Two forms exist, these are different in terms of their distribution in tissues and substrate specificity: |
− | A minimum of a 2 week gap should be allowed between withdrawal of selegiline and initiation of treatment with a tricyclic antidepressant or selective serotonin reuptake inhibitor. Due to the long half-life of fluoxetine and its active metabolites, at least 5 weeks should elapse between discontinuation of fluoxetine and initiation of treatment with selegiline. | + | A minimum of a 2 week gap should be allowed between withdrawal of selegiline and initiation of treatment with a tricyclic antidepressant or selective serotonin reuptake inhibitor<ref name="Overall">. Due to the long half-life of fluoxetine and its active metabolites, at least 5 weeks should elapse between discontinuation of fluoxetine and initiation of treatment with selegiline. |
| Note that most of the potential interactions relate to mixed and selective MAOA inhibitors in man, but it is sensible to be aware of these interactions when using a drug, like selegiline, that has a short history of use in veterinary medicine. Any adverse reaction should be reported via the NOAH reporting system. | | Note that most of the potential interactions relate to mixed and selective MAOA inhibitors in man, but it is sensible to be aware of these interactions when using a drug, like selegiline, that has a short history of use in veterinary medicine. Any adverse reaction should be reported via the NOAH reporting system. |