Conclusion: High-level evidence related to pharmacological strategies for managing Lewy body dementia is rare. Strategies for important areas of need in Lewy body dementia, such as autonomic symptoms and caregiver burden, have not been investigated, nor have the views of patients and caregivers about pharmacological strategies.
PubMed 26085043 ↗Selegiline
People mainly take Selegiline for mood, focus, energy. Based on 59 first-hand reports and 64 meta-analyses & systematic reviews in the medical literature. Ranked #197 of 1,974 overall.
Of reports that state an outcome, 50% are positive.
What Selegiline does, according to users
Of the people who reported each effect, the share who said it got better.
3 more with fewer than 3 reports
What the research says
Systematic reviews and meta-analyses from PubMed, with their published conclusions.
3+ meta-analyses or systematic reviews and 10+ randomized controlled trials in humans. The grade measures how much human research exists — read the conclusions below for what it found.
Conclusion: We identified weak evidence that ketamine therapy and aripiprazole augmentation, and very weak evidence that TMS, PGP and cognitive remediation increased remission. Lack of evidence regarding routinely prescribed antidepressants and psychosocial treatments is problematic, requiring clinicians to extend evidence from younger populations.
PubMed 40032553 ↗Conclusion: Following an updated search of potentially relevant studies, we found no new studies that matched our inclusion criteria and thus our conclusions have not changed.Methylphenidate, clonidine, guanfacine, desipramine, and atomoxetine appear to reduce ADHD symptoms in children with tics though the quality of the available evidence was low to very low. Although stimulants have not been shown to worsen tics in most people with tic disorders, they may, nonetheless, exacerbate tics in individual cases. In these instances, treatment with alpha agonists or atomoxetine may be an alternative. Although th
PubMed 29944175 ↗Conclusion: We found evidence for levodopa positive interaction with coffee, fiber and vitamin C, as well as for the potential beneficial impact of low-fat and protein redistribution diet. Contrastingly, high-protein diet and ferrous sulfate supplements can negatively affect levodopa pharmacokinetics and effectiveness. For other drugs, the data of food impact are scarce. Based on the available limited evidence, all dopamine agonists (bromocriptine, cabergoline, ropinirole), tolcapone, rasagiline, selegiline in tablets, safinamide, amantadine and pimavanserin can be taken with or without a meal. Opicapone
PubMed 34784871 ↗Dosage people report
As stated by users — not a recommendation. Follow the label or your doctor.
Reported side effects
How often each side effect came up across all reports.
What users say
Verbatim quotes, shortened only — each links to the original discussion.
“I used it every single day with almost no breaks for a whole year in the row and didn’t even develop the tiniest amount of tolerance. It permanently changed my brains response to triggers and I no longer have anxiety 4 y”
“I have experimented with taking Glycine/selegiline and Baclofen”
“Enclomiphene + selegiline (EMSAM) is a great stack.”
“If you're looking for something that *will* help with motivation, I highly recommend selegiline”
“I've been on it for months, and it's still as effective as ever. It's the absolute most effective thing I've found for improving willpower”
Top discussions (5)
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- Best dopamine and testosterone supplement stack? And any correlation between ADHD / Low T? ↗
- Finasteride and Why it isn't as innocent as many want you to believe. I was inspired to make this post by the other finasteride post titled "Whats with all the Fin hate on here"? ↗
- This subreddit is turning increasingly delusional. What the FUCK people? ↗
- I HAVE TRIED MORE NOOTROPICS THAN YOU. Here are some that I like ↗
Other options for mood
User data from public discussions; research from PubMed. Information only, not medical advice — talk to a doctor before starting, stopping or combining anything. Data updated October 2, 2026. How we rate