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What side effects may occur?

Abuse of a Phentermine (taking the medicine in larger doses or taking it more frequently or for a longer time than the doctor ordered) can cause the following side effects:

Changes in person ality; excessive, excited activity; irritability (severe); mental illness (severe), similar to schizophrenia; skin disease; trouble in sleeping (severe

Cautions

Your doctor should check your progress at regular visits to make sure that this medicine does not cause unwanted effects.

If you think this medicine is not working properly after you have tak en it for a few weeks, do not increase the dose. Instead, check with your doctor.

Do not take an appetite suppressant with or less than 14 days after taking a monoamine oxidase (MAO) inhibito r. If you do, you may very suddenly develop extremely high blood pressure.

Taking a Phentermine may cause a positive result in urine screening tests for amphetamines

Drug Interactions

The presence of other medical problems may affect the use of appetite suppressants. Make sure you tell your doctor if you have any other medical problems, especially:
Alcohol abuse (or history of ) or
- Drug abuse or dependence (or history of)¡XDependence on appetite suppressants may be more likely to develop
- Diabetes mellitus (sugar diabetes)¡XThe amount of insulin or oral antidia tic medicine that you need to take may change
- Epilepsy¡XDiethylpropion may increase the risk of having seizures
- Family history of mental illness¡XMental depression or other mental illnes may be more likely to occur

Why is this medication prescribed?

Phentermine is used, in combination with diet and exercise, to help you lose weight. It works by decreasing your appetite

Before Using This Medicine

Children¡XStudies on these medicines have been done only in adult patients, and there is no specific information comparing use of Phentermine in children with use in other age groups. The use of these medicines by children younger than 16 years of age is not recommended.

- Older adults¡XMany medicines have not been studied specifically in older people. Therefore, it may not be known whet r they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of appetite suppressants in the elderly with use in other age groups.

Precautions Before Using This Medicine

Before taking Phentermine,

- tell your doctor and pharmacist if you are allergic to Phentermine or any other drugs.
- tell your doctor and pharmacist what prescription and nonprescriptio n medications you are taking, especially fluoxetine (Prozac), fluvoxamine (Luvox), guanethidine, insulin, MAO inhibitors [phenelzine (Nardil) and tranylcypromine (Parnate)] even if you stopped taking them within the past 2 weeks, medications for weight loss and depression, paroxetine (Paxil), sertraline (Zoloft),and vitamins.
- tell your doctor if you have or have ever had heart disease, high blood pressure, arteriosclerosis (narrowing of the arteries), hyperthyroidism (overactive thyroid gland), diabetes, glaucoma, or a history of drug abuse.


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