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What special precautions should I follow?
If you have been taking this medicine for a long time or in large doses and you think you may have become mentally or physically dependent on it, check with your doctor.

- Some signs of depe ndence on appetite suppressants are:
- a strong desire or need to continue taking the medicine.
- a need to increase the dose to receive the effects of the medicine.
- withdrawal side e ffects (for example, mental depression, nausea or vomiting, stomach cramps or pain, trembling, unusual tiredness or weakness) when you stop taking the medicine

What Is It
Adipex are used in the short-term treatment of obesity. Their appetite-reducing effect tends to decrease after a few weeks. Because of this, these medicines are useful only during the first few weeks of a weight-loss program. The Adipex can help you to lose weight while you are learning new ways to eat and to exercise. Changes in eating habits and activity level must be developed and continued lon g-term in order for you to continue losing weight and to keep the lost weight from returning

Other Medicines
Remember that this drug should never be combined with the weight-loss drug fenfluramine (Pondimin); very dangerous side effects could result. This drug may also react badly with alcohol. Avoid alcohol ic beverages while you are taking it.

It is especially important that you check with your doctor before combining this drug with the following:

- Drugs that boost serotonin levels, such as the antidepressants Luvox, Paxil, Prozac, and Zoloft
- Drugs classified as MAO inhibitors, including the antidepressants Nardil and Parnate
- Diabetes medications such as insulin and Micronase
- High blood pressure medications such as guanethidine (Ismelin)

Other medical problems
ChildrenˇXStudies on these medicines have been done only in adult patients, and there is no specific information comparing use of Adipex in children with use in other age groups. The use of these medi ines by children younger than 16 years of age is not recommended.

Older adultsˇXMany medicines have not been studied specifically in older people. Therefore, it may not be known whether 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.

Side Effects of This Medicine
Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this medicati on.

Side effects may include:
- Changes in sex drive, constipation, diarrhea, dizziness, dry mouth, exaggerated feelings of depression or elation, headache, high blood pressure, hives, i mpotence, inability to fall or stay asleep, increased heart rate, overstimulation, restlessness, stomach or intestinal problems, throbbing heartbeat, tremors, unpleasant taste

Symptoms of overdose
Abdominal or stomach cramps; coma; confusion; convulsions (seizures); diarrhea (severe); dizziness, lightheadedness, or fainting; fast breathing; feeling of panic; fever; hallucinations (seei ng, hearing or feeling things that are not there); high or low blood pressure; hostility with urge to attack; irregular heartbeat; nausea or vomiting (severe); overactive reflexes; restlessness; trembling or shaking; tiredness, weakness, and mental depression following effects of excitement


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