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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

Overdose
Abuse of a Adipex (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 personality ; excessive, excited activity; irritability (severe); mental illness (severe), similar to schizophrenia; skin disease; trouble in sleeping (severe)

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)

Cautions
Adipex may cause dryness of the mouth. For temporary relief, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if your mouth continues to feel dry for mo re than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of developing dental disease, including tooth decay, gum disease, and fungus infecti ons.

What special precautions should I follow?
This drug can cause a rare but potentially fatal condition called primary pulmonary hypertension. Call your doctor immediately if you develop such warning signs as chest pain, shortness of breath, fai nting spells, or swollen ankles.

This drug may affect your ability to perform potentially hazardous activities. Therefore, you should be extremely careful if you have to drive a car or operat e machinery.

You can become psychologically dependent on this drug. Consult your doctor if you rely on this drug to maintain a state of well-being.

What Is It
Adipex-P, an appetite suppressant, is prescribed for short-term use (a few weeks) as part of an overall weight reduction program that also includes dieting, exercise, and counseling. The drug is for u se only by excessively overweight individuals who have a condition--such as diabetes, high blood pressure, or high cholesterol--that could lead to serious medical problems.


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