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Side Effects
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

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

Precautions Before Using This Medicine
tell your doctor and pharmacist if you are allergic to Phentermine or any other drugs.
tell your doctor if you have or have ever had heart disease, high blood pressure, arteriosclerosis (narrowin g of the arteries), hyperthyroidism (overactive thyroid gland), diabetes, glaucoma, or a history of drug abuse.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feedin g. If you become pregnant while taking Phentermine, call your doctor.
you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affe cts you.
remember that alcohol can add to the drowsiness caused by this drug.

Before Taking 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.

What special precautions should I follow?
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

Proper Use of This Medicine
Phentermine comes in tablets and extended-release capsules. It usually is taken as a single daily dose in the morning or three times a day 30 minutes before meals. Follow the directions on your prescr iption label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Phentermine exactly as directed.

Most people take the drug for 3-6 weeks; the length of treatment depends on how you respond to the medication. Phentermine can be habit-forming. Do not take a larger dose, take it more often, or for a longer period than your doctor tells you to.
To prevent side effects, Phentermine should be taken with meals. If you are taking an extended-release (long-acting) product, do not chew or crush the tablet.


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