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What side effects may occur?
Side effects may include:
- Abdominal discomfort, abnormal redness of the skin, anxiety, blood pressure elevation, blurred vision, breast development in males, bruising, changes in sex drive, che st pain, constipation, depression, diarrhea, difficulty with voluntary movements, dizziness, drowsiness, dryness of the mouth, feelings of discomfort, feelings of elation, feeling of illness, hair los s, headache, hives, impotence, inability to fall or stay asleep, increased heart rate, increased seizures in epileptics, increased sweating, increased volume of diluted urine, irregular heartbeat, jit teriness, menstrual upset, muscle pain, nausea, nervousness, overstimulation, painful urination, palpitations, pupil dilation, rash, restlessness,

Possible food and drug interactions when taking this medication
It is especially important that your health care professional know if you are taking any of the following:
- Amantadine (e.g., Symmetrel) or
- Amphetamines or
- Caffeine (e.g., NoDoz) o r
- Chlophedianol (e.g., Ulone) or
- Cocaine or
- Medicine for asthma or other breathing problems or
- Medicine for colds, sinus problems, or hay fever or other allergies or
- Methylphenidate (e.g., Ritalin) or
- Nabilone (e.g., Cesamet) or
- Pemoline (e.g., Cylert)
- Appetite suppressants (diet pills), other or
- There have been some serious unwanted ef fects on the hearts of people who used two different appetite suppressants together
- Monoamine oxidase (MAO) inhibitor activity

Description
Tenuate, an appetite suppressant, is prescribed for short-term use (a few weeks) as part of an overall diet plan for weight reduction. It is available in two forms: immediate-release tablets (Tenuate) and controlled-release tablets (Tenuate Dospan). Tenuate should be used with a behavior modification program.

What special precautions should I follow?
The effects of Tenuate or Tenuate Dospan during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. This drug appears in breast milk. If the medication is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment is finished.

Cautions
Tenuate or Tenuate Dospan may impair your ability to engage in potentially hazardous activities. Therefore, make sure you know how you react to this medication before you drive, operate dangerous mach inery, or do anything else that requires alertness or concentration.

If you have heart disease or high blood pressure, use caution when taking this medication.

This drug may increa se convulsions in some epileptics. Your doctor should monitor you carefully if you have epilepsy.

Psychological dependence has occurred while taking this drug. Talk with your doctor if you f ind you are relying on this drug to maintain a state of well-being.

How should you take this medication?
Tenuate comes as a regular and extended-release (long-acting) tablet. Tenuate usually is taken three times a day, 1 hour before meals (regular tablets), or once a day in midmorning (extended-release t ablets). Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Tenuate exactly as directed.

Do not crus h, chew, or cut extended-release tablets; swallow them whole.

Tenuate may be habit-forming. Do not take a larger dose, take it more often, or for a longer period than your doctor tells you to . Call your doctor if Tenuate loses its effect.


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