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What side effects may occur?
Although side effects from .Ionamin are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

- dry mouth
- unpleasant taste
- diarrhe a
- constipation
- vomiting

If you experience any of the following symptoms, call your doctor immediately:

- increased blood pressure
- heart palpitations
- res tlessness
- dizziness
- tremor
- insomnia
- shortness of breath
- chest pain
- dizziness
- swelling of the legs and ankles
- difficulty doing exercise that you have been able to do

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 .Ionamin may cause a positive result in urine screening tests for amphetamines

Significant 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

Overdose
Symptoms may include : hallucinations (seeing, hearing or feeling things that are not there); high or low blood pressure; Abdominal or stomach cramps; coma; confusion; convulsions (seizures); d iarrhea (severe); dizziness, lightheadedness, or fainting; fast breathing; feeling of panic; fever; hostility with urge to attack; irregular heartbeat; nausea or vomiting (severe); overactive r eflexes; restlessness; trembling or shaking; tiredness, weakness, and mental depression following effects of excitement

How should you take this medication?
.Ionamin 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 prescript ion label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take .Ionamin exactly as directed.

Most people take the drug for 3-6 weeks; the length of tre atment depends on how you respond to the medication. .Ionamin can be habit-forming.

To prevent side effects, .Ionamin should be taken with meals. If you are taking an extended-release (long-a cting) product, do not chew or crush the tablet. There are some tablets that can be crushed and mixed with food.

What special precautions should I follow?
Before taking .Ionamin,

- tell your doctor and pharmacist if you are allergic to .Ionamin or any other drugs.
- tell your doctor and pharmacist what prescription and nonprescription medi cations you are taking, especially fluoxetine (Prozac), fluvoxamine (Luvox), guanethidine, insulin, MAO inhibitors [phenelzine (Nardil) and tranylcypromine (Parnate)] even if you stopped taking them w ithin 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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