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What side effects can this medication cause?
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
- restless ness
- 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

Precautions while Using this Medicine
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

What special precautions should I follow?
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it may do. This is a decision you and your doctor will make. For .Ionamin, the following should be cons idered:

- Allergies¡XTell your doctor if you have ever had any unusual or allergic reaction to this medicine or amphetamine, dextroamphetamine, ephedrine, epinephrine, isoproterenol, metaprot renol, methamphetamine, norepinephrine, phenylephrine, phenylpropanolamine, pseudoephedrine, terbutaline, or other appetite suppressants. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Why is this medication prescribed?
Drugs of this class are thought to suppress appetite via a central mechanism (appetite centers in the brain) although this has mechanism has not been clearly proven. IONAMIN is the only medicine of th is class that is set in resin. The resin allows the compound to be released slowly into the blood stream. Some patients prefer it because they believe it to be associated with fewer side effects, othe rs do not.

How should this medicine be used?
.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.

Possible food and drug interactions when taking this medication
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


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