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Possible Side Effect
Abuse of a .Ionamin (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 personali ty; excessive, excited activity; irritability (severe); mental illness (severe), similar to schizophrenia; skin disease; trouble in sleeping

Proper Use of This Medicine
.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. Do not take a larger dose, take it more often, or for a longer period than your doctor tells you to.

To pre vent side effects, .Ionamin should be taken with meals. If you are taking an extended-release (long-acting) product, do not chew or crush the tablet.

Other Medicines
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

What special precautions should I follow?
If you have been taking this medicine for a long time or in large doses and you think you may have become mentally or physically dependent on it, check with your doctor.

Some signs of depend ence on appetite suppressants are:
- a strong desire or need to continue taking the medicine.
- a need to increase the dose to receive the effects of the medicine.
- withdrawal side eff ects (for example, mental depression, nausea or vomiting, stomach cramps or pain, trembling, unusual tiredness or weakness) when you stop taking the medicine.

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

Before Using This Medicine
tell your doctor and pharmacist if you are allergic to .Ionamin or any other drugs.
tell your doctor if you have or have ever had heart disease, high blood pressure, arteriosclerosis (narrowing o f 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-feeding. If you become pregnant while taking .Ionamin, 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 affects yo u.
remember that alcohol can add to the drowsiness caused by this drug.


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