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is when you should be well on your way to a new lifestyle and ready to stop MERIDIA.

Appetite suppressants are not a substitute for proper diet. For maximum effects, this must be used in conjunction with a diet and exercise progra m.


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

- headache
- constipation
- back pain
- insomnia
- dry mouth
- nervousness
- changes in mood
- upset stomach
- stomach pain
- gas
- changes in taste
- increased appetite
- loss of appetite
- runny nose
- flu-like symptoms
- irregular or painful menstrual periods
- swelling of the hands, feet, ankles, or lower legs

What special precautions should I follow?
Breast-feedingˇXIt is not known whether Meridia passes into breast milk. Although most medicines pass into breast milk in small amounts, many of them may be used safely while breast-feeding. A mother w ho is taking this medicine and who wishes to breast-feed should discuss this with her doctor.

How to Use
Meridia comes as a capsule to take by mouth. It is usually taken once a day and may be taken with or without food. Follow the directions on your prescription label carefully, and ask your doctor or ph armacist to explain any part you do not understand.

Take Meridia exactly as directed. Meridia 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.

What is this medicine
Meridia (si-BYOO-tra-meen) is used together with a reduced-calorie diet to help you lose weight and to help keep the lost weight from returning. Meridia is thought to work by increasing the activity o f certain chemicals, called norepinephrine and serotonin, in the brain. This medicine is approved for use only in people who are very overweight.

MERIDIA is a short-term drug that helps you to start losing weight and then keep on going when you are ready to carry on, on your own. Your body starts to build up a resistance to the effects of MERIDIA after a few weeks of treatment, which
Remember that Meridia must never be taken within 2 weeks of using an MAO inhibitor such as Marplan, Nardil, or Parnate. The combination could lead to serious, even fatal, overstimulation.

Am ong the many drugs that pose a potential problem are the following:
- Alcohol (excessive amounts)
- Dextromethorphan (found in many over-the-counter cough preparations)
- Dihydroergotam ine (D.H.E. Injection, Migranal Nasal Spray)
- Erythromycin (Eryc, Ery-Tab, PCE)

Cautions
It is important that your doctor check your progress at regular visits. Meridia may increase blood pressure or heart rate and your doctor will check for these effects. Your doctor may need to adjust y our dose.

If Meridia does not seem to be working well, do not increase your dosage. Check with your doctor.

Do not drink excess alcohol while taking Meridia.

Notify your do ctor as soon as possible if you develop a skin rash, hives, or other allergic symptoms.


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