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What special precautions should I follow?
This medicine may cause some people to feel a false sense of well-being or to become dizzy, lightheaded, drowsy, or less alert than they are normally. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert.

Before having any kind of surgery, dental treatment, or emergency treatment, te ll the medical doctor or dentist in charge that you are using this medicine. Taking appetite suppressants together with medicines that are used during surgery or dental or emergency treatments may cau se serious side effects.

Precautions Before Using This Medicine
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 suppr ssants may be more likely to develop
- Diabetes mellitus (sugar diabetes)¡XThe amount of insulin or oral antidiabetic medicine that you need to take may change
- Epilepsy¡XDiethylpropion may ncrease the risk of having seizures
- Family history of mental illness¡XMental depression or other mental illness may be more likely to occur
- Glaucoma or
- Heart or blood vessel disea e or
- High blood pressure or
- Mental illness or
- Overactive thyroid¡XAppetite suppressants may make the condition worse
- Kidney disease

What side effects can this medication cause?
After you stop using this medicine, your body may need time to adjust. The length of time this takes depends on the amount of medicine you were using and how long you used it. During this time check w ith your doctor if you notice any of the following side effects:

Extreme tiredness or weakness; mental depression; nausea or vomiting; stomach cramps or pain; trembling; trouble in sleep ing or nightmares

Symptoms of overdose
Abdominal or stomach cramps; coma; confusion; convulsions (seizures); diarrhea (severe); dizziness, lightheadedness, or fainting; fast breathing; feeling of panic; fever; hallucinations (seei ng, hearing or feeling things that are not there); high or low blood pressure; hostility with urge to attack; irregular heartbeat; nausea or vomiting (severe); overactive reflexes; restlessness; trembling or shaking; tiredness, weakness, and mental depression following effects of excitement

Precautions Before Using This Medicine
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 Phendimetrazine, the following should be considered:

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

Possible food and drug interactions when taking this medication
Tell your doctor if you are taking any of the following:
- Appetite suppressants (diet pills), other or
- There have been some serious unwanted effects on the hearts of people who used two different appetite suppressants together
- Amantadine (e.g., Symmetrel) 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)
- Monoamine oxidase (MAO) inhibitor activity
- Amp hetamines or
- Caffeine (e.g., NoDoz) or
- Chlophedianol (e.g., Ulone)


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