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Cautions
Before having any kind of surgery, dental treatment, or emergency treatment, tell the medical doctor or dentist in charge that you are using this medicine. Taking appetite suppressants together with m edicines that are used during surgery or dental or emergency treatments may cause serious side effects.

Check with your doctor immediately if you notice a decrease in your ability to exercise , if you faint, or if you have chest pain, swelling of your feet or lower legs, or trouble in breathing. These may be symptoms of very serious heart or lung problems.

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

Why is this drug prescribed?
Phentermine is used, in combination with diet and exercise, to help you lose weight. It works by decreasing your appetite.

This medication is sometimes prescribed for other uses; ask your doc tor or pharmacist for more information.

How should this medicine be used?
Phentermine 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 prescr iption label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Phentermine exactly as directed.

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

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

Other medical problems
tell your doctor and pharmacist if you are allergic to Phentermine or any other drugs.
tell your doctor if you have or have ever had heart disease, high blood pressure, arteriosclerosis (narrowin g of 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-feedin g. If you become pregnant while taking Phentermine, 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 affe cts you.
remember that alcohol can add to the drowsiness caused by this drug.

Side Effects of This Medicine
Although side effects from Phentermine 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
- diar rhea
- constipation
- vomiting
If you experience any of the following symptoms, call your doctor immediately:

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


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