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Possible Side Effect
Appetite suppressants may cause some serious side effects, including heart and lung problems. You and your doctor should discuss the good this medicine may do as well as the risks of taking it.
< br> Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with y our doctor immediately if any of the following side effects occur:

Chest pain; decreased ability to exercise ; fainting; swelling of feet or lower legs; trouble in breathing

Cautions
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 depe ndence 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 e ffects (for example, mental depression, nausea or vomiting, stomach cramps or pain, trembling, unusual tiredness or weakness) when you stop taking the medicine

Proper Use of This Medicine
Take this medication exactly as prescribed. Tenuate may be habit-forming and can be addicting.

If you are taking Tenuate Dospan (the controlled release formulation), do not crush or chew the tablets. Swallow the medication whole.

What is this Drug
Tenuate decreases appetite. It is used on a short-term basis (a few weeks), in combination with diet, to help you lose weight.

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

Symptoms of overdose
Abuse of a sympathomimetic appetite suppressant (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 personality; excessive, excited activity; irritability (severe); mental illness (severe), similar to schizophrenia; skin disease; trouble in sleeping (severe)

Drug Interactions
It is especially important that your health care professional know if you are taking any of the following:
- Amantadine (e.g., Symmetrel) or
- Amphetamines or
- Caffeine (e.g., NoDoz) o r
- Chlophedianol (e.g., Ulone) 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)
- Appetite suppressants (diet pills), other or
- There have been some serious unwanted ef fects on the hearts of people who used two different appetite suppressants together
- Monoamine oxidase (MAO) inhibitor activity


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