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Precautions Before Using This Medicine
Before taking Tenuate,

- tell your doctor and pharmacist if you are allergic to Tenuate; amphetamines; other diet pills; medications for allergies, hay fever, and colds; or any other drugs. < br> - tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially guanethidine, insulin, and MAO inhibitors [phenelzine (Nardil) or tranylcypromine (Pa rnate)] even if you stopped taking them in the last 2 weeks, herbal products, and vitamins.
- tell your doctor if you have or have ever had heart or blood vessel disease, high blood pressure, an overactive thyroid gland, diabetes, glaucoma, pulmonary hypertension, seizures, or a history of drug abuse.

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

Significant Interactions:
Tenuate or Tenuate Dospan may interact with alcohol unfavorably. Do not drink alcohol while taking this medication.

If Tenuate or Tenuate Dospan is taken with certain other drugs, the effect s of either could be increased, decreased, or altered. It is especially important that you consult your doctor before combining Tenuate with the following:

- Blood pressure medications such as Ismelin
- Insulin
- Phenothiazine drugs such as the major tranquilizer Thorazine

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, an appetite suppressant, is prescribed for short-term use (a few weeks) as part of an overall diet plan for weight reduction. It is available in two forms: immediate-release tablets (Tenuate) and controlled-release tablets (Tenuate Dospan). Tenuate should be used with a behavior modification program.

Overdose
Any medication taken in excess can have serious consequences. If you suspect an overdose, seek emergency medical treatment immediately.

Symptoms of Tenuate overdose may include:
- Abdom inal cramps, assaultiveness, confusion, depression, diarrhea, elevated blood pressure, fatigue, hallucinations, irregular heartbeat, lowered blood pressure, nausea, overreactive reflexes, panic state, rapid breathing, restlessness, tremors, vomiting


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