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What side effects may occur?
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

Overdose
Abuse of a Adipex (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)

What Is It
Adipex-P, an appetite suppressant, is prescribed for short-term use (a few weeks) as part of an overall weight reduction program that also includes dieting, exercise, and counseling. The drug is for u se only by excessively overweight individuals who have a condition--such as diabetes, high blood pressure, or high cholesterol--that could lead to serious medical problems.

Cautions
If you are sensitive to or have ever had an allergic reaction to phentermine hydrochloride or other drugs that stimulate the nervous system, you should not take this medication. Make sure your doctor is aware of any drug reactions you have experienced.

Do not take this drug if you have hardening of the arteries, symptoms of heart or blood vessel disease, an overactive thyroid gland, the e ye condition known as glaucoma, or high blood pressure. Also avoid this drug if you are agitated, have ever abused drugs, or have taken an MAO inhibitor, including antidepressant drugs such as Nardil and Parnate, within the last 14 days.

Precautions while Using this Medicine
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

Possible food and drug interactions when taking this medication
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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