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What special precautions should I follow?
Pregnancy¡XIf a pregnant woman takes this medicine in high doses or more often than the doctor has directed, it may cause withdrawal symptoms in the newborn baby. Also, medicines similar to Adipex can cause birth defects in the newborn baby if a pregnant woman takes them in high doses. Before taking this medicine, make sure your doctor knows if you are pregnant or if you may become pregnant.
Breast-feeding¡XDiethylpropion and benzphetamine pass into breast milk. It is not known if other Adipex pass into breast milk. However, use of Adipex during breast-feeding is not recommended, becau e it may cause unwanted effects in nursing babies.

Symptoms of overdose may include:
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

Why is this medication prescribed?
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.

Precautions while Using this Medicine
Adipex may cause dryness of the mouth. For temporary relief, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if your mouth continues to feel dry for mo re than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of developing dental disease, including tooth decay, gum disease, and fungus infecti ons.

Drug Interactions
Remember that this drug should never be combined with the weight-loss drug fenfluramine (Pondimin); very dangerous side effects could result. This drug may also react badly with alcohol. Avoid alcohol ic beverages while you are taking it.

It is especially important that you check with your doctor before combining this drug with the following:

- Drugs that boost serotonin levels, such as the antidepressants Luvox, Paxil, Prozac, and Zoloft
- Drugs classified as MAO inhibitors, including the antidepressants Nardil and Parnate
- Diabetes medications such as insulin and Micronase
- High blood pressure medications such as guanethidine (Ismelin)

Side Effects
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


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