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Special warnings about this medication
Your doctor should check your progress at regular visits to make sure that this medicine does not cause unwanted effects.

If you think this medicine is not working properly after you have tak en it for a few weeks, do not increase the dose. Instead, check with your doctor.

Do not take an appetite suppressant with or less than 14 days after taking a monoamine oxidase (MAO) inhibito r. If you do, you may very suddenly develop extremely high blood pressure.

Taking a .Ionamin may cause a positive result in urine screening tests for amphetamines

What side effects may occur?
Although side effects from .Ionamin 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
- diarrhe a
- constipation
- vomiting

If you experience any of the following symptoms, call your doctor immediately:

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

Drug Interactions
Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your do or may want to change the dose, or other precautions may be necessary. When you are taking appetite suppressants, it is especially important that your health care professional know if you are taking a ny of the following:

- Amantadine (e.g., Symmetrel) or
- Amphetamines or
- Caffeine (e.g., NoDoz) or
- Chlophedianol (e.g., Ulone) or
- Cocaine or
- Medicine for ast hma or other breathing problems or
- Medicine for colds, sinus problems, or hay fever or other allergies (including nose drops or sprays)

Why is this drug prescribed?
.Ionamin are used in the short-term treatment of obesity. Their appetite-reducing effect tends to decrease after a few weeks. Because of this, these medicines are useful only during the first few week s of a weight-loss program. The .Ionamin can help you to lose weight while you are learning new ways to eat and to exercise. Changes in eating habits and activity level must be developed and continued long-term in order for you to continue losing weight and to keep the lost weight from returning.

Overdose
Symptoms may include : hallucinations (seeing, hearing or feeling things that are not there); high or low blood pressure; Abdominal or stomach cramps; coma; confusion; convulsions (seizures); d iarrhea (severe); dizziness, lightheadedness, or fainting; fast breathing; feeling of panic; fever; hostility with urge to attack; irregular heartbeat; nausea or vomiting (severe); overactive r eflexes; restlessness; trembling or shaking; tiredness, weakness, and mental depression following effects of excitement

What special precautions should I follow?
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it may do. This is a decision you and your doctor will make. For .Ionamin, the following should be cons idered:

- Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or amphetamine, dextroamphetamine, ephedrine, epinephrine, isoproterenol, metaprot renol, methamphetamine, norepinephrine, phenylephrine, phenylpropanolamine, pseudoephedrine, terbutaline, or other appetite suppressants. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.