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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¡XTell 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.

Symptoms of overdose
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

Side Effects
Abuse of a .Ionamin (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 personali ty; excessive, excited activity; irritability (severe); mental illness (severe), similar to schizophrenia; skin disease; trouble in sleeping

Why is this medication prescribed?
Ionamin is used as an appetite suppressant. Ionamin is used in conjunction with an overall diet plan to reduce weight. Drugs of this class are thought to suppress appetite via a central mechanism (app etite centers in the brain) although this has mechanism has not been clearly proven. IONAMIN is the only medicine of this class that is set in resin. The resin allows the compound to be released slowl y into the blood stream. Some patients prefer it because they believe it to be associated with fewer side effects.

How should you take this medication?
.Ionamin comes in tablets and extended-release capsules. It usually is taken as a single daily dose in the morning or three times a day 30 minutes before meals. Follow the directions on your prescript ion label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take .Ionamin exactly as directed.

Most people take the drug for 3-6 weeks; the length of tre atment depends on how you respond to the medication. .Ionamin can be habit-forming. Do not take a larger dose, take it more often, or for a longer period than your doctor tells you to.

To pre vent side effects, .Ionamin should be taken with meals. If you are taking an extended-release (long-acting) product, do not chew or crush the tablet.

Drug Interactions
The presence of other medical problems may affect the use of appetite suppressants. Make sure you tell your doctor if you have any other medical problems, especially:
Alcohol abuse (or history of ) or
- Drug abuse or dependence (or history of)¡XDependence on appetite suppressants may be more likely to develop
- Diabetes mellitus (sugar diabetes)¡XThe amount of insulin or oral antidia tic medicine that you need to take may change
- Epilepsy¡XDiethylpropion may increase the risk of having seizures
- Family history of mental illness¡XMental depression or other mental illnes may be more likely to occur


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