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What special precautions should I follow?
Before having any kind of surgery, dental treatment, or emergency treatment, tell the medical doctor or dentist in charge that you are using this medicine. Taking appetite suppressants together with m edicines that are used during surgery or dental or emergency treatments may cause serious side effects.

Check with your doctor immediately if you notice a decrease in your ability to exercise , if you faint, or if you have chest pain, swelling of your feet or lower legs, or trouble in breathing. These may be symptoms of very serious heart or lung problems.

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

Drug Interactions
Other medicines¡XAlthough 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)

What is this Drug
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.

What special precautions should I follow?
Before taking .Ionamin,

- tell your doctor and pharmacist if you are allergic to .Ionamin or any other drugs.
- tell your doctor and pharmacist what prescription and nonprescription medi cations you are taking, especially fluoxetine (Prozac), fluvoxamine (Luvox), guanethidine, insulin, MAO inhibitors [phenelzine (Nardil) and tranylcypromine (Parnate)] even if you stopped taking them w ithin the past 2 weeks, medications for weight loss and depression, paroxetine (Paxil), sertraline (Zoloft),and vitamins.
- tell your doctor if you have or have ever had heart disease, high blood pressure, arteriosclerosis (narrowing of the arteries), hyperthyroidism (overactive thyroid gland), diabetes, glaucoma, or a history of drug abuse.

How should this medicine be used?
.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.


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