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Special warnings about this medication
This medicine may cause some people to feel a false sense of well-being or to become dizzy, lightheaded, drowsy, or less alert than they are normally. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert.

Before having any kind of surgery, dental treatment, or emergency treatment, te ll the medical doctor or dentist in charge that you are using this medicine. Taking appetite suppressants together with medicines that are used during surgery or dental or emergency treatments may cau se serious side effects.

Possible Side Effect
Although side effects from Tenuate 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
- restless ness
- anxiety
- dizziness
- depression
- tremors
- upset stomach
- vomiting
- increased urination

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

- fast or irregular heartbeat
- heart palpitations
- blurred vision
- skin rash
- itching
- difficulty breathing
- chest pain
- fain ting
- swelling of the ankles or feet
- fever
- sore throat
- chills
- painful urination

Precautions Before Using This Medicine
Before taking Tenuate,

- tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Tenuate, call your doctor.
- if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Tenuate.
- you should know that this drug may make you drowsy. Do not drive a car or operate machinery un til you know how this drug affects you.
- remember that alcohol can add to the drowsiness caused by this drug.

What is this medicine
Tenuate decreases appetite. It is used on a short-term basis (a few weeks), in combination with diet, to help you lose weight.

This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

Other Medicines
Tenuate or Tenuate Dospan may interact with alcohol unfavorably. Do not drink alcohol while taking this medication.

If Tenuate or Tenuate Dospan is taken with certain other drugs, the effect s of either could be increased, decreased, or altered. It is especially important that you consult your doctor before combining Tenuate with the following:

- Blood pressure medications such as Ismelin
- Insulin
- Phenothiazine drugs such as the major tranquilizer Thorazine

How should you take this medication?
Tenuate comes as a regular and extended-release (long-acting) tablet. Tenuate usually is taken three times a day, 1 hour before meals (regular tablets), or once a day in midmorning (extended-release t ablets). Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Tenuate exactly as directed.

Do not crus h, chew, or cut extended-release tablets; swallow them whole.

Tenuate may be habit-forming. Do not take a larger dose, take it more often, or for a longer period than your doctor tells you to . Call your doctor if Tenuate loses its effect.