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Before Taking 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 side effects can this medication cause?
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 while Using this Medicine
Tenuate or Tenuate Dospan may impair your ability to engage in potentially hazardous activities. Therefore, make sure you know how you react to this medication before you drive, operate dangerous mach inery, or do anything else that requires alertness or concentration.

If you have heart disease or high blood pressure, use caution when taking this medication.

This drug may increa se convulsions in some epileptics. Your doctor should monitor you carefully if you have epilepsy.

Psychological dependence has occurred while taking this drug. Talk with your doctor if you f ind you are relying on this drug to maintain a state of well-being.

Significant Interactions:
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

Overdosage
Abuse of a sympathomimetic appetite suppressant (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 personality; excessive, excited activity; irritability (severe); mental illness (severe), similar to schizophrenia; skin disease; trouble in sleeping (severe)

What is this medicine
Tenuate 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 weeks of a weight-loss program. The Tenuate 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 l ong-term in order for you to continue losing weight and to keep the lost weight from returning


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