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What special precautions should I follow?
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 sympathomimetic appetite suppressant may cause a positive result in urine screening tests for amphetamines.

Before Taking This Medicine
Before taking Tenuate,

- tell your doctor and pharmacist if you are allergic to Tenuate; amphetamines; other diet pills; medications for allergies, hay fever, and colds; or any other drugs. < br> - tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially guanethidine, insulin, and MAO inhibitors [phenelzine (Nardil) or tranylcypromine (Pa rnate)] even if you stopped taking them in the last 2 weeks, herbal products, and vitamins.
- tell your doctor if you have or have ever had heart or blood vessel disease, high blood pressure, an overactive thyroid gland, diabetes, glaucoma, pulmonary hypertension, seizures, or a history of drug abuse.

Why is this drug prescribed?
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.

Possible food and drug interactions
It is especially important that your health care professional know if you are taking any of the following:
- Amantadine (e.g., Symmetrel) or
- Amphetamines or
- Caffeine (e.g., NoDoz) o r
- Chlophedianol (e.g., Ulone) or
- Cocaine or
- Medicine for asthma or other breathing problems or
- Medicine for colds, sinus problems, or hay fever or other allergies or
- Methylphenidate (e.g., Ritalin) or
- Nabilone (e.g., Cesamet) or
- Pemoline (e.g., Cylert)
- Appetite suppressants (diet pills), other or
- There have been some serious unwanted ef fects on the hearts of people who used two different appetite suppressants together
- Monoamine oxidase (MAO) inhibitor activity

Proper Use of This Medicine
Take this medication exactly as prescribed. Tenuate may be habit-forming and can be addicting.

If you are taking Tenuate Dospan (the controlled release formulation), do not crush or chew the tablets. Swallow the medication whole.

Side Effects of This Medicine
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


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