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Before Using This Medicine
ChildrenˇXStudies on these medicines have been done only in adult patients, and there is no specific information comparing use of Tenuate in children with use in other age groups. The use of these med cines by children younger than 16 years of age is not recommended.

Older adultsˇXMany medicines have not been studied specifically in older people. Therefore, it may not be known whether the work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of appetite suppressants in the elderly with use in other age groups.

Overdosage
Any medication taken in excess can have serious consequences. If you suspect an overdose, seek emergency medical treatment immediately.

Symptoms of Tenuate overdose may include:
- Abdom inal cramps, assaultiveness, confusion, depression, diarrhea, elevated blood pressure, fatigue, hallucinations, irregular heartbeat, lowered blood pressure, nausea, overreactive reflexes, panic state, rapid breathing, restlessness, tremors, vomiting

Side Effects
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

What special precautions should I follow?
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 food and drug interactions when taking this medication
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

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.


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