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Description
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

How to Use
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.

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

Before Taking 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.

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

Precautions while Using this Medicine
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.


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