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What side effects can this medication cause?
Abuse of a .Ionamin (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 personali ty; excessive, excited activity; irritability (severe); mental illness (severe), similar to schizophrenia; skin disease; trouble in sleeping

Other medical problems
Before taking .Ionamin,

- tell your doctor and pharmacist if you are allergic to .Ionamin or any other drugs.
- tell your doctor and pharmacist what prescription and nonprescription medi cations you are taking, especially fluoxetine (Prozac), fluvoxamine (Luvox), guanethidine, insulin, MAO inhibitors [phenelzine (Nardil) and tranylcypromine (Parnate)] even if you stopped taking them w ithin the past 2 weeks, medications for weight loss and depression, paroxetine (Paxil), sertraline (Zoloft),and vitamins.
- tell your doctor if you have or have ever had heart disease, high blood pressure, arteriosclerosis (narrowing of the arteries), hyperthyroidism (overactive thyroid gland), diabetes, glaucoma, or a history of drug abuse.

What special precautions should I follow?
If you have been taking this medicine for a long time or in large doses and you think you may have become mentally or physically dependent on it, check with your doctor.

Some signs of depend ence on appetite suppressants are:
- a strong desire or need to continue taking the medicine.
- a need to increase the dose to receive the effects of the medicine.
- withdrawal side eff ects (for example, mental depression, nausea or vomiting, stomach cramps or pain, trembling, unusual tiredness or weakness) when you stop taking the medicine.

Description
.Ionamin 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 week s of a weight-loss program. The .Ionamin 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 long-term in order for you to continue losing weight and to keep the lost weight from returning.

Symptoms of overdose may include:
Abdominal or stomach cramps; coma; confusion; convulsions (seizures); diarrhea (severe); dizziness, lightheadedness, or fainting; fast breathing; feeling of panic; fever; hallucinations (seei ng, hearing or feeling things that are not there); high or low blood pressure; hostility with urge to attack; irregular heartbeat; nausea or vomiting (severe); overactive reflexes; restlessness; trembling or shaking; tiredness, weakness, and mental depression following effects of excitement

How should this medicine be used?
This medication is best taken on an empty stomach; one hour before breakfast each morning. Sustained-release or long acting products such as this, must be swallowed whole. Crushing or chewing them wil l destroy the long action and may cause increased side effects. Because this medication may cause sleeplessness, avoid taking a dose late in the day. Take this medication as prescribed. Do not take it more often or longer than directed. Use in combination with other appetite suppressant medicine is generally not recommended.




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