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Adipex ( For Weight Loss ) 
May also be referred to as: Adipex-P, Fastin, Ionamin, Obenix, Obephen, Oby-Cap, Oby-trim, Panshape M, Phentercot, Phentermine, Phenteride, Pro-Fast, Teramine, Zantryl.
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Adipex
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Possible uses of Adipex
Adipex is used as an appetite suppressant. It is used in conjunction with an
overall diet plan to reduce weight.
How to take Adipex
Take on an empty stomach, once daily, 30-60 minutes before breakfast. The tablet
may be broken or cut in half. Do not crush or chew tablet. Because this
medication may cause sleeplessness, avoid taking a dose late in the day. Take
Adipex as prescribed. Do not take it more often or longer than
directed.
Side Effects
Dry mouth, sleeplessness, irritability, stomach upset or constipation may occur
the first few days as your body adjusts to the medication. If these effects
persist or become bothersome, inform your doctor.
Precautions
Tell your doctor your complete medical history especially if you have high blood
pressure, an over-active thyroid, glaucoma, diabetes or emotional problems.
Consult with your doctor if you think you are pregnant or before breast-feeding.
Alcohol can increase unwanted side effects of dizziness. Limit alcohol use. This
drug is not recommended for use in children. Consult your doctor or pharmacist
for further information.
Drug Interactions
Inform your doctor about all the medicines you use, (prescription and
nonprescription) especially if you take high blood pressure medicine or MAO
inhibitors (e.g., furazolidone, phenelzine, selegiline, tranylcypromine) or any
other weight loss medicine. Avoid "stimulant" drugs that may increase
your heart rate or blood pressure such as decongestants or caffeine.
Decongestants are commonly found in over-the-counter cough and cold medicine.
Missed Dose
If you miss a dose of Adipex, do not double the next dose. Instead, skip the
missed dose and resume your usual dosing schedule.
Storage
Store at room temperature away from sunlight and moisture. Keep this and all
medications out of the reach of children.
Notes
Appetite suppressants are not a substitute for proper diet. For maximum effects,
this must be used in conjunction with a diet and exercise program. Do not share
Adipex with others.
Adipex-P is contraindicated in arteriosclerosis, cardiovascular disease, and moderate to severe hypertension. Other contraindications or adverse events include central nervous system effects, gastrointestinal disturbances, hives, and changes in libido. Exercise caution when prescribing anti-obesity drugs for patients with mild hypertension. Adipex-P is indicated as a short-term monotherapy in combination with a long-term obesity treatment program. Primary pulmonary hypertension (PPH) and cardiac valvular disease have been reported in patients receiving a combination of phentermine and fenfluramine or dexfenfluramine. The possibility of an association between PPH and the use of phentermine alone cannot be ruled out.
More Information about Adiphex
Sympathomimetic appetite suppressants 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 sympathomimetic appetite suppressants 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.
These medicines are available only with your doctor's prescription, in the
following dosage forms:
Oral
- Benzphetamine
- Diethylpropion
- Tablets (U.S. and Canada)
- Extended-release tablets (U.S. and Canada)
- Mazindol
- Tablets (U.S. and Canada)
- Phendimetrazine
- Extended-release capsules (U.S.)
- Tablets (U.S.)
- Phentermine
- Capsules (U.S.)
- Resin capsules (U.S. and Canada)
- Tablets (U.S.)
Proper Use of Adiphex
In order to prevent trouble in sleeping, if you are taking:
- One dose of this medicine a day, take it about 10 to 14 hours before
bedtime.
- More than one dose of this medicine a day, take the last dose of the day
about 4 to 6 hours before bedtime.
For patients taking a long-acting form of this medicine:
- Swallow these capsules or tablets whole. Do not break, crush, or chew
before swallowing.
For patients taking mazindol:
- This medicine may be taken with food, if needed, to prevent stomach
upset.
Take this medicine only as directed by your doctor . Do not take
more of it, do not take it more often, and do not take it for a longer time
than your doctor ordered. If too much is taken, it may cause unwanted effects
or become habit-forming.
If you think this medicine is not working properly after you have taken it
for a few weeks, do not increase the dose. Instead, check with your
doctor.
Dosing?/strong>
The dose of appetite suppressants will be different for different patients.
Follow your doctor's orders or the directions on the label. The
following information includes only the average doses of appetite
suppressants. If your dose is different, do not change it unless your
doctor tells you to do so.
For benzphetamine
- For oral dosage form (tablets):
- For appetite suppression:
- Adults—At first, 25 to 50 milligrams (mg) once a day, taken in
midmorning or midafternoon. Your doctor may need to adjust your
dose.
- Children up to 16 years of age—Use is not recommended.
For diethylpropion
- For oral dosage form (tablets):
- For appetite suppression:
- Adults?5 milligrams (mg) three times a day, taken one hour
before meals.
- Children up to 16 years of age—Use is not recommended.
- For long-acting oral dosage form (extended-release tablets):
- For appetite suppression:
- Adults?5 mg once a day, taken in midmorning.
- Children up to 16 years of age—Use is not recommended.
For mazindol
- For oral dosage form (tablets):
- For appetite suppression:
- Adults—At first, 1 milligram (mg) once a day. Your doctor may
need to adjust your dose.
- Children up to 16 years of age—Use is not recommended.
For phendimetrazine
- For long-acting oral dosage form (extended-release capsules):
- For appetite suppression:
- Adults?05 mg once a day, taken thirty to sixty minutes before
the morning meal.
- Children up to 16 years of age—Use is not recommended.
- For oral dosage form (tablets):
- For appetite suppression:
- Adults?7.5 to 35 mg two or three times a day, taken one hour
before meals.
- Children up to 16 years of age—Use is not recommended.
For phentermine
- For oral dosage form (capsules):
- For appetite suppression:
- Adults?5 to 37.5 milligrams (mg) once a day, taken before
breakfast or one to two hours after breakfast.
- Children up to 16 years of age—Use is not recommended.
- For oral dosage form (tablets):
- For appetite suppression:
- Adults?5 to 37.5 mg once a day, taken before breakfast or one
to two hours after breakfast. Instead of taking it once a day,
your doctor may tell you to take smaller doses thirty minutes
before meals.
- Children up to 16 years of age—Use is not recommended.
- For oral resin dosage form (capsules):
- For appetite suppression:
- Adults?5 to 30 mg once a day, taken before breakfast.
- Children up to 16 years of age—Use is not recommended
Side Effects of Adiphex
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.
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 your doctor immediately if any of the following side
effects occur:
- Rare
- Chest pain; decreased ability to exercise ;
fainting; swelling of feet or lower legs; trouble in
breathing
Check with your doctor as soon as possible if any of the following side
effects occur:
- Less common or rare
- Difficult or painful urination; fast or irregular
heartbeat; feeling that others can hear your thoughts;
feeling that others are watching you or controlling your
behavior; hallucinations (feeling, seeing, or hearing things
that are not there); headache (severe); mental
depression; numbness, especially on one side of the face or
body; skin rash or hives; sore throat and fever (with
diethylpropion) ; talking, feeling, and acting with excitement
and activity you cannot control; unusual bleeding or bruising
(with diethylpropion)
- Symptoms of overdose
- Abdominal or stomach cramps; coma; confusion;
convulsions (seizures); diarrhea (severe); dizziness,
lightheadedness, or fainting; fast breathing; feeling of
panic; fever; hallucinations (seeing, 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
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)
Other side effects may occur that usually do not need medical attention.
These side effects may go away during treatment as your body adjusts to the
medicine. However, check with your doctor if any of the following side effects
continue or are bothersome:
- More common
- Constipation; dizziness or lightheadedness ; dryness of
mouth; false sense of well-being; headache;
irritability; nausea or vomiting; nervousness or
restlessness; stomach cramps or pain ; trembling or
shaking; trouble in sleeping
After the stimulant effects have worn off, drowsiness, unusual
tiredness or weakness, or mental depression may occur.
- Less common or rare
- Blurred vision; changes in sexual desire or decreased sexual
ability; diarrhea; drowsiness; frequent urge to
urinate or increased urination; increased sweating;
unpleasant taste
Although not all of the side effects listed above have been reported for
all of these medicines, they have been reported for at least one of them.
However, since all of the sympathomimetic appetite suppressants are similar,
any of the above side effects may occur with any of these medicines.
After you stop using this medicine, your body may need time to adjust. The
length of time this takes depends on the amount of medicine you were using and
how long you used it. During this time check with your doctor if you notice
any of the following side effects:
- Extreme tiredness or weakness; mental depression; nausea or
vomiting; stomach cramps or pain; trembling; trouble in
sleeping or nightmares
Other side effects not listed above may also occur in some patients. If you
notice any other effects, check with your doctor.
Some commonly used brand names are:
In the U.S.?/strong>
- Adipex-P5
- Adipost4
- Bontril PDM4
- Bontril Slow-Release4
- Didrex1
- Fastin5
- Ionamin5
- Mazanor3
- Melfiat4
- Obenix5
- Obezine4
- Phendiet4
- Phendiet-1054
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- Phentercot5
- Phentride5
- Plegine4
- Prelu-24
- Pro-Fast5
- PT 1054
- Sanorex3
- Tenuate2
- Tenuate Dospan2
- Tepanil Ten-Tab2
- Teramine5
- Zantryl5
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