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Possible food and drug interactions when taking this medication
The presence of other medical problems may affect the use of appetite suppressants. Make sure you tell your doctor if you have any other medical problems, especially:
Alcohol abuse (or history of ) or
- Drug abuse or dependence (or history of)—Dependence on appetite suppressants may be more likely to develop
- Diabetes mellitus (sugar diabetes)—The amount of insulin or oral antidia tic medicine that you need to take may change
- Epilepsy—Diethylpropion may increase the risk of having seizures
- Family history of mental illness—Mental depression or other mental illnes may be more likely to occur

Special warnings about this medication
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.

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

Description
Drugs of this class are thought to suppress appetite via a central mechanism (appetite centers in the brain) although this has mechanism has not been clearly proven. IONAMIN is the only medicine of th is class that is set in resin. The resin allows the compound to be released slowly into the blood stream. Some patients prefer it because they believe it to be associated with fewer side effects, othe rs do not.

Other medical problems
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it may do. This is a decision you and your doctor will make. For .Ionamin, the following should be cons idered:

- Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or amphetamine, dextroamphetamine, ephedrine, epinephrine, isoproterenol, metaprot renol, methamphetamine, norepinephrine, phenylephrine, phenylpropanolamine, pseudoephedrine, terbutaline, or other appetite suppressants. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

How to Use
.Ionamin comes in tablets and extended-release capsules. It usually is taken as a single daily dose in the morning or three times a day 30 minutes before meals. Follow the directions on your prescript ion label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take .Ionamin exactly as directed.

Most people take the drug for 3-6 weeks; the length of tre atment depends on how you respond to the medication. .Ionamin can be habit-forming.

To prevent side effects, .Ionamin should be taken with meals. If you are taking an extended-release (long-a cting) product, do not chew or crush the tablet. There are some tablets that can be crushed and mixed with food.

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