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Sibutramine is used in combination with a reduced calorie diet and exercise to help people who are overweight lose weight Sibutramine, Reduce and maintain their weight loss. Sibutramine is in a Sibutramine, Genesis class of medications called appetite suppressants. It works by acting on appetite control centers in the brain to decrease appetite.
How should this medicine be used?
Sibutramine comes as a capsule to take by mouth. It is usually taken with or without food once a day. To help you remember to take sibutramine, take it around the same time every day. Sibutramine, Genesis Follow the Sibutramine, Reduce directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take sibutramine exactly as directed. Sibutramine can be habit forming. Do not take Sibutramine, Reduce more or less of it or take it more often or for a longer time than prescribed by your doctor.
Your doctor may start you on a low dose of sibutramine and increase your dose, after you have been Sibutramine, Genesis taking sibutramine for at least 4 weeks. Your doctor may decrease your dose if you Sibutramine, Reduce experience certain side effects while you are taking your starting dose.
You will probably lose weight soon after you begin taking sibutramine and following your diet and exercise Sibutramine, Genesis program. Be sure to monitor your weight, and call your doctor if you do not lose Sibutramine, Reduce at least 4 pounds (1.8 kilograms) during your first 4 weeks of therapy. Your doctor may wish to change your dose of sibutramine.
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You may not continue to lose weight after your first 6 months of treatment. However, you Sibutramine, Genesis should Sibutramine, Reduce continue to take sibutramine even if you have stopped losing weight. If you stop taking sibutramine, you may gain weight. Do not stop taking sibutramine without talking to your doctor.
Other uses for this medicine
This medication may be prescribed for other uses; ask your doctor or pharmacist for more Sibutramine, Reduce information.
What special precautions should I follow?
Before taking sibutramine,
tell your doctor and pharmacist if you are allergic to sibutramine or any other medications.
tell your doctor if you are taking monoamine oxidase (MAO) inhibitors, including isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate), or have stopped taking them within the past 2 weeks. Sibutramine, Genesis your doctor may tell you not to take sibutramine. Do not start taking these drugs for at least 2 weeks after you stop taking sibutramine.
tell your doctor if you are taking other prescription or nonprescription medications, herbal products or nutritional supplements to help you lose weight such as benzphetamine (Didrex), methamphetamine (Desoxyn), phendimetrazine (Adipost, Bontril, others), and phentermine (Adipex-P, Phentride, others). Your doctor may tell you not to take sibutramine.
tell your doctor and Sibutramine, Reduce pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: amiodarone (Cordarone); Sibutramine, Genesis anticoagulants ('blood thinners') such as warfarin (Coumadin); antifungals such as fluconazole (Diflucan), itraconazole (Sporanox), and ketoconazole (Nizoral); caffeine-containing products including NoDoz, and Vivarin; cancer chemotherapy medications; Sibutramine, Reduce clarithromycin (Biaxin, Prevpac); clopidogrel (Plavix); cyclosporine (Neoral, Sandimmune); danazol (Danocrine); delavirdine (Rescriptor); diltiazem (Cardizem, Dilacor, Tiazac); erythromycin (E.E.S., E-Mycin, Erythrocin); fentanyl (Actiq, Duragesic); gold salts such as auranofin (Ridaura) and aurothioglucose (Solganal); heparin; HIV Sibutramine, Genesis protease inhibitors such as indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), and saquinavir (Fortovase, Invirase); isoniazid (INH, Nydrazid); lithium (Eskalith, Lithobid); medications for allergies, coughs, and colds; medications for depression; medications for high blood pressure; medications for migraine headaches such as Sibutramine, Reduce almotriptan (Axert), dihydroergotamine mesylate (Migranal), eletriptan (Relpax), ergoloid mesylates (Gerimal, Hydergine), ergonovine (Ergotrate, Methergine), ergotamine (Bellamine, Cafergot, others), frovatriptan (Frova), methysergide (Sansert), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), Sibutramine, Genesis and zolmitriptan (Zomig); medications for nausea such as alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran) and palonosetron (Aloxi); medications for anxiety, mental illness, seizures, and pain; meperidine (Demerol, Mepergan); metronidazole (Flagyl); muscle relaxants; pentazocine (Talcen, Talwin); quinine; quinidine (Quinidex); salicylate pain Sibutramine, Reduce relievers such as aspirin, choline magnesium trisalicylate, choline salicylate (Arthropan), diflunisal (Dolobid), magnesium salicylate (Doan's, others), and salsalate (Argesic, Disalcid, Salgesic); sedatives; sleeping pills; selective serotonin reuptake inhibitors (SSRIs) such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine, Sibutramine, Reduce paroxetine (Paxil), and sertraline (Zoloft); selective serotonin/norepinephrine reuptake inhibitors (SNRIs) such as duloxetine (Cymbalta) and venlafaxine (Effexor); sulfa antibiotics such as sulfadiazine, sulfamethizole (Urobiotic), sulfamethoxazole and trimethoprim (Bactrim, Septra), sulfasalazine (Azulfidine), and sulfisoxazole (Gantrisin, Pediazole); ticlopidine (Ticlid); tranquilizers; troleandomycin (TAO); tryptophan; verapamil (Calan, Covera, Isoptin, Verelan); or zafirlukast (Accolate). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
tell your doctor if you have or ever had an eating disorder such as anorexia nervosa (abnormal focus on being thin that causes you to eat very little and exercise excessively) or bulimia nervosa (eating large amounts of food and then removing the food from the Sibutramine, Genesis body using diuretics (water pills), laxatives, or vomiting), angina (chest pain), congestive heart failure (heart is unable to pump blood well enough), a heart attack, high blood pressure, irregular heartbeat, peripheral arterial disease (PAD; narrowing of the blood vessels outside of your heart), or a stroke or ministroke. Your doctor will probably tell you not to take sibutramine.
tell your doctor if you Sibutramine, Reduce have or have ever had cancer; depression; gallstones (clumps of hardened material that can block the passages from the liver to intestine); glaucoma (an eye disease); hemophilia or other bleeding problems; migraine headaches; Sibutramine, Reduce osteoporosis (thinning and weakening of the bones); Parkinson's disease (a disorder of the nervous system that causes difficulties with movement, muscle control, and balance); seizures; Sibutramine, Genesis pulmonary hypertension (high pressure in the vessel that moves blood from the heart to the lungs); or kidney, liver, or thyroid disease. Also tell your doctor if you have ever used street drugs or overused prescription medications.
tell your doctor if you are pregnant or are breast-feeding. You should use effective birth control to be sure you do not become pregnant while you are taking sibutramine. Ask your doctor if you need help choosing a method of birth control.
talk to your Sibutramine, Reduce doctor about the risks and benefits of taking this medication if you are 65 years of age or Sibutramine, Reduce older. Older adults should not usually take sibutramine.
if you are having surgery, Sibutramine, Genesis including dental surgery, tell the doctor or dentist that you are taking sibutramine.
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remember that alcohol can add to the drowsiness caused by this medication. Ask your doctor about the safe use of alcoholic beverages while you are taking sibutramine.
ask your doctor Sibutramine, Genesis about drinking Sibutramine, Reduce coffee, tea, or caffeinated beverages while taking sibutramine. Caffeine may make the side effects from sibutramine worse.