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APPETITE SUPPRESSANTS


Brand & Generic Names

Adipex-P PHENDIMETRAZINE
Adipost PHENMETRAZINE
Adphen Phentercot
Anorex PHENTERMINE
Anoxine-AM Phenterxene
Appecon Phentra
Bacarate Phentride
BENZPHETAMINE Phentrol
Bontril PDM Phenzine
Bontril Slow Release Plegine
Dapex-37.5 Ponderal
Didrex Ponderal Pacaps
DIETHYLPROPION Pondimin
Dital Pondimin Extentabs
Dyrexan-OD Prelu-2
Fastin Preludin-Endurets
FENFLURAMINE PT 105
Ionamin Rexigen
M-Orexic Rexigen Forte
Marlibar A Sanorex
MAZINDOL Slynn-LL
Mazanor Span-RD
Melfiat-105 Unicelles Statobex
Metra T-Diet
Nobesine Tega-Nil
Obalan Tenuate
Obe-Del Tenuate Dospan
Obe-Mar Tepanil
Obe-Nix Tepanil Ten-Tab
Obephen Teramin
Obermine Trimcaps
Obestin-30 Trimstat
Obeval Trimtabs
Obezine Uni Trim
Oby-Trim Wehless
Panrexin M Wehless Timecelles
Panrexin MTP Weightrol
Panshape Wescoid
Parmine Wilpowr
Parzine X-Trozine
Phendiet X-Trozine LA
Phendimet Zantryl


Basic Information

  • Habit forming? Yes
  • Prescription needed? Yes
  • Available as generic? Yes
  • Drug class: Appetite suppressant

Uses

    Suppresses appetite.

Dosage & Usage Information

How to take:
Tablet or capsule--Swallow with liquid. You may chew or crush tablet.
Extended-release tablets or capsules-- Swallow each dose whole with liquid; do not crush.
Elixir--Swallow with liquid.

When to take:
Long-acting forms--10 to 14 hours before bedtime.
Short-acting forms--1 hour before meals. Last dose no later than 4 to 6 hours before bedtime.

If you forget a dose:
Long-acting form--Take as soon as you remember up to 2 hours late. If more than 2 hours, wait for next scheduled dose (don't double this dose).
Short-acting form--Wait for next scheduled dose. Don't double this dose.

What drug does:
Apparently stimulates brain's appetite-control center.

Time lapse before drug works:
Begins in 1 hour. Short-acting form lasts 4 hours. Long-acting form lasts 14 hours.

Don't take with:
Non-prescription drugs without consulting doctor.
Any other medicine without consulting your doctor or pharmacist.


Overdose

SYMPTOMS:
Irritability, overactivity, trembling, insomnia, mood changes, fever, rapid heartbeat, confusion, disorientation, hallucinations, convulsions, coma.

WHAT TO DO:

  • Dial 911 (emergency) or O (operator) for an ambulance or medical help. Then give first aid immediately.
  • See EMERGENCY Information.

Possible Adverse Reactions or Side Effects

Life-threatening:

    In case of overdose, see Overdose section.

Common:

    Irritability, nervousness, insomnia, false sense of well-being.

Infrequent:

  • Irregular or pounding heartbeat, urgent or difficult urination.
  • Blurred vision, unpleasant taste or dry mouth, constipation or diarrhea, nausea, vomiting, cramps, changes in sex drive, increased sweating, headache, nightmares, weakness.

Rare:

  • Mood changes, rash or hives, breathing difficulty.
  • Hair loss.

Warnings & Precautions

Don't take if:

  • You are allergic to any sympathomimetic or phenylpropanolamine.
  • You have glaucoma.
  • You have taken MAO inhibitors within 2 weeks.
  • You plan to become pregnant within medication period.
  • You have a history of drug or alcohol abuse.
  • You have irregular or rapid heartbeat.

Before you start, consult your doctor:

  • If you have high blood pressure or heart disease.
  • If you have an overactive thyroid, nervous tension or anxiety.
  • If you have epilepsy.
  • If you will have surgery within 2 months, including dental surgery, requiring general or spinal anesthesia.
  • If you take any other over-the-counter medicine.

Over age 60:
Adverse reactions and side effects may be more frequent and severe than in younger persons.

Pregnancy:
Safety not established. Avoid.

Breast-feeding:
Safety not established. Consult doctor.

Infants & children:
Don't give to children younger than 12.

Prolonged use:

  • Loses effectiveness. Avoid.
  • Talk to your doctor about the need for follow-up medical examinations or laboratory studies.

Skin & sunlight:
No problems expected.

Driving, piloting or hazardous work:
Don't drive or pilot aircraft until you learn how medicine affects you. Don't work around dangerous machinery. Don't climb ladders or work in high places. Danger increases if you drink alcohol or take medicine affecting alertness and reflexes, such as antihistamines, tranquilizers, sedatives, pain medicine, narcotics and mind-altering drugs.

Discontinuing:
Don't discontinue without consulting doctor. Dose may require gradual reduction if you have taken drug for a long time. Doses of other drugs may also require adjustment.

Others:
Don't increase dose.


Possible Interaction with Other Drugs

GENERIC NAME COMBINED EFFECT
------------------------ -----------------------
Antihypertensives* Decreased antihypertensive effect.
Appetite suppressants, Dangerous
other* overstimulation.
Caffeine Increased stimulant effect.
Central nervous Increased depressive effects of both
system (CNS) drugs.
Central nervous Increased stimulant effects of both
system (CNS) drugs.
Furazolidine Sudden severe increase in blood pressure.
Guanethidine Decreased guanethidine effect.
Hydralazine Decreased hydralazine effect.
MAO inhibitors* Dangerous blood pressure rise.
Methyldopa Decreased methyldopa effect.
Molindone Decreased suppressant effect.
Phenothiazines* Decreased appetite suppressant
effect.
Rauwolfia alkaloids* Decreased effect of rauwolfia
alkaloids.
Sodium bicarbonate Increased action of appetite
suppressants.


Possible Interaction with Other Substances

INTERACTS WITH COMBINED EFFECT
--------------- ---------------
Beer, Chianti Increased sedation.
> Caffeine drinks. Excessive stimulation.
> Drinks containing Blood-pressure rise.
Cocaine Convulsions or excessive
nervousness.
Foods containing Blood-pressure rise.
Marijuana: Frequent use--Irregular heartbeat.
Tobacco: None expected.
============================= ===============================
POSSIBLE INTERACTION WITH OTH ER SUBSTANCES
----------------------------- -------------------------------
INTERACTS WITH COMBINED EFFECT
--------------- ---------------
Beer, Chianti Increased sedation.
Caffeine drinks. Excessive stimulation.
Drinks containing Blood-pressure rise.
Cocaine: Convulsions or excessive
nervousness.
Foods containing Blood-pressure rise.
Marijuana: Frequent use--Irregular heartbeat.
Tobacco: None expected.



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