Meridia
(Sibutramine), is an alternative to Phentermine. It works by
increasing serotonin or catecholamine--two brain chemicals
that affect mood and appetite
USES:
This medication
is used to reduce excess body weight (obesity).
HOW TO TAKE THIS MEDICATION:
Take by mouth exactly
as directed by your doctor, usually once daily.
The full effect on weight may require four to
six weeks. Do not increase your dose, take it
more frequently or use it for a longer period
of time than prescribed because this drug can
be habit-forming. Also, if used for a longer period
of time, do not suddenly stop using this drug
without your doctor's approval. Over time, this
drug may not work as well as it did at the beginning.
Consult your doctor if weight increases.
SIDE EFFECTS:
Dry mouth, drowsiness,
constipation and difficulty sleeping may occur.
If these effects persist or worsen, notify your
doctor promptly.
PRECAUTIONS:
Before using this drug,
tell your doctor your entire medical history, including
any allergies (especially drug allergies), liver or kidney
disease, high blood pressure or heart disease, history
of stroke or seizures, certain eating disorders (e.g.,
anorexia nervosa), glaucoma (narrow angle), or history
of gallstones. Limit alcohol intake, as it may worsen
certain side effects of this medication. It is recommended
that women of child-bearing age should use effective
birth control while taking this medication. This drug
is not recommended for use during pregnancy. Consult
your doctor before using this drug. It is not known whether
this drug is excreted into breast milk. Because of the
potential risk to the infant, breast-feeding while using
this drug is not recommended. Consult your doctor before
breast-feeding. Elderly patients may be more sensitive
to the effects of this drug. Use cautiously.
DRUG INTERACTIONS:
Tell your doctor
of all nonprescription and prescription medication
you may use, especially other weight reducing
agents (e.g., diethylpropion), drugs that can
raise blood pressure such as decongestants (e.g.,
pseudoephedrine, phenylpropanolamine), cough suppressants
(e.g., dextromethorphan), antidepressants (e.g.,
nefazodone, fluoxetine, paroxetine, sertraline,
fluvoxamine, venlafaxine), lithium, psychiatric
medications ( e.g., MAO Inhibitors such as selegiline,
moclobemide, furazolidone, phenelzine, tranylcypromine),
drugs for migraines (e.g., dihydroergotamine,
sumatriptan), tryptophan, certain narcotic pain
relievers (e.g., meperidine, pentazocine, fentanyl),
ketoconazole, erythromycin, high blood pressure
medicine or any drugs which can cause drowsiness,
including certain antihistamines (e.g., diphenhydramine),
sedatives and anti-seizure drugs. Antihistamines
and decongestants may be found in many nonprescription
drugs for cough and cold. Consult your pharmacist.
MAO Inhibitors (see above) and this drug should
not be taken together. If an MAO Inhibitor or
this drug is stopped, wait 2 weeks before starting
NOTES:
Do not share this
medication with others. This medication should
be used in addition to a reduced calorie diet.
Blood pressure and pulse may be measured and laboratory
tests performed to monitor side effects.
MISSED DOSE:
If you miss a dose,
take it as soon as you remember. If it is near
the time of the next dose, skip the missed dose
and resume your usual dosing schedule. Do not "double-
up" the dose to catch up. STORAGE: Store at room
temperature between 59 and 86 degrees F (15-30
degrees C) away from light and moisture. Keep
this and all medications out of the reach of children.