Drug interactions might change how your medicines work or enhance your danger for severe unintended effects. This doc doesn’t include all potential drug interactions. Preserve a listing of all of the merchandise you employ (together with prescription/nonprescription medicine and natural merchandise) and share it together with your physician and pharmacist. Don’t begin, cease, or change the dosage of any medicines with out your physician’s approval.
This drug shouldn’t be used with sure medicines as a result of very severe interactions might happen. If you’re taking or have taken different appetite-suppressant medicine prior to now 12 months (equivalent to diethylpropion, ephedra/ma huang), inform your physician or pharmacist earlier than beginning this remedy.
Taking MAO inhibitors with this remedy might trigger a severe (presumably deadly) drug interplay. Keep away from taking MAO inhibitors (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) throughout therapy with this remedy. Most MAO inhibitors also needs to not be taken for 2 weeks earlier than therapy with this remedy. Ask your physician when to start out or cease taking this remedy.
Earlier than utilizing this remedy, inform your physician or pharmacist of all prescription and nonprescription/natural merchandise it’s possible you’ll use, particularly: hypertension medication (equivalent to guanethidine, methyldopa), phenothiazines (equivalent to prochlorperazine, chlorpromazine), different stimulants (together with amphetamines, methylphenidate, avenue medicine equivalent to cocaine or MDMA/”ecstasy”).
Inform your physician or pharmacist if you’re taking different merchandise that trigger drowsiness equivalent to opioid ache or cough relievers (equivalent to codeine, hydrocodone), alcohol, marijuana (hashish), medicine for sleep or nervousness (equivalent to alprazolam, lorazepam, zolpidem), muscle relaxants (equivalent to carisoprodol, cyclobenzaprine), or antihistamines (equivalent to cetirizine, diphenhydramine).
Examine the labels on all of your medicines (equivalent to allergy or cough-and-cold merchandise) as a result of they could include substances that trigger drowsiness. Ask your pharmacist about utilizing these merchandise safely.
Some merchandise have substances that would elevate your coronary heart price or blood stress. Inform your pharmacist what merchandise you’re utilizing, and ask the right way to use them safely (particularly cough-and-cold merchandise or eating regimen aids).
Caffeine can enhance the unintended effects of this remedy. Keep away from consuming massive quantities of drinks containing caffeine (espresso, tea, colas) or consuming massive quantities of chocolate.
This remedy might intervene with sure medical/laboratory checks (together with mind scan for Parkinson’s illness), presumably inflicting false check outcomes. Make sure that laboratory personnel and all of your medical doctors know you employ this drug.