Tell your doctor about all other medicines you use, especially:

  • blood pressure medications;
  • insulin or oral diabetes medication;
  • guanethidine (Ismelin);
  • antidepressant such as citalopram (Celexa), fluoxetine (Prozac, Sarafem, Symbyax), paroxetine (Paxil), sertraline (Zoloft), and others.

Do not use phentermine if you have taken an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) in the last 14 days. Serious, life threatening side effects can occur if you use phentermine before the MAO inhibitor has cleared from your body.

Taking phentermine together with other diet medications such as fenfluramine (Phen-Fen) or dexfenfluramine (Redux) can cause a rare fatal lung disorder called pulmonary hypertension. Do not take tbis medicine with any other diet medications without your doctor’s advice.

You should not take phentermine if you are allergic to it, or if you have:

  • coronary artery disease (hardening of the arteries);
  • heart disease;
  • severe or uncontrolled high blood pressure;
  • overactive thyroid;
  • glaucoma;
  • if you have a history of drug or alcohol abuse;
  • if you are allergic to other diet pills, amphetamines, stimulants, or cold medications.

If you have any of these other conditions, you may need a phentermine dose adjustment or special tests:

  • high blood pressure;
  • diabetes;
  • thyroid disorder.

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