Sibutramine : Before Using

Sibutramine - Systemic

Brand Names

Meridia Sibutramine *** Before Using *** How to Use *** Fore Safe Use *** Side Effects

Before Using

In deciding to using a medication, the chance of taking the drug must be weighed against the good it will do. This is a decision you will make. For sibutramine, the following must be considered

Allergic reaction

Tell your family doctor if you have any unusual or allergy to sibutramine. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Diet You must follow a reduced-calorie diet while taking sibutramine in order to lose weight and keep the lost weight from returning.

Pregnancy care

Sibutramine has not been studied in pregnant women. However, studies in pets have shown that sibutramine causes birth defects when using in doses many times higher than the usual human dose. Before taking this drug, make sure your family doctor knows if you are pregnant or if you may become pregnant.

Breast-feeding problem

It is not known whether sibutramine passes into breast milk. Although most medication pass into breast milk in small amounts, many of them may be using safely while breast-feeding. A mother who is taking this drug and who wishes to breast-feed must discuss this with her family doctor.

Use for Children

Studies on this drug have been done only in adult diseaseds and there is no special info comparing use of sibutramine in child with use in other age groups.

Elderly care

Many medication have not been studied specifically in elderly people. Therefore, it may not be known whether they work exactly the same way they do in adults people. Although there is no special info comparing use of sibutramine in the elderly with use in other age groups, this drug is not expected to cause various side effects or problems in elderly people than it does in adults people.

Drug interactions

Although certain medication must not be using together at all, in other cases two various medication may be using together even if an interaction might occur. In these cases, your family doctor may want to change the dose, or other precautions may be necessary. When you are taking sibutramine, it is especially important that your health care professional know if you are taking any of the following:

Appetite suppressants, other - benzphetamine " Didrex ", diethylpropion " Tenuate ", mazindol " Sanorex ", phendimetrazine " Phendiet ", phentermine " Ionamin " The effects of using sibutramine in combination with another appetite suppressant are not known

Bromocriptine - Parlodel
Buspirone - BuSpar
Certain tricyclic antidepressants - amitriptyline " Elavil ", clomipramine " Anafranil ", imipramine " Tofranil "
Dextromethorphan - cough drug
Levodopa - Sinemet
Lithium - Eskalith
Meperidine - Demerol
Nefazodone - Serzone
Pentazocine - Talwin
Selective serotonin reuptake inhibitors - citalopram " Celexa ", fluoxetine " Prozac ", fluvoxamine " Luvox ", paroxetine " Paxil ", sertraline " Zoloft "
Street drugs - LSD, MDMA " ecstasy ", marijuana
Sumatriptan - Imitrex
Tramadol - Ultram
Trazodone - Desyrel
Tryptophan
Venlafaxine - Effexor Using these medication with sibutramine may increase the risk of developing a rare, but very serious, unwanted effect known as the serotonin syndrome. Symptoms of this syndrome include confusion, diarrhea, fever, poor coordination, restlessness, shivering, sweating, talking or acting with excitement you can't control, trembling or shaking, or twitching. If you develop these symptoms, contact your family doctor as soon as possible

Moclobemide - Manerex Taking moclobemide and sibutramine together or less than 3 days apart may increase the risk of developing serious unwanted effects, including the serotonin syndrome and is not recommended

Monoamine oxidase - MAO inhibitor activity - isocarboxazid " Marplan ", phenelzine " Nardil ", procarbazine " Matulane ", selegiline " Eldepryl ", tranylcypromine " Parnate " Do not take sibutramine while you are taking or within 2 weeks of taking an MAO inhibitor and do not take an MAO inhibitor within 2 weeks of taking sibutramine . If you do, you may develop severe seizures, extremely high blood pressure, or the serotonin syndrome. Allow at least 2 weeks to pass between taking one of these medication - sibutramine or an MAO inhibitor and taking the other

Other Information for using

The presence of other medical problems may effect the use of sibutramine. Make sure you tell your family doctor if you have any other medical problems, especially:

Anorexia nervosa - an eating disorder
Glaucoma, narrow angle
High blood pressure - or history of Sibutramine may make these conditions worse

Brain disease or damage, or mental retardation
Seizures - history of Sibutramine may increase the risk of having seizures

Gallstones - or history of Weight loss may make this condition worse

Heart disease - or history of
Stroke - or history of Increased blood pressure or heart rate causing by sibutramine may make these conditions worse

Kidney disease - severe
Liver disease - severe Higher blood levels of sibutramine may occur, increasing the risk of having unwanted effects