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While taking this medication, you might experience mild side effects such as dizziness, dry mouth, trouble sleeping, irritability, nausea, vomiting, diarrhea, or constipation. These are generally manageable, but if they persist or worsen, please contact your healthcare provider for guidance.

It's important to monitor your blood pressure, as this medication can cause an increase. Inform your healthcare provider if you notice elevated readings. Although serious side effects are uncommon, be vigilant for symptoms such as a rapid or irregular heartbeat, mood changes like agitation or hallucinations, involuntary muscle movements, or changes in sexual function. If any of these occur, seek medical advice promptly.

In rare cases, this medication may lead to severe complications affecting the heart or lungs, especially with prolonged use or when combined with other appetite suppressants. Be alert for signs such as chest pain, shortness of breath during physical activity, reduced exercise capacity, fainting, or swelling in the legs. Immediate medical attention is necessary if these symptoms appear.

Allergic reactions to this medication are very rare but serious. Symptoms may include a rash, itching, swelling (particularly of the face, tongue, or throat), severe dizziness, or difficulty breathing. If you experience any of these, seek emergency medical help right away.

Always remain observant of your body's response to the medication, and consult your healthcare provider if you notice any other unusual effects not mentioned here.

Certain medications and substances can interact with this drug. These include phenothiazines, like prochlorperazine and chlorpromazine, as well as other stimulants, such as amphetamines, methylphenidate, cocaine, and MDMA, also known as "ecstasy." If you have used other appetite suppressants within the past year, like phentermine or ephedra/ma huang, inform your doctor or pharmacist before beginning this medication.

Combining this drug with MAO inhibitors may lead to a serious, possibly life-threatening reaction. Therefore, do not use MAO inhibitors such as isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine while on this medication. It is also advisable to avoid taking most MAO inhibitors for at least two weeks before starting this medication. Consult your doctor for guidance on when to begin or discontinue the use of this medication.

Some over-the-counter products, especially those for coughs and colds or weight loss, may have ingredients that can elevate your heart rate or blood pressure. Discuss all products you are taking with your pharmacist to ensure safe use.

Additionally, caffeine can amplify the side effects of this drug, so it's best to limit your intake of caffeine-rich beverages like coffee, tea, and colas, as well as avoid consuming large amounts of chocolate.