Tenuate Warnings and Precautions

Specific Tenuate Warnings and Precautions

Warnings and precautions to be aware of prior to taking Tenuate include the following:
  • In rare cases, Tenuate can cause a serious lung problem known as primary pulmonary hypertension (PPH). Let your healthcare provider know if you have any symptoms of PPH, such as:
    • Difficulty breathing
    • Chest pain
    • Fatigue or weakness
    • Dizziness or fainting
    • Swelling of the ankles
    • Blue lips or skin.
  • Weight loss drugs related to Tenuate have caused problems with heart valves, especially when taken at high doses or for prolonged periods of time. Tenuate is not recommended for people with a heart murmur or heart valve problems.
  • Tenuate is chemically similar to amphetamines, which are often abused. Therefore, taking the drug for a long time can lead to dependence. Because Tenuate is often abused, there are special rules for prescribing and dispensing it.
  • Check with your healthcare provider before stopping Tenuate, as withdrawal symptoms (such as hallucinations) are possible, especially if you have been taking the medication for a long time.
  • Tenuate can increase your heart rate and blood pressure. This can cause problems, especially if you already have high blood pressure or heart problems.
  • The medication can make glaucoma worse. Check with your healthcare provider before taking Tenuate if you have this condition.
  • Before you take Tenuate, your healthcare provider should make sure that your obesity is not caused by a medical problem.
  • For people with seizures or epilepsy, Tenuate may increase the risk of seizures. If you have a history of seizures, check with your healthcare provider before taking the drug.
  • The medication may affect your ability to perform tasks that require complete concentration, such as driving, operating machinery, or piloting an airplane, especially during the first few weeks of treatment. You use caution when performing these activities until you know exactly how Tenuate affects you.
  • Tenuate can interact with a number of different medications (see Tenuate Drug Interactions).
  • Tenuate is considered a pregnancy Category B medication. This means that it is probably safe for use during pregnancy (see Tenuate and Pregnancy).
  • Tenuate passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking the drug (see Tenuate and Breastfeeding).
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