Meridia.

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Most important facts about Meridia

There have been several cases of rapid increase in blood pressure in patients taking Meridia. Make sure that you check your blood pressure and pulse regularly during the therapy with Meridia.

Meridia is known to cause dizziness, difficulty concentrating or restlessness in some of the patients, so you are strongly recommended to be careful when driving, operating heavy machinery or performing other hazardous activities or activities that require you to be concentrated and alert after taking Meridia.

Always tell your doctor about all the prescription and over-the-counter medications that you are currently using before starting to take Meridia. Pay special attention to weight-loss products, tryptophan (L-tryptophan, 5-HTP), decongestants, antidepressants, cough suppressants, lithium (Eskalith, Lithobid, Lithonate, etc), and various meds used to treat migraines.

What is Meridia?

Meridia is a dietary supplement used on a regular basis for a short period of time for weight maintenance and in the treatment of obesity. It works by affecting certain chemicals in the brain that are responsible for weight maintenance.

Meridia can also be used for purposes different from the ones stated above.

What should I discuss with my doctor before starting the therapy with Meridia?

Before starting the therapy with Meridia, tell your doctor if you have one of the following conditions:

• anorexia nervosa;
• high blood pressure;
• heart disease, arrhythmia, congestive heart failure, or a history of stroke;
• epilepsy or another seizure disorder;
• gallstones;
• glaucoma;
• liver disease; or
• kidney disease.

IMPORTANT! Make sure that you tell your doctor if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil) within the last 2 weeks.
You should also tell your healthcare provider if you are currently taking some appetite suppressant.

Your doctor may forbid you to use Meridia or suggest a special dosage adjustment if any of the conditions stated above is true for you. You might also have to pass a series of tests able to show your susceptibility to Meridia.

Information about pregnancy and breast-feeding. Meridia is in the FDA pregnancy category C, which means that it’s still not clear whether this med can do any harm to an unborn baby or not. It is also not known if Meridia passes into breast milk, so you are not recommended to use Meridia neither when you are pregnant nor when you are breast-feeding a baby.

It’s not yet known how safe and effective Meridia is if used in children younger than 16 years old.

Usage instructions

Always follow the prescription given to you by your doctor precisely. If you have trouble understanding the directions stated there, check with your doctor again or address your pharmacist. Never exceed neither the prescribed dose nor the recommended period of the therapy without consulting your doctor first.

Meridia is assimilated best when taken with a full glass of water. In most cases you will have to take only 1 Meridia pill a day. It doesn’t make any difference whether you take Meridia with or without food.

Your doctor will have to monitor your blood pressure and pulse on a regular basis throughout the treatment course since there have been several cases of sudden rise of blood pressure in patients using Meridia.

Meridia should be kept in a cool dry place away from heat and direct sunlight.

Recommended dosage

ADULTS

Usually the starting dose of Meridia for adults is 10mg taken once daily. Your doctor may suggest the increasing of the dose to 15mg/day if you don’t lose at least 4 pounds in 4 weeks. 15mg/day is the maximum recommended dose for Meridia, so if it doesn’t take any effect, you will be advised to quit therapy with this drug. The dose may also be lowered to 5mg/day in case the patient experiences certain side effects when using a larger dose.

Safety and effectiveness of use of Meridia for more than 1 year has not been studied yet, so we strongly suggest you do not take this med for a period longer than that.

Missed dose

If you happen to miss a dose of Meridia, take it as soon as you remember. However, if it’s about the time for the next dose, just skip the missed one and keep on taking Meridia according to your normal schedule. NEVER double the dose in attempt to catch up with the schedule since this may lead to a heavy overdose.

Overdose with Meridia

If you suspect that you have exceeded the recommended dose of Meridia, seek for emergency medical attention immediately. There are few symptoms of Meridia overdose known to scientists. The most common of them are: increased heart rate and blood pressure.
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Is there anything I should avoid while taking Meridia?

Meridia is known to cause dizziness, difficulty concentrating and restlessness. If you experience these effects while taking Meridia, avoid driving, operating heavy machinery and performing other hazardous activities that require full awareness and alertness.

Always inform your healthcare provider about all prescription and over-the-counter meds that you are taking prior to beginning therapy with Meridia. Pay special attention to the following drugs: weight-loss products, tryptophan (L-tryptophan, 5-HTP), decongestants, antidepressants, cough suppressants, lithium (Eskalith, Lithobid, Lithonate, etc), and meds used to treat migraine.

Avoid breaking the dietary and exercise guidelines prescribed to you by your doctor. You should remember that no weight-loss medicine, including Meridia will be able to help you lose weight just by taking it.
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Possible side effects of Meridia

As most prescription drugs, Meridia has both serious and minor side effects. Stop taking Meridia and seek for emergency medical attention immediately if you experience the following symptoms of some of the serious side effects:
• severe allergic reaction (hives, difficulty breathing; closing of your throat; swelling of your lips, tongue, or face);
• heart arrhythmia;
• high blood pressure (symptoms: severe headache, blurred vision); or
• seizures.

Less serious side effects don’t require the therapy with Meridia to be stopped. However, we strongly suggest you contact your therapist in case you start experiencing any of these:

• Abdominal pain,
• acid indigestion,
• anxiety,
• back pain,
• constipation,
• cough increase,
• depression,
• dizziness,
• dry mouth,
• flu symptoms,
• headache,
• increased appetite,
• insomnia,
• joint pain,
• loss of appetite,
• loss of strength,
• nasal inflammation,
• nausea,
• nervousness,
• painful menstruation,
• rash,
• sinus inflammation,
• stomachache,
• sore throat.

There may also be other side effects apart from those listed above. Contact your doctor in as short time as possible if you experience any side effect that seems to be unusual or exceptionally bothersome.
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Possible drug interactions with Meridia

Always let 14 days since the last intake of monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil) pass before starting to take Meridia. Otherwise, dangerous interaction may occur.

Prior to starting to take Meridia, tell your doctor if you use any of the following drugs:
• lithium (Lithobid, Eskalith, Lithonate, etc);
• almotriptan (Axert), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), or zolmitriptan (Zomig);
• citalopram (Celexa), fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil), or fluvoxamine (Luvox);
• venlafaxine (Effexor), nefazodone (Serzone), mirtazapine (Remeron), or thioridazine (Mellaril);
• amitriptyline (Elavil, Endep), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), or trimipramine (Surmontil);
• dihydroergotamine (D.H.E.);
• dextromethorphan (in many cough medicines);
• meperidine (Demerol);
• fentanyl (Duragesic); or
• pentazocine (Talacen, Talwin).

Interaction of these drugs with Meridia may make you feel anxious, restless, confused and weak. It may also trigger loss of consciousness, tremor, poor coordination, fever, shivering, sweating, vomiting, a fast heartbeat, and other symptoms. All these reactions are considered dangerous for your health and even life, so they might require emergency medical attention. Do not start using any new medications during the course of therapy with Meridia without consulting your doctor first. Pay special attention to the following drugs: weight-loss products, tryptophan (L-tryptophan, 5-HTP), decongestants, antidepressants, cough suppressants, lithium (Eskalith, Lithobid, Lithonate, others), and medicines used to treat migraines.

This is not the full list of all drugs able to interact with Meridia, so we strongly suggest you tell your therapist about all prescription and non-prescription meds that you are currently taking prior to beginning the therapy with Meridia.
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Sources of extra information about Meridia

If you feel that the information provided at this web page is not enough, don’t hesitate to address your pharmacist for more medical facts about Meridia.

Always remember to keep all meds including Meridia out of the reach of children. Never share Meridia with other people, especially the ones to whom it wasn’t prescribed. Use Meridia ONLY for the indication prescribed.
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PLEASE NOTE: This article is for informational use only. It is not intended to cover all possible uses, directions, warnings, precautions, drug interactions, allergic reactions and adverse effects of Meridia. If you have additional questions concerning any of the stated above, feel free to address your doctor, nurse or pharmacist for more information. The absence of specific warning concerning this drug doesn’t mean that it is totally safe, effective or suitable for a specific patient. The information offered here is time sensitive.