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Commercial: 30 mg Capsule Commercial: Limited data are available in reference texts regarding the mechanism of action of this drug. The elimination half-life ranges 19—24 hours and is influenced by urinary pH. Renal Impairment: Use with caution in patients with renal impairment. Therefore, coadministration of these drug products for weight loss is not recommended. The initial symptom of PPH is usually dyspnea.

Dosage should be individualized to obtain an adequate response with the lowest effective dose. Other initial symptoms may include angina pectoris, syncope or lower extremity edema. Treatment should be discontinued in patients who develop new, unexplained symptoms of dyspnea, angina pectoris, syncope or lower extremity edema, and patients should be evaluated for the possible presence of pulmonary hypertension. When tolerance to the anorectant effect develops, the recommended dose should not be exceeded in an attempt to increase the effect; rather, the drug should be discontinued. See Drug Abuse and Dependence 9 and Overdosage

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