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Adjust dosing according to patient's needs to achieve adequate response with lowest effective dosage. History of cardiovascular disease coronary artery disease, uncontrolled hypertension, arrhythmias, stroke, congestive heart failure. Avoid use of stimulants in patients with serious heart rhythm disturbances, cardiac abnormalities, cardiomyopathies, or other cardiac problems see Contraindications. Patients with diabetes mellitus should use caution with antidiabetic agents like insulin or other hypoglycemic agents; dietary restrictions may lower requirements for antidiabetic therapy. Concomitant administration with other weight-loss agents eg, selective serotonin reuptake inhibitors SSRIs, herbal preparations, other over-the-counter products has not been studied. Your list will be saved and can be edited at any time.

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