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The FDA never approved the Fen-Phen combination, but once the agency has approved a drug, doctors may prescribe it at will.

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Contraindications Sibutramine is contraindicated in: *Psychiatric conditions as bulimia nervosa, anorexia nervosa, serious depression or preexisting mania *Patients with a history of or a predisposition to drug or alcohol abuse *Hypersensitivity to the drug *Patients below 18 years of age *Concomitant treatment with a MAO inhibitor, antidepressant or other centrally active drugs, particular other anoretics *Hypertension that is not sufficiently controlled (caution in controlled hypertension) *Existing pulmonary hypertension *Existing damage on heart valves, coronary heart disease, congestive heart failure, serious arrhythmias, previous myocardial infarction *Stroke or transient ischemic attack (TIA) *Hyperthyroidism (overactive thyroid gland) *Closed angle glaucoma *Seizure disorders *Enlargement of the prostate gland with urinary retention *Phaeochromocytoma *Pregnant and lactating women Side effects Frequently encountered side effects are: dry mouth, paradoxically increased appetite, nausea, strange taste in the mouth, upset stomach, constipation, trouble sleeping, dizziness, drowsiness, menstrual cramps/pain, headache, flushing, or joint/muscle pain.

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Would I recommend it?