Puringsami Tablet (Phendimetrazine Tartrate)

Adult dose

As phendimetrazine tartrate, take 35 mg orally 2 to 3 times a day one hour before meals. Use the minimum effective dose and adjust individually to obtain an adequate response. For some patients, a single dose of 17.5 mg per day may be appropriate. The total dosage should not exceed 70 mg per dose or 3 doses per day. This medication is administered for a short duration (within 4 weeks).

This medication should not be taken together with other appetite suppressants as it may cause serious heart problems. It must be used alone and only for a short duration when treating exogenous obesity. Long-term use beyond three months should be avoided, as it may increase the risk of rare heart conditions like pulmonary arterial hypertension. If shortness of breath, chest pain, fainting, or leg swelling occurs during exercise, the medication must be stopped immediately and a doctor should be consulted. Individuals with heart diseases such as valve heart disease or those with heart murmurs should refrain from using this medication. It is necessary to confirm the existence of any pre-existing heart conditions through heart tests prior to using this drug. Persons sensitive to sympathomimetic agents, those with cardiovascular diseases, hyperthyroidism, glaucoma, or those who are mentally anxious or agitated, as well as individuals with a history of substance abuse, should not take this medication. It should also not be administered to patients currently on other central nervous system stimulants or MAO inhibitors. Children under 16 years of age and women who are pregnant or may become pregnant should also avoid this medication. Caution is required for patients with mild hypertension, breastfeeding mothers, and diabetic patients when using this medication. This drug may cause side effects such as increased heart rate or elevated blood pressure, and central nervous system symptoms like anxiety, dizziness, insomnia, and headaches. Digestive symptoms such as dyspepsia, dry mouth, diarrhea, and constipation have also been reported. Tolerance to the effects of this medication can develop quickly, so if the effect diminishes, the dosage should not be increased but rather discontinued. Caution is needed when performing dangerous activities such as driving or operating machinery. Diabetic patients may need to adjust their insulin dosage. In cases of overdose, severe symptoms such as anxiety, coma, seizures, abnormal blood pressure, and vomiting may occur, requiring immediate emergency care. This medication should be kept out of the reach of children and is classified as a controlled substance with potential for abuse; thus, strict adherence to the physician's instructions is essential. Stopping the medication suddenly after long-term high-dose use may lead to severe fatigue and depression, so it should be discontinued gradually under medical guidance.

Serious side effects

Hives

Mild side effects

Palpitations, tachycardia, increased blood pressure, overactivity, anxiety, dizziness, insomnia, tremors, euphoria, headaches, psychiatric disorders at recommended doses, agitation, flushing, sweating, blurred vision, dry mouth, malaise, diarrhea, constipation, nausea, gastric pain, changes in sexual drive, frequent urination, urinary retention, erectile dysfunction

This medication may be sensitive to air or moisture, so it should be stored in a tightly sealed container. Additionally, it is best kept at room temperature, not too hot or too cold.

Appearance

White square tablet

Package unit

30 tablets, 300 tablets