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There are some side effects associated with sibutramine. Among the most serious of these includes fast heartbeat, chest pains, breathing difficulties, vomiting, nausea, anxiety, confusion, seizures, fever and large pupils. If you experience any of these side effects when taking this medication, contact your doctor right away. Less serious side effects you may experience include dry mouth, heartburn, constipation, back pain, runny nose and trouble falling asleep.

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Patients taking this drug may achieve a 5 to 10 percent reduction from their baseline weight. This medication which is available only by prescription comes in capsule form at 4, 10 and 15 milligram doses. Most often this drug is used in patients who have a body mass index in excess of 30 and whom have other risk factors such as high cholesterol, high blood pressure or diabetes. This medication is usually prescribed to a patient starting with 10 milligrams per day. After several weeks, the prescribing doctor may increase the dose to achieve the desired effect.

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