DESCRIPTION
Sibutramine is approved for use in the management of obesity, including weight loss and maintenance of weight loss. It is to be used in conjunction with a low-calorie diet.

The effect of sibutramine was studied in 20 patients with binge eating disorder who were given the drug or placebo for 12 weeks. Researchers found that binge frequency was significantly lower on Meridia than on placebo. In addition, sibutramine was effective in promoting and maintaining weight loss in these patients. In a similar study conducted in Brazil, 60 obese outpatients received sibutramine or placebo for 12 weeks. The researchers noted a significant reduction in the number of days with binge eating episodes in the sibutramine group compared with the placebo group. Meridia was also associated with weight loss and a decrease in depressive symptoms.

ORIGINAL USES (ON-LABEL)
Management of obesity

NEWLY DISCOVERED USES (OFF-LABEL)
Binge eating disorder

POTENTIAL SIDE EFFECTS
Headache, back pain, flu syndrome, abdominal pain, increased heart rate, migraine, anorexia, constipation, increased appetite, nausea, stomach upset, joint aches, dry mouth, insomnia, nervousness, anxiety, depression, runny nose, sore throat, sinusitis, increased cough, rash, painful menstruation.

CAUTIONS
  • Use is not recommended during or within two weeks of MAO inhibitors. Should not be used concurrently with other centrally-acting appetite suppressants or drugs which increase serotonin levels (such as some antidepressants, etc.).
  • Inform your doctor if you have currently or a history of drug abuse or dependence, anorexia nervosa, bulimia nervosa, uncontrolled or poorly controlled high blood pressure, congestive heart failure, irregular heart beats, and stroke.
  • Inform your doctor if you have impaired kidney or liver function, bleeding tendencies or taking drugs which affect bleeding, seizure disorders, or narrow angle glaucoma.
  • Initial and regular monitoring of blood pressure and pulse are needed to detect substantial increases in blood pressure.
  • Serious, potentially fatal toxicities may occur when thyroid hormones (at dosages above usual daily hormonal requirements) are used in combination with sympathomimetic amines to induce weight loss.
CONTRAINDICATIONS
Hypersensitivity, hypothyroidism, anorexia nervosa, severe hepatic / renal disease, uncontrolled hypertension, history of CAD, CHF, dysrhythmias, lactation, CVA.

DRUG INTERACTIONS
Serotonergic drugs, drugs that raise blood pressure, tricyclic antidepressants, ketoconazole. This drug is metabolized by a specific set of liver enzymes (cytochrome P450 enzymes 3A4). Several other drugs interfere with these liver enzymes, and thus may increase or decrease the clearance of sibutramine from the body, potentially increasing the risk of side effects or decreasing effectiveness. When these drugs are given in combination with sibutramine, dosage adjustments may be needed.

FOOD INTERACTIONS
May be given without regard to meals.

HERBAL INTERACTIONS
St. Johns wort, tryptophan

PREGNANCY AND BREAST-FEEDING CAUTIONS
FDA Pregnancy Risk Category C. Excretion in breast milk unknown. Notify your doctor if you are breast-feeding.

SPECIAL INFORMATION
Notify your doctor if you develop a rash, hives, or other allergic reactions.

Recommended only for obese patients in the presence of other risk factors such as high blood pressure, diabetes, and/or lipid disorders.

Buy Meridia online

Where can I buy Meridia without prescription?
Sibutramine is a prescription weight loss drug that comes in 5 mg, 10 mg pills. It is available on prescription only as tablets for oral use, but the online pharmacy, will sell Sibutramine without prescription. You may be able to order Meridia from them online and save the local pharmacy markup.

Whether I can pay my Sibutramine order by Credit Card?
Pharmacies accept American Express, Diners Club, JCB.

Is the Meridia purchase legal?
Yes, it is legal. You confirm, that buy Meridia diet pills only for personal use without the purposes of resale. All medicines are solved for application in the majority of the countries. Generic Meridia should pass any customs house, including American, without problems. If you have problems with customs house, inform pharmacy, they shall repeat (free-of-charge) your Sibutramine order.

If I'm buying Sibutramine online for the first time?
If you are buying Meridia without prescription for the first time, start with a small amount to make sure that it works for you and then order more later. Buy Sibutramine online after comparing prices to your local pharmacy and you'll agree - any drugstore can sell you generic cheap Meridia at a reduced cost.

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What is Meridia?
This drug blocks the uptake of several neurotransmitters in the neurons, including norepinephrine and serotonin.
BRAND NAME
Meridia

GENERIC NAME
Sibutramine

CHEMICAL CLASS
Cyclobutanemethamine derivative

THERAPEUTIC CLASS
Anorexiant
AVAIL FORMS
Capsules — Oral 5 mg, 10 mg.
DOSAGE
Adult
PO 10 mg qd; may increase to 15 mg qd after 4 wk if inadequate results; safety and efficacy beyond 2 yr of therapy has not been determined

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