Precautions

· Reductil may reduce your ability to drive or operate machinery safely. Do not drive or operate machinery until you know how this medicine affects you and you are sure it won't affect your operation.
· Reductil may be injurious to an unborn baby. Women of child-bearing age should use a safe contraceptive method to avert pregnancy while using Reductil.
· Take Reductil in the morning.
· Blood pressure and pulse rate should be monitored in all people taking this medication; every two weeks for the first three months, then once a month for the next three months, then regularly at maximum intervals of three months after that. Your doctor may ask you to stop taking Reductil if your blood pressure or pulse rate increase too much.
· You should change your lifestyle in terms of eating habits and physical activity while taking this medicine, so that you are able to maintain your new weight after you have stopped treatment. Your doctor should advise you on the changes you need to make and continue to monitor your weight after you stop treatment. If you don't change your lifestyle you may regain the weight you have lost.
· Consult your doctor if you experience shortness of breath, chest pain or ankle swelling while taking Reductil.
· Your weight should be monitored while you are taking this medicine. If you are not responding adequately to this medicine, i.e. if you have not lost at least five per cent of your body weight within three months, or if you put on more than 3kg at any stage after previously losing weight, you will need to stop taking Reductil. This medicine should not be taken for longer than one year.

Use with caution in

· Controlled high blood pressure
· Epilepsy
· Family history of glaucoma
· Family history of involuntary, recurrent muscle twitches or vocalisations (motor or verbal tics)
· History of depression
· Mild to moderately decreased kidney function
· Mild to moderately decreased liver function
· Open angle glaucoma
· People at increased risk of bleeding
· People taking medicine to prevent blood clotting (anticoagulants, e.g. warfarin)
· Syndrome involving short spells when breathing stops during sleep