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The FDA warns consumers about the possible dangers of buying medicines over the Internet.

Dietary Supplements, Counterfeit Drugs, and The Internet

There are some websites that sell prescription drugs that may not be safe. The Food and Drug Administration (FDA) warns consumers about the possible dangers of buying medicines over the Internet.

There are many websites that sell drugs that have not been checked for safety or effectiveness and may be dangerous.

Some websites sell unapproved drugs that contain the wrong active ingredient, may contain too much or too little of the active ingredient, or contain dangerous ingredients.

There are some websites that sell prescription drugs that may not be safe.

Counterfeit Drugs

Counterfeit drugs are illegal and can be hard to identify because they may look like the authentic approved product.

Counterfeit drugs are mislabeled and sold under an existing brand or generic name without authorization.

Counterfeit drugs are illegal and can be hard to identify.

The FDA provides the following tips on how to protect yourself. For more information, visit the FDA’s web page on Counterfeit Medicine.

https://www.fda.gov

  • Only buy from state-licensed pharmacy websites located in the U.S.
  • Don't buy from websites that sell prescription drugs without a prescription.
  • Don't buy from websites that offer to prescribe a drug for the first time without a physical exam by your doctor or by answering an online questionnaire.
  • Check with your state board of pharmacy or the National Association of Boards of Pharmacy to see if an online pharmacy has a valid pharmacy license and meets state quality standards.
  • Look for privacy and security policies that are easy to find and easy to understand.
  • Don't give any personal information—such as a social security number, credit card information, or medical or health history—unless you are sure the website will keep your information safe and private.
  • Use legitimate websites that have a licensed pharmacist to answer your question.
  • Make sure that the website will not sell your personal information, unless you agree.

Many supplements contain ingredients that can harm and may not be safe in all people.

Dietary Supplements

Many supplements contain ingredients that can harm and may not be safe in all people. Talk to your doctor before you take any dietary supplement. Dietary supplements come in many forms, including tablets, capsules, powders, energy bars, and liquids.

It is important to know that the makers of dietary supplements do not have to get FDA approval before making or selling dietary supplements.

Supplements like Hydroxycut®, Forskolin, Garcinia Cambogia are not intended to diagnose, treat, cure, or prevent any disease. It is illegal to sell a supplement product as a treatment or cure for a specific disease or to help lessen the symptoms of a disease.

Before taking a dietary supplement, make sure that the supplement is safe for you.

Some ingredients and products can be harmful when consumed in high amounts, taken for a long time, or used in combination with some other drugs or foods. Do not substitute a dietary supplement for a prescription medicine or therapy.

If you have a bad reaction with a dietary supplement, you should contact your doctor immediately. You and your doctor should tell the FDA as soon as possible. For more information, visit the FDA web page https://www.fda.gov/Food/DietarySupplements/default.htm

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INDICATION

Lomaira™ (phentermine hydrochloride USP) 8 mg tablets, CIV is a prescription medicine used for a short period of time (a few weeks) for weight reduction and should be used together with regular exercise and a reduced-calorie diet. Lomaira is for adults with an initial BMI* of 30 or more (obese) or 27 or more (overweight) with at least one weight-related medical condition such as controlled high blood pressure, diabetes, or high cholesterol. The limited usefulness of this drug class (anorectics), including Lomaira, should be measured against possible risk factors inherent in their use.

IMPORTANT SAFETY INFORMATION

Don’t take Lomaira™ if you have a history of cardiovascular disease (e.g., coronary artery disease, stroke, arrhythmias, congestive heart failure or uncontrolled high blood pressure); are taking or have taken a monoamine oxidase inhibitor drug (MAOI) within the past 14 days; have overactive thyroid, glaucoma (increased pressure in the eyes), agitation or a history of drug abuse; are pregnant, nursing, or allergic to the sympathomimetic amines such as phentermine or any of the ingredients in Lomaira.

Taking phentermine with other drugs for weight loss is not recommended. Primary pulmonary hypertension (PPH), a rare fatal lung disease, has been reported in patients who had taken a combination of phentermine and fenfluramine or dexfenfluramine for weight loss. The possible association between phentermine use alone and PPH cannot be ruled out. Patients should report immediately if they experience any decrease in the amount of exercise that they can normally tolerate, shortness of breath, chest or heart pain, fainting or swelling in the lower legs.

Serious heart valve problems or disease have been reported in patients taking a combination of phentermine and fenfluramine or dexfenfluramine for weight loss. The possible role of phentermine has not been established, therefore the possibility of an association between heart valve disease and the use of phentermine alone cannot be ruled out.

If your body becomes adjusted to the maximum dose of phentermine so that its effects are experienced less strongly, the maximum dose should not be exceeded in an attempt to increase the effect.

Caution is advised when engaging in potentially hazardous activity such as driving or operating machinery while taking phentermine. Phentermine has the potential to be abused. Keep Lomaira in a safe place to prevent theft, accidental overdose, misuse or abuse. Using alcohol with phentermine may result in an adverse drug reaction.

Phentermine can cause an increase in blood pressure. Tell your doctor if you have high blood pressure, even if it’s mild. If you are taking medicines for type 2 diabetes, your doctor may have to adjust these medicines while taking phentermine.

Some side effects of phentermine that have been reported include pulmonary hypertension, valvular heart disease, palpitations, increased heart rate or blood pressure, insomnia, restlessness, dry mouth, diarrhea, constipation and changes in sexual drive. These are not all of the potential side effects of phentermine. For more information, ask your doctor or pharmacist.

To report negative side effects of prescription drugs, contact FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.

Click here for Full Prescribing Information.

*Body Mass Index (BMI) measures the amount of fat in the body based on height and weight. BMI is measured in kg/m2

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IMPORTANT SAFETY INFORMATION

Don’t take Lomaira™ if you have a history of cardiovascular disease (e.g., coronary artery disease, stroke, arrhythmias, congestive heart failure or uncontrolled high blood pressure); are taking or have taken a monoamine oxidase inhibitor drug (MAOI) within the past 14 days; have overactive thyroid, glaucoma (increased pressure in the eyes), agitation or a history of drug abuse; are pregnant, nursing, or allergic to the sympathomimetic amines such as phentermine or any of the ingredients in Lomaira.