Phentermine works by increasing metabolism. This can increase heart rate and blood pressure and cause insomnia, dry mouth, constipation and nervousness. 

The use of Duromine or Panbesy should be limited to 12 weeks and under the supervision of a healthcare professional. 

Also, people with coronary heart disease, high blood pressure and hyperthyroidism should not use Duromine or Panbesy. 

Always discuss potential side effects with a doctor before starting either Duromine or Panbesy.

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