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Monohydrate (sibutramine hydrochloride monohydrate) Capsules contain 5 mg, 10 mg, or 15 mg of sibutramine hydrochloride monohydrate and are supplied as follows, HOW DOES Monohydrate WORK: Drugs of this class are thought to suppress appetite by inhibiting the reuptake of serotonin, dopamine and norepiniphrine thereby modifying appetite centers in the brain. Provides meridia pill product or service and low cost meridia. If there is inadequate weight loss, the dose may be titrated after 4 weeks to a total of 15-milligrams taken once daily. The 5-milligram dose should be reserved for those patients that do not tolerate the 10-milligram dose. Blood pressure and heart rate changes should betaken into consideration when making decisions regarding dose titration. Provides meridia pill product or service and low cost meridia.