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Substances such as phenelzine and furazolidone are contraindicated because they may lead to elevated blood pressure levels, decreased heart rate, elevated body temperature levels, and even severe lung problems. Potential to cause heart disease and pulmonary hypertension. Cardiovascular diseases associated with phentermine have been suspected since the 1970s. Various causes of palpitations, ischemic events, and tachycardia have been reported. Although a large majority of these cases have been reported by people taking the Fen-Phen or Dexfen-Phen combo, rare cases of patients who have only taken phentermine have reported valvular heart disease and primary pulmonary hypertension. People who have been shown to be healthy before being administered phentermine have developed heart diseases where no other substance could have possibly led to the defect, barring inherent genetic defects.

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