Hi, I have taken Phentermine along with lexapro for several months. The precautionary reasons for the advice from any medical professional or literature is because in the studies done on drug interactions any cases of adverse effects must be reported and documented. Theses are sometimes very rare cases not the norm. Nonetheless the public has to be advised due to any one person bieng the potential one in a million...that can become ill. Getting back to the two drugs together, the phentermine can actually be slightly more effective. I have lost 25 pounds in 3 months, while still eating normal foods just decreasing the portions. I have not had any adverse effects from them together.I was advised to take phentermine in the morning and lexapro at night so that each reaches its peak at opposite times of the day. I am also under the care of a physician. Hope this helps... 
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