Contraindications: Sibumed is contraindicated in individuals with a history of coronary artery disease, uncontrolled hypertension, arrhythmia, stroke, or severe hepatic impairment. It must not be used concurrently with MAO inhibitors or other serotonergic agents. Individuals with eating disorders or a history of substance misuse should avoid sibutramine entirely.
Side_Effects: Reported adverse effects include dry mouth, constipation, insomnia, elevated resting heart rate, and blood pressure increases. When co-administered with anabolic steroids, erythrocytosis-related viscosity changes may compound cardiovascular strain. Anxiety, palpitations, and headache are possible at initiation; most subside within the first two weeks if dose and lifestyle factors are managed appropriately.
Monitoring: Blood pressure and resting heart rate should be measured and logged at least twice weekly throughout the cycle. A full metabolic panel — including fasting lipids, liver enzymes (AST/ALT), and haematocrit — should be obtained at baseline and at the cycle midpoint. Discontinue immediately if systolic blood pressure rises more than 20 mmHg from personal baseline or sustained resting heart rate exceeds 100 bpm.
PCT: Sibumed itself does not require post-cycle therapy, but the anabolic base co-administered alongside it does. A standard SERM-based PCT (e.g., Tamoxifen or Clomiphene) should be initiated according to the half-life of the specific androgenic compound used. Do not discontinue the anabolic base abruptly mid-cut, as the resulting drop in anabolic support removes the anti-catabolic protection and may accelerate lean-mass loss during the final phase.