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Qsymia
Phentermine/Topiramate, known under the brand name Qsymia, is a combination medication that is used to help adults lose weight. Typically, it's prescribed for those who are obese or have weight-related medical problems. The medication works by decreasing your appetite and making you feel full faster, thus helping you eat less. There could be side effects such as dizziness, dry mouth, difficulty sleeping, and constipation, but your healthcare provider will confirm that the benefits outweigh these risks before prescribing the medication.
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Frequently Asked Questions
Can I take Phentermine/Topiramate if I have high blood pressure?
It depends on your specific situation and should be discussed with your healthcare provider. The medication might cause an increase in heart rate, which could affect blood pressure.
Does Phentermine/Topiramate cause anxiety?
Phentermine/Topiramate could lead to restlessness, and in rare cases, it might cause feelings of anxiety or nervousness.
I forgot to take my dose of Phentermine/Topiramate today, what should I do?
If it is close to the next dose, skip the missed dose and continue with the regular schedule, but never take two doses at once.
Can I just stop taking Phentermine/Topiramate if I have achieved my weight loss goal?
No, do not stop taking the medication without talking to your healthcare provider first. There's a potential risk of withdrawal symptoms if the treatment is suddenly stopped.
Will Phentermine/Topiramate affect birth control pills?
Some research suggests that Topiramate can make birth control pills less effective. Consult with your healthcare provider for the best advice.
Comprehensive Drug Guide
How Does Qsymia Work?
Phentermine/Topiramate is a combination medication with anorectic and antiepileptic properties. Phentermine works as an appetite suppressant in the central nervous system, while Topiramate acts in various mechanisms to induce a feeling of fullness, reduce food c
What is Qsymia Used For?
FDA indications: Phentermine/Topiramate (Qsymia) is prescribed to help adults lose weight. It is ideal for those with a BMI of 30 or higher termed obese or those with a BMI of 27 or higher and weight-related medical problems such as high blood pressure or type 2 diabetes.
Off-label uses: While weight management is the primary application, researchers are looking at the effectiveness of this medication in a variety of other health conditions.
Common Dosages
Capsules: 3.75mg/23mg, 7.5mg/46mg, 11.25mg/69mg, 15mg/92mg
Typical Dosing
FDA Approved Indications
- For FDA-approved indications:
- Weight management: Initially, 3.75 mg/23 mg once daily for 14 days, then increased to 7.5 mg/46 mg once daily. Depending on the response and tolerance, the dose may further be increased.
Off-Label Uses
- Dosing for off-label uses will be determined by a healthcare provider, considering the severity of the condition and the patient's overall health status.
Who Shouldn't Take Qsymia?
- Individuals who are pregnant or planning to become pregnant.
- Individuals who have glaucoma.
- Those with a history of hyperthyroidism.
- Individuals with a history of heart disease, stroke, or myocardial infarction.
- Individuals who have severe anxiety or agitation.
- Those who are allergic to sympathomimetic amines.
- Individuals who are already taking or have taken a monoamine oxidase inhibitor (MAOI) within the past two weeks.
- Breastfeeding mothers, due to possible passing of the drug to the baby through breast milk.
Advice From The Pharmacist
- Remember, Qsymia is not a magic pill. It doesn't work alone but as part of a weight management program that includes a low-calorie diet and regular exercise.
- Avoid indulging in hazardous activities until you know how the medication affects you, as it could impair your thinking or reactions.
- Avoid taking it at bedtime to prevent insomnia.
- Keep the medication in a secure place as it can be abused.
- Avoid consuming alcohol while on this medication as it increases the risk of side effects.
- If you decide to stop taking Qsymia, do not discontinue it abruptly without the guidance of your healthcare provider. There is a risk of withdrawal symptoms.
Side Effects of Qsymia
Common Side Effects
- You might experience dizziness or blurred vision.
- An upset stomach or constipation is common.
- Qsymia can interfere with your sleep, leading to insomnia.
- Experience tingling of the hands or feet? It's a common side effect.
Uncommon/Severe Side Effects
- Rare side effects:
- Accelerated or irregular heartbeat.
- Decreases in serum bicarbonate lead to an imbalance in body chemicals.
- Severe side effects:
- If you experience suicidal thoughts, it's a grave side effect and you should contact your healthcare provider immediately.
- Signs of a serious allergic reaction like a rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing are medical emergencies.
Risks and Warnings of Qsymia
- Heart Warnings: Hold your horses if you've got a history of heart disease, hypertension, or any sort of cardiovascular creeps. Phentermine is a stimulant and could hike up your heartbeat and blood pressure. Got a heart murmur? More reason to chat to your doctor first!
- Pulmonary Warning: If you've had pulmonary hypertension in the past, wave goodbye to Phentermine. It's one of the absolute no-gos for this drug.
- Dependency and Withdrawal Risk: Phentermine Is a bit like that good-looking bad boy it can be habit-forming. So, if you've had substance problems in the past, it might be better to steer clear of it. Your doctor will likely tell you how to stop using it gradually to avoid withdrawal symptoms.
- Psychiatric Conditions: Have any mental health conditions like bipolar disorder, severe anxiety, or psychosis? Phentermine could end up vamping up the intensity level. Best to discuss with your doc!
- Seizures: If your medical history includes seizures, your sail isn?t quite clear for the Phentermine journey. Medications like this one might snap those seizures stalking you again.
Interactions with Qsymia
Common Drug Interactions
- Monoamine oxidase inhibitors (MAOIs)
- Valproic acid
- Oral contraceptives
- Alcohol
Alternatives to Qsymia
- Lorcaserin
- Naltrexone/bupropion
- Liraglutide
- Orlistat
