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Your doctor will tell you how to decrease your dose gradually. Because of the risk of birth defects, phentermine and topiramate is available only through a special restricted distribution program. A program called the Qsymia REMS Risk Evaluation and Mitigation Strategy Program has been set up to decrease the risks of taking phentermine and topiramate.
You can only receive the medication from a pharmacy that participates in the program. Ask your doctor if you have any questions about participating in the program or how to get your medication.
Your doctor or pharmacist will give you the manufacturer's patient information sheet Medication Guide when you begin treatment with phentermine and topiramate and each time you refill your prescription.
Read the information carefully and ask your doctor or pharmacist if you have any questions. htm or the manufacturer's website to obtain the Medication Guide.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. tell your doctor if you are pregnant or plan to become pregnant. If you take phentermine and topiramate during pregnancy, your baby may develop a birth defect called cleft lip or cleft palate and your baby may be smaller than expected at birth.
Your baby may develop this birth defect very early in the pregnancy, before you know that you are pregnant. You must use birth control to prevent pregnancy during your treatment. You must take a pregnancy test before you begin your treatment and once every month during your treatment.
If you become pregnant while taking phentermine and topiramate, stop taking the medication and call your doctor immediately. Skip the missed dose and take your usual dose the next morning.
Do not take a double dose to make up for a missed one. Phentermine and topiramate may cause other side effects. Call your doctor if you have any unusual problems while taking this medication. Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture not in the bathroom.
Store phentermine and topiramate in a safe place so that no one else can take it accidentally or on purpose. Keep track of how many capsules are left so you will know if any are missing. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them.
However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program.
It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach.
In case of overdose, call the poison control helpline at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at Keep all appointments with your doctor and the laboratory.
Your doctor will order certain lab tests to check your body's response to phentermine and topiramate. Do not let anyone else take your medication. Giving or selling phentermine and topiramate to others may harm them and is against the law. Phentermine and topiramate is a controlled substance.
Prescriptions may be refilled only a limited number of times; ask your pharmacist if you have any questions. It is important for you to keep a written list of all of the prescription and nonprescription over-the-counter medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements.
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Mayo Clinic; Obesity adult. Pilitsi E, et al. Pharmacotherapy of obesity: Available medications and drugs under investigation. Perreault L. Obesity in adults: Drug therapy. Accessed Oct. Prescription medications to treat overweight and obesity.
National Institute of Diabetes and Digestive and Kidney Diseases. Accessed Aug. Melmed S, et al. In: Williams Textbook of Endocrinology.
Elsevier; Patel K. Obesity treatment: A focus on pharmacotherapy of weight management. Papadakis MA, et al. McGraw Hill; Shah M expert opinion.
Mayo Clinic. Apovian CM, et al. Pharmacological management of obesity: An Endocrine Society clinical practice guideline. Journal of Clinical Endocrinology and Metabolism. Food and Drug Administration. Wegovy prescribing information.
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The recommended times to take the capsules are two before breakfast, two before lunch, and two before dinner. Consistency in taking Leanbean is important to see results. Trimtone is a natural dietary supplement that has gained popularity as a safe and effective solution for those struggling with food cravings and overeating.
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Phen24 is a cutting-edge appetite suppressant that is specifically designed to help individuals reach their weight loss goals. This revolutionary supplement utilizes a unique blend of natural ingredients that have been clinically proven to aid in suppressing appetite.
This is particularly beneficial for individuals with sedentary lifestyles or those who have difficulty incorporating regular exercise into their daily routines. What sets Phen24 apart from other weight loss supplements is its innovative hour formula.
The supplement is intended to be taken twice daily, with one pill in the morning and one pill in the evening. The morning pill serves to boost metabolism and provide energy throughout the day, while the evening pill is designed to suppress appetite and regulate cravings.
Phen24 employs a combination of natural ingredients with thermogenic properties, which boost metabolism and promote fat burning. Phen24 contains a unique blend of natural ingredients that work synergistically to promote weight loss. By combining stimulants, thermogenic, and appetite suppressants, Phen24 promotes safe and effective weight loss.
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It is suggested to take the pills with water. As a leading brand in the weight loss industry, PrimeShred offers a powerful appetite suppressant formula that can help you achieve your weight loss goals.
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Staying hydrated and drinking plenty of water throughout the day is crucial to maintain good health and proper hydration. Appetite suppressant pills are a type of weight loss pill that works by decreasing your hunger and reducing the amount of food you eat.
They are designed to be used in conjunction with a healthy diet and exercise plan to help support weight loss efforts. Taking appetite suppressant pills over the counter without making lifestyle changes will likely lead to little or no weight loss, and could even be harmful.
Another thing to keep in mind is that not all appetite suppressants are created equal. Some contain natural ingredients such as fiber, while others use chemical compounds to achieve their effects. What works for one person may not work for another. Overall, while appetite suppressants can be a helpful tool in supporting weight loss efforts, they are not a substitute for a healthy diet and exercise plan.
Lifestyle changes: While not a traditional appetite suppressant, making healthy lifestyle changes can help to naturally decrease appetite and promote weight loss.
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Appetite suppressant supplements are a type of weight loss supplement that is designed to help you feel fuller and eat less, which can ultimately lead to weight loss.
These supplements work by reducing your appetite, which means that you will consume fewer calories over the course of the day. With the right approach, the best appetite suppressant supplements can be a useful tool to help you achieve your weight loss goals.
Consult with your healthcare provider: Before starting any new medication, including the best appetite suppressants, it is important to consult with your healthcare provider. They can evaluate your individual medical history, current medications, and overall health status to determine if an appetite suppressant is right for you.
Choose a reputable brand : There are many different brands of appetite suppressants available, but not all are created equal. Choose a reputable brand with a good track record and positive reviews from other users.
You can consider taking five best appetite suppressants mentioned in our list above. Follow the dosage instructions: It is important to follow the dosage instructions provided by your healthcare provider or on the packaging of the appetite suppressant. Taking too much of the medication can be dangerous and may lead to negative side effects.
Use for a limited time: Appetite suppressants are typically intended for short-term use, usually a few weeks to a few months. Using them for longer periods of time can lead to dependence and negative side effects. Combine with healthy lifestyle changes: Appetite suppressants should be used in combination with other healthy lifestyle changes, such as regular exercise and a balanced diet.
They are not a magic solution for weight loss and should not be used as a substitute for healthy habits. Monitor your progress: Keep track of your progress while using an appetite suppressant, and speak with your healthcare provider if you are not seeing the results you expected or if you experience any negative side effects.
While appetite suppressant supplements can be effective for weight loss, they also come with potential risks and side effects. Here are some of the most common side effects associated with taking appetite suppressants:. This is because stimulants work by increasing activity in the body, which can lead to an increase in heart rate and blood pressure.
Elevated heart rate and blood pressure can lead to heart palpitations, chest pain, and other serious health problems. If you take appetite suppressants for an extended period, you may develop a tolerance and require higher doses to achieve the same effects.
This can lead to dependence or abuse and can have serious health consequences. This is because appetite suppressants can increase the effects of other medications or interfere with their absorption or metabolism.
If you are taking other medications, it is important to talk to your doctor before taking appetite suppressants. If you are not getting enough water, you may become dehydrated, which can have serious health consequences.
It is important to drink plenty of water while taking appetite suppressants to avoid dehydration. It is important to consult with a healthcare professional before taking any appetite suppressant supplements to understand the potential risks and side effects, and to ensure that they are safe and appropriate for you.
Additionally, it is important to follow the recommended dosage and not exceed the recommended daily intake to avoid potential health complications. While appetite suppressants can be effective for weight loss, there are certain individuals who should avoid taking them due to potential health risks.
Here are some groups of people who should not take appetite suppressants:. Pregnant or breastfeeding women: Appetite suppressants can negatively impact fetal development and may be harmful to infants if passed through breast milk. Children and teenagers: Appetite suppressants are not recommended for children or teenagers under 18 years of age because their bodies are still developing, and their nutritional needs are different from those of adults.
Individuals with a history of eating disorders: Taking appetite suppressants can trigger or worsen eating disorders such as anorexia, bulimia, and binge eating disorder. It is thought to reduce your appetite — giving you all-day hunger control.
Hunger comes on gradually and is the desire for any type of food. However, cravings can come on suddenly and are the desire for a specific type of food.
They can also be tied to emotions like boredom. Qsymia keeps working throughout the day to help you feel full. It may also alter the taste of certain foods, which may reduce the pleasure of eating.
When it comes to trying to lose weight, more than 1 in 3 patients indicated that the statement they related to the most was:. I find myself falling back into bad habits with diet and exercise. Qsymia Patient Survey: Online survey conducted in August Responses from 1, Qsymia patients 18 years and older.
Respondents were not remunerated for participating in the survey. Infographic: Hunger vs Cravings. Hunger vs. craving: What's the difference? Qsymia can help you take control of the hunger and cravings you struggle with. Qsymia is clinically proven to help adult patients lose weight and inches off their waist.
Source: McKesson Specialty Health, calculated between Jan-Sep Pharmacy fees may vary by location. Please note that quantity claims of days are not eligible for the Qsymia Savings Card. See full terms and conditions.
Additional shipping and handling costs will apply. This is a cash only program - insurance claims will not be processed.
Please see QsymiaEngage. com for full program details. Qsymia should be used together with a reduced-calorie diet and increased physical activity for chronic weight management in:. Do not take Qsymia if you are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment; have glaucoma; have thyroid problems hyperthyroidism ; are taking certain medicines called monoamine oxidase inhibitors MAOIs or have taken MAOIs in the past 14 days; are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia.
See the end of the Medication Guide for a complete list of ingredients in Qsymia. If you take Qsymia during pregnancy, your baby has a higher risk for birth defects called cleft lip and cleft palate. These defects can begin early in pregnancy, even before you know you are pregnant.
Patients who are pregnant must not take Qsymia. Patients who can become pregnant should have a pregnancy test before taking Qsymia and every month while taking Qsymia and use effective birth control contraception consistently while taking Qsymia.
Talk to your healthcare provider about how to prevent pregnancy. If you become pregnant while taking Qsymia, stop taking Qsymia immediately, and tell your healthcare provider right away. Healthcare providers and patients should report all cases of pregnancy to FDA MedWatch at FDA, and the Qsymia Pregnancy Surveillance Program at Increases in heart rate.
Qsymia can increase your heart rate at rest. Your healthcare provider should check your heart rate while you take Qsymia. Tell your healthcare provider if you experience, while at rest, a racing or pounding feeling in your chest lasting several minutes when taking Qsymia.
Visual field defects independent of elevated intraocular pressure have been reported in clinical trials and in postmarketing experience in patients receiving topiramate. In clinical trials, most of these events were reversible after topiramate discontinuation.
If visual problems occur at any time during treatment, consider discontinuing Qsymia. Suicidal thoughts or actions. Topiramate, an ingredient in Qsymia, may cause you to have suicidal thoughts or actions. Call your healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you: thoughts about suicide or dying; attempts to commit suicide; new or worse depression; new or worse anxiety; feeling agitated or restless; panic attacks; trouble sleeping insomnia ; new or worse irritability; acting aggressive, being angry, or violent; acting on dangerous impulses; an extreme increase in activity or talking mania ; other unusual changes in behavior or mood.
Serious eye problems, which include any sudden decrease in vision, with or without eye pain and redness or a blockage of fluid in the eye causing increased pressure in the eye secondary angle closure glaucoma.
These problems can lead to permanent vision loss if not treated. Tell your healthcare provider right away if you have any new eye symptoms. Qsymia may cause a severe rash with blisters and peeling skin, especially around the mouth, nose, eyes, and genitals Stevens-Johnson Syndrome.
Qsymia may also cause a rash with blisters and peeling skin over much of the body that may be life threatening Toxic Epidermal Necrolysis.
Call your healthcare provider right away if you develop a skin rash or blisters. Numbness or tingling in the hands, arms, feet, or face paraesthesia ; dizziness; changes in the way foods taste or loss of taste dysgeusia ; trouble sleeping insomnia ; constipation; and dry mouth. COMMON SIDE EFFECTS OF QSYMIA IN CHILDREN 12 YEARS OLD AND OLDER INCLUDE:.
Mood changes and trouble sleeping. Qsymia may cause depression or mood problems, and trouble sleeping. Tell your healthcare provider if symptoms occur. Concentration, memory, and speech difficulties.
Qsymia may affect how you think and cause confusion, problems with concentration, attention, memory or speech.
Increases of acid in bloodstream metabolic acidosis. If left untreated, metabolic acidosis can cause brittle or soft bones osteoporosis, osteomalacia, osteopenia , kidney stones, can slow the rate of growth in children, and may possibly harm your baby if you are pregnant.
Metabolic acidosis can happen with or without symptoms. Sometimes people with metabolic acidosis will: feel tired, not feel hungry loss of appetite , feel changes in heartbeat, or have trouble thinking clearly. Your healthcare provider should do a blood test to measure the level of acid in your blood before and during your treatment with Qsymia.
Low blood sugar hypoglycemia in people with type 2 diabetes mellitus who also take medicines used to treat type 2 diabetes mellitus.
Weight loss can cause low blood sugar in people with type 2 diabetes mellitus who also take medicines used to treat type 2 diabetes mellitus such as insulin or sulfonylureas. You should check your blood sugar before you start taking Qsymia and while you take Qsymia. High blood pressure medicines.
If you are taking medicines for your blood pressure, your doctor may need to adjust these medicines while taking Qsymia.
Central Nervous System CNS side effects. The use of prescription sleep aids, anxiety medicines, or drinking alcohol with Qsymia may cause an increase in CNS symptoms such as dizziness and light-headedness.
Do not drink alcohol with Qsymia. Possible seizures if you stop taking Qsymia too fast. Seizures may happen in people who may or may not have had seizures in the past if you stop Qsymia too fast.
Your healthcare provider will tell you how to stop taking Qsymia slowly. Kidney stones. Drink plenty of fluids when taking Qsymia to help decrease your chances of getting kidney stones. Decreased sweating and increased body temperature fever.
People should be watched for signs of decreased sweating and fever, especially in hot temperatures. Some people may need to be hospitalized for this condition.
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