Healthy 50 y/o female.,30mg of paxil almost a year/menopause "madness" i call it. gained 50lbs 9 months dr won't prescribe qsymia (phentermine and topiramate). why not?

Risk vs benefit: No such thing as free lunch. Likewise, no medication (or even dietary supplement or herb) is w/o potential side effect(s). Decision to prescribe any drug is based upon whether desired benefit exceeds potential risk. Check out http://www.drugs.com/sfx/qsymia-side-effects.html for info re Qsymia (phentermine and topiramate). Paroxetine as Brisdelle is approved to treat hot flashes of menopause at much lower dose than depression