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Doctor insights on: Phentermine And Topamax

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Can phentermine and topamax (topiramate) give a fasle positive on a drug test?

Can phentermine and topamax (topiramate) give a fasle positive on a drug test?

Yes and no: Phenteanine is an amphetamine and will show up on a drug test. Topomax will not show up on a standard drug test, ...Read more

Dr. Gail Altschuler
403 Doctors shared insights

Phentermine (Definition)

Phentermine is been around for about 60 years. Phentermine is an appetite suppressant the bariatrician in the winter of 2008. Has a article gives a great description of the medication phentermine. I have used Phentermine over the last nine years without any complications whatsoever. We only give a half of a 37.5 mg ...Read more


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Can I take Zoloft, phentermine, and topamax (topiramate) together?

Can I take Zoloft, phentermine, and topamax (topiramate) together?

Wouldn't do it: Combining zoloft (sertraline) with Phentermine risks serotonin syndrome. It's rare but dangerous -- may include confusion, hallucinations, seizures, blood pressure changes, increased heart rate, fever, sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. ...Read more

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I just heard the fda approved a weight loss pill called qysmia (phentermine n topamax)so when can drs. Prescribe it if it just was approved?

I just heard the fda approved a weight loss pill called qysmia (phentermine n topamax)so when can drs. Prescribe it if it just was approved?

Approved on Tuesday!: This is the second drug approved by the fda in two months after 11 years. It is moderately effective and does not have the e the plateau associated with Phentermine alone. I anticipate it will be out in december or january. (more bureaucracy in finalizing marketing plans. ...Read more

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Would it be safe to take phentermine, topamax, (topiramate) and thermoplus together? I just got a personal trainer and she is totally against me taking phent & top

Would it be safe to take phentermine, topamax, (topiramate) and thermoplus together? I just got a personal trainer and she is totally against me taking phent & top

Trust your trainer: You are paying for the expertise and experience of a professional - so use it. Furthermore, I think the advice is correct. Medications may have a beneficial, even life-saving use in disease management, but you are not ill. Your body and budget will be much healthier w/out those items. A good exercise and diet plan followed w/ patience and pleasure is the way to go IMHO. Best 2U! ...Read more

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I was prescribed topamax (topiramate), (topiramate) to take with my phentermine. What exactly is topamax (topiramate) prescribed for?

I was prescribed topamax (topiramate), (topiramate) to take with my phentermine. What exactly is topamax (topiramate) prescribed for?

Topamax (topiramate): Topamax (topiramate) is a seizure medication. Topamax (topiramate) is used alone or in combination with other medications to treat seizures in adults and children. Topamax (topiramate) is also used to treat/prevent migraine headaches in adults.

In your case, it might be prescribed for weight loss with phentermine. ...Read more

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What is the maximum dosage of Topamax (topiramate) and phentermine for weight loss? I am on 15 phentermine 1x/day and 50 topamax (topiramate) 2x/day.

What is the maximum dosage of Topamax (topiramate) and phentermine for weight loss? I am on 15 phentermine 1x/day and 50 topamax (topiramate) 2x/day.

Based on Qsymia (phentermine and topiramate): Hi. The max dose based on Qsymia (phentermine and topiramate) is phentermine 15 mg/day and topiramate 100 mg/day. ...Read more

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Currently take Topamax & Phentermine daily. Any potential side effects as my wife and I try to conceive? Took about 3 months for 1st child (pre-meds).

Currently take Topamax & Phentermine daily. Any potential side effects as my wife and I try to conceive? Took about 3 months for 1st child (pre-meds).

Topomax/phentermine: That combo-marketed as Qsymia has a MAJOR educational effort around pregnancy as the drug is a pregnancy category X meaning it SHOULD NOT be used during pregnancy - at least in females. In males- my best recommendation is STOP it - for at least 3 months prior to planning a baby - once she is pregnant you can resume it (if you are taking it) I would NOT risk birth defects for some weight loss. ...Read more

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Started taking phentermine 15mg 1 a day and topamax (topiramate) 25mg 2x/day 4 days ago. When will it start to curb my appetite?

Started taking phentermine 15mg 1 a day and topamax (topiramate) 25mg 2x/day 4 days ago. When will it start to curb my appetite?

That depends: Topamax (topiramate) is fda approved for migraines prevention and certain kinds of seizures. The side effect can be weight loss. Phentermine is an appetite suppressant used together with diet and exercise to treat obesity. Depending on your exercise regimen and diet, you may start noticing some weight loss in a few days. Neither are magic pills though and you need to be motivated. Good luck. ...Read more

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What % of people taking qsymia (phentermine and topiramate) lost >15 pounds in the first 3 months? What was the overall average pounds lost by each person on the qsymia (phentermine and topiramate) study?

What % of people taking qsymia (phentermine and topiramate) lost >15 pounds in the first 3 months? What was the overall average pounds lost by each person on the qsymia (phentermine and topiramate) study?

Complicated answer: There were 3 trials involving Qsymia (phentermine and topiramate) and depending on how the authors analyzed the data, the degree of weight loss was different. In the equip study, one analysis showed a 5% weight loss at 52 weeks on the lower dose of qsymia (phentermine and topiramate). But this was in severely obese people (bmi>35) so the effects may not be applicable to lower bmi people. Talk with your doc about risks/benefits, and if right for you. ...Read more

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Will eating grapefruit harm me in any way taking Qsymia (phentermine and topiramate)?

Will eating grapefruit harm me in any way taking Qsymia (phentermine and topiramate)?

Avoid grapefruit: Grapefruit and some other citrous fruits (tangelos & Seville oranges) contain chemicals that inhibit certain enzymes that help your body clear certain medications including one of the two active components of Qsymia (phentermine and topiramate), (phentermine and topiramate) namely topiramate. Grapefruit may thus increase the levels of topiramate in your body and its risks. It is best to avoid eating/drinking grapefruit and its juice while taking Qsymia (phentermine and topiramate). ...Read more

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What were the common sides effects seen in the qsymia (phentermine and topiramate) study? Were there any uncommon but serious side effects?

Many from 2 meds: Phentermine+topiramate: numbness, dry mouth, constipation, colds/bronchitis, acidosis, headaches, insomnia, dizziness, nausea, backpain, blurred vision, fatigue, high potassium, depression, anxiety hair loss, reflux, and man many more...And rare but serious ones: allergic reaction, high blood pressure, heart valve disorders, tremors, psychosis, pancreatitis, liver failures. Consult doc. Good luck. ...Read more

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I would like to get a prescription for Qsymia (phentermine and topiramate) on line. Is that possible?

I would like to get a prescription for Qsymia (phentermine and topiramate) on line. Is that possible?

Not likely: This combination weight management medication contains a stimulant (phentermine) which is a schedule IV drug. These shouldn't be prescribe online. Additionally it has many different side effects including cardiovascular ones which need close monitoring. ...Read more

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Is Qsymia (phentermine and topiramate) safe for weight loss?

Is Qsymia (phentermine and topiramate) safe for weight loss?

Think long-term.: Short term risks and potential for abuse aside, the biggest flaw that I see with weight loss medications like this is the return of overweight once the pill is stopped. You really can't take these pills forever, and once stopped weight gain usually occurs, sometimes to or beyond your original weight. Again, quick fixes tend not to work in the long term. Be sensible and patient. ...Read more

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Can a combination of metformin, topamax, (topiramate) phentermine and wellbutrin help you lose weight?

Can a combination of metformin, topamax, (topiramate) phentermine and wellbutrin help you lose weight?

Possibly but: There are several drug interactions between these 4 medications, and Phentermine and wellbutrin (bupropion) could both increase anxiety significantly. Consult your prescriber and discuss this combination thoroughly with her/him. ...Read more

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The doctor prescribed me topamax (topiramate) and phentermine for weight loss. Are these effective?

The doctor prescribed me topamax (topiramate) and phentermine for weight loss. Are these effective?

Yes, in Some: Though Topamax (topiramate) was originally used only as an anti-epileptic & migraine medication, it is becoming popular as a weight loss medication. It's mechanism of action in weight loss is uncertain, but it's efficacy in producing weightloss is well-documented. Combination with phentermine is also becoming more common. Phentermine has been known for years to suppress appetite. ...Read more

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What were the prescription or over-the-counter drug interactions seen in the qsymia (phentermine and topiramate) study? Anything people really have to watch out for?

What were the prescription or over-the-counter drug interactions seen in the qsymia (phentermine and topiramate) study? Anything people really have to watch out for?

Few to consider..: Qsymia=phentermine+topiramate: causes many side effects. Rare but serious ones: allergic reaction, high blood pressure, heart valve disorders, tremors, psychosis, pancreatitis, liver failures, thus careful with decongestant (pseudafed/phenylephrine), antihistamines 9zyrtec/benadryl), and tylenol (acetaminophen) containing products. Consult doc if u need to take these meds. Good luck. ...Read more

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How should qsymia (phentermine and topiramate) be prescribed? My husband is 30 pounds over weight and our doctor wrote a perscription for the highest dosage. This seems incorrect

How should qsymia (phentermine and topiramate) be prescribed? My husband is 30 pounds over weight and our doctor wrote a perscription for the highest dosage. This seems incorrect

Usually titrated up: Hi. Usually the dose of Qsymia (phentermine and topiramate) is titrated up, but I suppose if he tolerates the highest dose right off the bat and has a clinical response, it's OK. Talk with the doctor or speak with your pharmacist. Maybe the doc has had favorable experience starting right off at the highest dose. ...Read more

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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? .

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 ...Read more

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Hi, I am a 21 year old female, height of 5'2 & weighing around 260 pounds. I have struggled with weight loss. I wanted to know your thoughts on qsymia (phentermine and topiramate)?

Hi, I am a 21 year old female, height of 5'2 & weighing around 260 pounds. I have struggled with weight loss. I wanted to know your thoughts on qsymia (phentermine and topiramate)?

Qsymia (phentermine and topiramate): Hi. Qsymia (phentermine and topiramate) is a decent weight loss drug. Your BMI is 47.5, and Qsymia (phentermine and topiramate) has not been shown to be effective in a similar patient population as far as I'm aware. I know your weight makes your life very difficult, and my heart goes out to you. Your weight is a serious health risk to you. It would be worth talking with an experienced bariatric surgery group about options. Good luck! ...Read more

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As a doctor what's your opinion of the new weight loss drug qsymia (phentermine and topiramate)? Would you/have you used it yet? Results?

As a doctor what's your opinion of the new weight loss drug qsymia (phentermine and topiramate)? Would you/have you used it yet? Results?

Not so new: Dr's have used this drug (combo of 2 generics changed into an er). It's a safe & effective medication when used in the right person for the right amount of time. Note that safe does not mean without side effects. It should be used for no more than a few months along w/ ongoing lifestyle changes (dietary modification, exercise). The key is maintaining that lifestyle change once med stopped. ...Read more

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Curious about the weightloss medication, Qsymia (phentermine and topiramate)? With PCOS it's hard to lose weight on your own, is this something that would help?

Curious about the weightloss medication, Qsymia (phentermine and topiramate)? With PCOS it's hard to lose weight on your own, is this something that would help?

It may: Help, but only as long as you take it, and has potential side effects. Diet and exercise are needed. Metformin may help to reduce the basic metabolic problem of insulin resistance. Talk w/your doctor. ...Read more

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On prenatal vitamins. Is it safe to take xenical or qsymia (phentermine and topiramate). My BMI is 30 and mybe 1 reason why I can't get pregnant. Height 5'7 weight 192.Need help?

On prenatal vitamins. Is it safe to take xenical or qsymia (phentermine and topiramate). My BMI is 30 and mybe 1 reason why I can't get pregnant. Height 5'7 weight 192.Need help?

Most women with BMI: Of 30 have no problem with fertility

i would avoid all drugs when trying to conceive

see endocrinologist of infertility specialist to look for other causes of infertility as I won't blame it on weight. ...Read more

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Itchy small rash for 7days and now vertigo also starting to itch my feet too could this be a bad allergy, mite or qsymia (phentermine and topiramate) side effects? I'm also on peeio

Itchy small rash for 7days and now vertigo also starting to itch my feet too could this be a bad allergy, mite or qsymia (phentermine and topiramate) side effects? I'm also on peeio

Hard to say: Itch and dizziness are common symptoms, and are reported as side effects for many meds. Not familiar with your meds, but any med can have side effects. If you're concerned, get a medical exam. ...Read more

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Can phentermine and topimax be an rx through this system?

No: We are prohibited from prescribing medications such as phentermine on HealthTap. ...Read more

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Could the new drug combination of phentermine and topomax (Quisimya, or something like that) help with Migraines? Stimulants worked well in the past,

Could the new drug combination of phentermine and topomax (Quisimya, or something like that) help with Migraines? Stimulants worked well in the past,

Yes. . . or no. .: We have used Topamax (topiramate) alone for quite some time for the treatment of migraines. It is used in an attempt to reduce the frequency and severity of migraines. Stimulants (used mainly as short term appetite suppressants) do have the potential to make headaches worse, in some people. So, there is really no way to anticipate how you would respond without trying it--if that is what your doctor had prescr ...Read more

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How to tapper off from topiramate?

Topiramate: I don't know if this being prescribed to you by a psychiatrist or a neurologist. I worry when I see this type of question, as it might mean that someone is considering coming off of a medication without fully discussing with the prescribing provider. I encourage you to discuss this with your physician. ...Read more

Dr. Colin Sanner
400 Doctors shared insights

Topiramate (Definition)

Is indicated to treat epilepsy, but mainly a second line or adjunctive agent, and also useful to prevent migraine headaches. Has several adverse effects including: kidney stones, narrow angle glaucoma, metabolic acidosis, heatstroke in kids, paresthesias, slowing of speech and cognition, drowsiness. ...Read more


Dr. Janice Alexander
278 Doctors shared insights

Ionamin (Definition)

Ionamin is an appetite suppressant which is a kind ...Read more