Doctor insights on:
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?
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
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
I was diagnosed with metabolic syndrome and with that my dr prescribed Qsymia to help me (and my body) break through - I lost over 20 lbs then stalled even though the dosage was increased. My BMI is in range now but I would still like to lose about 15-20
Don't reach for pill: Appetite suppressants are only temporary crutches--what happens when you stop them? Exercise rather than reach for food, & keep on-hand only healthy choices if you must snack. Chewing gum, a big glass of water, carrots & celery sticks may help curb your appetite. Reach your goal safely please. ...Read more
I am 2mos post partum and need to lose 50lbs asap. Any prescription suggestions i can take to my dr such as qsymia or belviq (lorcaserin)? Or OTC products?
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
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
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
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 moreSee 3 more doctor answers
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 moreSee 2 more doctor answers
Today i will be stoping my pristiq after almost 2months taking it per dr. And i will begin my qsymia (phentermine and topiramate) im worried of withdrawal and side effects advise.
Change reason?: You are stopping an antidepressant and starting a weight control medication. Talk to your doctor about this. ...Read more
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
My dr. Recommends qsymia (phentermine and topiramate) for my weight loss but my insurance dosent covers it. Is there other weight loss meds fda approve to use? thanks.
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
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 moreSee 2 more doctor answers
Is it safe to take zoloft (150mg/day) with Qsymia (phentermine and topiramate)? My PCP prescribed the Qsymia (phentermine and topiramate) to help aid in weight loss, knowing I take zoloft, but I see negatives
Not a good idea: please call your pharmacy for possible side effects and drug-drug interactions. ...Read more
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? Im also on peeio
Search on the web...: Places to find a doctor... Do a doctor search on healthtap via "find doctor" feature, and look at his profile. Search for a doctor on the web at one's insurance company's site. Ask friends, neighbors, relatives for recommendations (but sometimes they'll ask "are you sick?"). Call the local hospital or county medical society; ask for doctors specializing in bariatrics and other weight loss methods. ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more