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Doctor insights on: Qysmia

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Doctors, what do you think of qysmia so far? Any big problems expected?

Doctors, what do you think of qysmia so far? Any big problems expected?

Standard medications: Qsymia (phentermine and topiramate) represents a combination of. Already well-known medications. No problems are expected. Many are hopeful that combined with diet and exercise people will be successful at working toward a healthier body and lifestyle. ...Read more

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I am just starting Qysmia and when I started it I was on my period. My period last 7 days and I have been spotting for 4 days. Is this normal?

I am just starting Qysmia and when I started it I was on my period. My period last 7 days and I have been spotting for 4 days. Is this normal?

Breakthrough bleed: Breakthrough bleeding (bleeding at the wrong time) is very common on birth control. It happens in about 1/3 of users. Its no big deal and usually self corrects over time. If you are not satisfied or it continues to happen then consider using a different birth control method. It is a common side effect and does not mean something is wrong or that the pill is not working. ...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?

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 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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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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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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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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