Is it safe to take Qsymia?
The effect of Qsymia on cardiovascular morbidity and mortality has not been established. The safety and effectiveness of Qsymia in combination with other products intended for weight loss, including prescription and over-the-counter drugs and herbal preparations have not been established.
How many mg of Qsymia should I take for weight loss?
Start treatment with Qsymia 3.75 mg/23 mg (phentermine 3.75 mg/topiramate 23 mg extended-release) daily for 14 days; after 14 days increase to the recommended dose of Qsymia 7.5 mg/46 mg (phentermine 7.5 mg/topiramate 46 mg extended-release) once daily. Evaluate weight loss after 12 weeks of treatment with Qsymia 7.5 mg/46 mg.
How can I increase the dose of Qsymia?
To escalate the dose: Increase to Qsymia 11.25 mg/69 mg (phentermine 11.25 mg/topiramate 69 mg extended-release) daily for 14 days; followed by dosing Qsymia 15 mg/92 mg (phentermine 15 mg/topiramate 92 mg extended-release) once daily. Evaluate weight loss following dose escalation to Qsymia 15 mg/92 mg...
Do I have to take Qsymia every day?
Take 1 Qsymia 3.75 mg/23 mg capsule once each morning for the first 2 weeks. You may or may not lose weight during this starter dose period. If not, don't be discouraged. Move onto the prescribed recommended dose for weight-loss results.
Can you skip a day of Qsymia?
If you miss a dose of the prescription weight-loss drug Qsymia (phentermine and topiramate), wait until the following morning to take your usual dose.
How long can Qsymia be taken?
The Food and Drug Administration (FDA) limited treatment to 12 weeks or less. By contrast, when the FDA approved a new brand-named combination medication, Phentermine/Topiramate-CR (Qsymia), in 2012, it was for long-term use for a year or more.
What time of day is best to take Qsymia?
Dosage Guidelines & Tips Use the medicine exactly as directed. Take this medicine each morning, with or without food. Drink plenty of water each day to prevent dehydration or kidney stones while you are taking phentermine and topiramate.
What happens if you forget to take Qsymia?
If you miss a dose, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. Do not take 2 doses of Qsymia at the same time. You should avoid drinking alcohol while taking Qsymia.
What happens if you stop taking Qsymia?
To stop Qsymia, patients should take a dose (determined by your doctor) every other day for at least 1 week and then before stopping stop treatment altogether. Stopping Qsymia suddenly can cause serious medical problems such as seizures. Individuals should inform their doctor before stopping the medication.
Should I skip a day of phentermine?
What should I do if I missed a dose of Phentermine (Lomaira)? Take the medicine as soon as you can, but skip the missed dose if it is late in the day. Do not take two doses at one time.
How fast do you lose weight on Qsymia?
Weight loss in all patients was 4.7 lbs, 14.1 lbs, and 17.2 lbs with placebo, Qsymia 7.5 mg/46 mg, and Qsymia 15 mg/92 mg, respectively, at 12 weeks; 5.4 lbs, 19.5 lbs, and 24.3 lbs with placebo, Qsymia 7.5 mg/46 mg, and Qsymia 15 mg/92 mg, respectively, at 28 weeks; and 3.8 lbs, 19.5 lbs, and 24.7 lbs with placebo, ...
Is Qsymia stronger than phentermine?
There aren't studies that compare the two medications directly, but experts consider Qsymia (phentermine / topiramate ER) a stronger weight loss medication than phentermine (Adipex-P) alone.
Can I drink coffee while taking Qsymia?
Caffeine can increase the side effects of this medication. Avoid drinking large amounts of beverages containing caffeine (coffee, tea, colas), eating large amounts of chocolate, or taking nonprescription products that contain caffeine.
Does Qsymia start working immediately?
Qsymia starts working immediately after you take it. It is thought to reduce your appetite — giving you all-day hunger control. Did you know there's a difference between hunger and cravings? Hunger comes on gradually and is the desire for any type of food.
What two drugs make up Qsymia?
Qsymia is a prescription medicine that contains phentermine and topiramate extended-release that may help some obese adults or some overweight adults who also have weight-related medical problems lose weight and keep the weight off. Qsymia should be used with a reduced calorie diet and increased physical activity.
Before Taking This Medicine
Do not use Qsymia if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarbox...
How Should I Take Qsymia?
Take Qsymia xactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to...
Qsymia Dosing Information
Usual Adult Dose of Qsymia for Weight Loss:-Initial dose: Take one capsule of the lowest dose (phentermine 3.75 mg/topiramate 23 mg extended-releas...
What Happens If I Miss A Dose?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to...
What Happens If I Overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of Qsymia can be fatal.Overdose symptoms may include c...
What Should I Avoid While Taking Qsymia?
Ketogenic or "ketosis" diets that are high in fat and low in carbohydrates can increase the risk of kidney stones. Avoid the use of such diets whil...
What Other Drugs Will Affect Qsymia?
Taking this medicine with other drugs that make you sleepy can worsen this effect. Ask your doctor before taking Qsymia with a sleeping pill, narco...
How long should I take Qsymia?
Take 1 Recommended Dose capsule each morning for 10 weeks. After the 2-week Starter period, during which you’ll evaluate how Qsymia affects you, you’ll move up to the Recommended Dose capsule. It looks a bit different, but you’ll take it exactly the same way.
What to do if you miss a dose of Qsymia?
If you miss a dose, take it as soon as you remember. However, if it's nearly time for your next dose, just skip the missed one instead of "doubling up.". Qsymia is delivered in a delayed-release capsule, so do not crush or chew on it—swallow it whole.
How long should I take titration?
1. Take a daily Titration capsule for 2 weeks, if recommended. If you have shown limited or no progress on the lower dosages after 3 months, your doctor may transition you to the highest dose over a 2-week period. During these 2 weeks , you’ll take a daily capsule at the Titration dosage level.
How long does it take to lose weight with Qsymia?
Evaluate your progress with your doctor after 12 weeks. After 3 months of combining daily Qsymia capsules with diet and exercise, the general goal is to have reduced your weight by 3% (from 240 to 233 pounds (109 to 106 kg), for example). Your specific goals will vary, however, depending on your circumstances. [8]
How to lose weight with Qsymia?
Start a diet and exercise program along with Qsymia. You have a greater likelihood of losing weight with this medication if you combine it with a healthy diet and regular exercise program. Develop a diet and exercise regimen with your doctor that suits your health status and weight loss goals.
Can Qsymia cause eye pain?
Report serious eye problems right away. Contact your doctor immediately if you experience a sudden decrease in vision, which may or may not be accompanied by eye redness and pain. Qsymia can cause secondary angle closure glaucoma, which is a sudden increase in eye pressure due to a fluid blockage.
What to do if you have side effects from Qsymia?
If the side effects are life-threatening, your doctor may want you to stop taking the medication.
How to take Qsymia?
Take this medicine each morning, with or without food. Drink plenty of water each day to prevent dehydration or kidney stones while you are taking Qsymia.
What are the side effects of Qsymia?
a seizure; signs of a kidney stone - severe pain in your side or lower back, painful or difficult urination; or. signs of too much acid in your blood - loss of appetite, tiredness, thinking problems, irregular heartbeats. Common Qsymia side effects may include: dizziness; constipation; numbness or tingly feeling; sleep problems ( insomnia ); or.
What is the difference between Qsymia and Topiramate?
Topiramate is typically used as a seizure medication, also called an anticonvulsant. Qsymia is used together with diet and exercise to treat obesity. This medicine is sometimes used to treat obesity that may be related to diabetes, high cholesterol, or high blood pressure.
What to ask your doctor before taking a sleeping pill?
Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures. Tell your doctor about all your other medicines, especially: acetazolamide; methazolamide; zonisamide; valproic acid or divalproex sodium (Depakene or Depakote) birth control pills;
What is the FDA's number for dry mouth?
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Is Qsymia safe for a heart attack?
Qsymia is not FDA-approved for use by anyone younger than 18 years old. To make sure Qsymia is safe for you, tell your doctor if you have: heart problems, high blood pressure; a heart attack or stroke; diabetes (weight loss may cause low blood sugar ); metabolic acidosis (too much acid in your blood);
Can you use Qsymia if you have MAO inhibitors?
Do not use Qsymia if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.
General Dosing and Administration
Pregnancy testing is recommended before initiating Qsymia in patients who can become pregnant and monthly during Qsymia therapy [see Warnings and Precautions (5.1) and Use in Specific Populations (8.3).
Dosing in Patients with Renal Impairment
In patients with moderate (creatinine clearance [CrCl] greater than or equal to 30 and less than 50 mL/min) or severe (CrCl less than 30 mL/min) renal impairment dosing should not exceed Qsymia 7.5 mg/46 mg once daily.
Dosing in Patients with Hepatic Impairment
In patients with moderate hepatic impairment (Child-Pugh score 7 - 9), dosing should not exceed Qsymia 7.5 mg/46 mg once daily [see Warnings and Precautions (5.14) and Clinical Pharmacology (12.3) ].
What are the side effects of Qsymia?
Common side effects of Qsymia include: 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.
What are the symptoms of Qsymia?
Concentration, memory, and speech difficult ies. Qsymia may affect how you think and cause confusion, problems with concentration, attention, memory or speech. Tell your healthcare provider if symptoms occur. Increases of acid in bloodstream (metabolic acidosis).
Does Qsymia increase heart rate?
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.
Can you take Qsymia while pregnant?
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.
Is Qsymia safe for children?
It is not known if Qsy mia changes your risk of heart problems or stroke or of death due to heart problems or stroke. It is not known if Qsymia is safe and effective when taken with other prescription, over-the-counter, or herbal weight loss products. It is not known if Qsymia is safe and effective in children under 18 years old.
Can you drink alcohol with Qsymia?
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.
Does Qsymia make you feel hungry?
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.
How does Qsymia help you?
Learn how Qsymia can help you break through and manage the impulses you struggle with. 1. It can be frustrating coping with the daily cycle of hunger and cravings when trying to lose weight. Willpower alone is not enough. Once-daily Qsymia helps you control hunger and resist cravings — all day long!
How to stop Qsymia?
Kidney stones. Drink plenty of fluids when taking Qsymia to help decrease your chances of getting ki dney stones. If you get severe side or back pain, and/or blood in your urine, call your healthcare provider.
How to lose weight with Qsymia?
Lose weight and keep it off with diet, exercise and once-daily Qsymia 1,2. With only 1 pill a day, Qsymia can help you control hunger. and resist cravings — around the clock. 1. Support.
How to report Qsymia side effects?
Call your doctor for medical advice about side effects. You may report side effects to VIVUS, Inc. at 1-888-998-4887 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch .
What are the symptoms of Qsymia?
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.
What are the side effects of Qsymia?
Common side effects of Qsymia include: 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.
What BMI should I use for Qsymia?
Qsymia should be used together with a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of: 30 kg/m 2 or greater (obese) or.
Severe Interactions
These medications are not usually taken together. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation.
Serious Interactions
These medications may interact and cause very harmful effects. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation.
Moderate Interactions
These medications may cause some risk when taken together. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation.
Indications and Usage For Qsymia
Qsymia Dosage and Administration
Dosage Forms and Strengths
Contraindications
Warnings and Precautions
Adverse Reactions
Drug Interactions
- Monoamine Oxidase Inhibitors
Use of phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis. - Oral Contraceptives
Co-administration of multiple-dose Qsymia 15 mg/92 mg once daily with a single dose of oral contraceptive containing 35 µg ethinyl estradiol (estrogen component) and 1 mg norethindrone (progestin component), in obese otherwise healthy volunteers, decreased the exposure of ethiny…
Use in Specific Populations
Drug Abuse and Dependence
Overdosage