How much topamax is in qsymia

Additionally, the drug is contraindicated for pregnant women, as it can cause harm to the fetus. Further, because the drug can increase heart rate, it use is also contraindicated for patients with recent or unstable CVD or stroke, and regular monitoring of heart rate is recommended for all patients. The common side effects associated with the drug are parenthesis, dizziness, altered taste sensation, insomnia, constipation and dry mouth. Healio News Endocrinology Practice Management.

Issue: August Read next. August 09, Receive an email when new articles are posted on. Please provide your email address to receive an email when new articles are posted on. You've successfully added to your alerts. It is also important information to carry with you in case of emergencies. Phentermine and Topiramate pronounced as fen'' ter meen toe pyre' a mate.

Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow? What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication? Brand names of combination products. Other uses for this medicine. What special precautions should I follow? Before taking phentermine and topiramate, tell your doctor and pharmacist if you are allergic to phentermine Adipex-P, Suprenza ; topiramate Topamax ; sympathomimetic amine medications such as midodrine Orvaten, ProAmatine or phenylephrine in cough and cold medications ; any other medications, or any of the ingredients in phentermine and topiramate capsules.

Ask your pharmacist or check the Medication Guide for a list of the ingredients. Your doctor will probably tell you not to take phentermine and topiramate if you are taking one or more of these medications or have taken one of these medications during the past 2 weeks.

Be sure to mention other prescription or nonprescription medications or herbal products for weight loss and any of the following: amitriptyline Elavil ; carbonic anhydrase inhibitors such as acetazolamide Diamox , methazolamide, or zonisamide Zonegran ; diuretics 'water pills' including furosemide Lasix or hydrochlorothiazide HCTZ ; insulin or other medications for diabetes; ipratropium Atrovent ; lithium Lithobid ; medications for anxiety, high blood pressure, irritable bowel disease, mental illness, motion sickness, Parkinson's disease, ulcers, or urinary problems; medications for seizures such as carbamazepine Carbatrol, Equetro, Tegretol , phenytoin Dilantin , or valproic acid Stavzor, Depakene ; pioglitazone Actos, in Actoplus, in Duetact ; sedatives; sleeping pills; and tranquilizers.

Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Your doctor will probably tell you not to take phentermine and topiramate. Also tell your doctor if you have or have ever had depression; an irregular heartbeat; heart failure; seizures; metabolic acidosis too much acid in the blood ; osteopenia, osteomalacia, or osteoporosis conditions in which the bones are brittle or weak and may break easily ; ongoing diarrhea; any condition that affects your breathing; diabetes; kidney stones; or kidney or liver disease.

You may experience unusual spotting unexpected vaginal bleeding if you use this type of birth control. You will still be protected from pregnancy if you are spotting, but you can talk to your doctor about other forms of birth control if the spotting is bothersome.

Do not drive a car or operate machinery until you know how this medication affects you. Alcohol can make the side effects of phentermine and topiramate worse. Avoid exposure to heat, drink plenty of fluids and tell your doctor if you have a fever, headache, muscle cramps, or an upset stomach, or if you are not sweating as usual. A small number of adults and children 5 years of age and older about 1 in people who took antiepileptics such as topiramate to treat various conditions during clinical studies became suicidal during their treatment.

Some of these people developed suicidal thoughts and behavior as early as 1 week after they started taking the medication. You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: panic attacks; agitation or restlessness; new or worsening irritability, anxiety, or depression; acting on dangerous impulses; difficulty falling or staying asleep; aggressive, angry, or violent behavior; mania frenzied, abnormally excited mood ; talking or thinking about wanting to hurt yourself or end your life; withdrawing from friends and family; preoccupation with death and dying; giving away prized possessions; or any other unusual changes in behavior or mood.

Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor if you are unable to seek treatment on your own. Drink extra fluids during your treatment with phentermine and topiramate. Unless your doctor tells you otherwise, continue your normal diet.

Phentermine and topiramate may cause side effects. That compared with 6. The study was conducted between December and September and submitted to the FDA as part of the drug's approval process. The approval of Qsymia in mid July of , within weeks of the greenlighting of Arena Pharmaceuticals' diet drug Belviq lorcaserin HCI , ended a year drought in the prescription weight-loss drug pipeline. Qsymia was the first of the drugs to reach the market, but its sales have been slower than anticipated , and phentermine monotherapy remains the most commonly prescribed weight-loss drug in the U.

The researchers examined seven treatment arms including placebo; two doses of phentermine monotherapy 7.