Phentermine for weight loss

Phentermine for weight loss
What is the most important information I should know about phentermine and topiramate?

nopreg This medication can harm an unborn baby or cause birth defects. Do not use phentermine for weight loss and topiramate if you are pregnant.

donot You should not take this medication if you are allergic to phentermine (Adipex-P, Oby-Cap, Suprenza, T-Diet, Zantryl) or topiramate (Topamax), or if you have glaucoma or overactive thyroid.

donot Do not use phentermine and topiramate if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

Before you take phentermine and topiramate, tell your doctor if you have high blood pressure, heart disease, diabetes, liver or kidney disease, low blood levels of

potassium, or if you have had a heart attack or stroke in the past 6 months.

habit Phentermine may be habit-forming and should be used only by the person for whom it was prescribed. Keep the medication in a secure place where others cannot get to it.

emt Do not stop taking phentermine and topiramate suddenly, or you could have a seizure (convulsions). You may need to use less and less before you stop the

medication completely. Ask your doctor how to avoid seizures when you stop using phentermine and topiramate.

What is phentermine and topiramate?

Phentermine is an appetite suppressant similar to an amphetamine. Topiramate is a seizure medication, also called an anticonvulsant.

The combination of phentermine and topiramate is used together with diet and exercise to treat obesity. This medication is sometimes used to treat obesity that may be related to diabetes, high cholesterol, or high blood pressure.

emt Phentermine and topiramate will not treat any underlying condition you have (such as heart disease, diabetes, high blood pressure). Keep taking any other medications your doctor has prescribed to treat these conditions.

Phentermine and topiramate may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking phentermine and topiramate?

donot Do not use this medication if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline

(Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

donot You should not take this medication if you are allergic to phentermine (Adipex-P, Oby-Cap, Suprenza, T-Diet, Zantryl) or topiramate (Topamax), or if you

have:

glaucoma; or

overactive thyroid.

To make sure you can safely take phentermine and topiramate, tell your doctor if you have any of these other conditions:

high blood pressure, heart disease (coronary artery disease, heart rhythm problems, congestive heart failure, pulmonary hypertension);

diabetes;

liver or kidney disease;

low levels of potassium in your blood; or

if you have had a heart attack or stroke in the past 6 months.

nopreg FDA pregnancy category X. This medication can harm an unborn baby or cause birth defects. Do not use if you are pregnant. Weight loss during pregnancy also

can harm an unborn baby, even if you are overweight. Before receiving this medication, you may need a pregnancy test to make sure you are not pregnant.

Use effective birth control while you are taking this medication. Phentermine and topiramate can cause irregular vaginal bleeding while you are taking birth control pills. This should not make the pills less effective in preventing pregnancy.

nobrfeed Phentermine and topiramate can pass into breast milk and may harm a nursing baby. You should not breast-feed while taking this medication.

nochild Do not give this medication to a child younger than 18 years old.

habit Phentermine may be habit forming and should be used only by the person for whom it was prescribed. Never share phentermine and topiramate with another

person, especially someone with a history of drug abuse or addiction.

How should I take phentermine and topiramate?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results.

water Drink plenty of liquids while you are taking phentermine and topiramate. This will lower your risk of having kidney stones. You can also easily become

dehydrated while taking this medication, which can lead to severely low blood pressure or a serious electrolyte imbalance.

nocrush Do not crush, chew, break, or open an extended-release capsule. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released

at one time.

donot You should lose at least 3% of your starting weight during the first 12 weeks of taking phentermine and topiramate and eating a low calorie diet. Tell your

doctor if you do not lose at least 3% of your starting weight after taking the medication for 12 weeks.

Talk with your doctor if you have increased hunger or if you otherwise think the medication is not working properly. Taking more of this medication will not make it

more effective and can cause serious, life-threatening side effects.

donot Do not stop taking phentermine and topiramate suddenly, or you could have a seizure (convulsions). You may need to use less and less before you stop the

medication completely. Ask your doctor how to avoid seizures when you stop using phentermine and topiramate.

rt Store at room temperature away from moisture and heat. Keep track of the amount of medicine used from each new bottle. Phentermine and topiramate is a drug

of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

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 make up the missed dose.

What happens if I overdose?

emt Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of phentermine and topiramate can be fatal.

Overdose symptoms may include confusion, hallucinations, panic, feeling hostile or aggressive, nausea, vomiting, diarrhea, stomach cramps, irregular heartbeat, rapid breathing, overactive reflexes, or seizure (convulsions).

What should I avoid while taking phentermine and topiramate?

donot Do not take any other prescription or over-the-counter weight-loss products without your doctor’s advice. noalcohol Drinking alcohol can increase certain side effects of phentermine and topiramate.

dizzy This medication may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

What are the possible side effects of phentermine and topiramate?

emt Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

donot Stop taking this medication and call your doctor at once if you have a serious side effect such as:

pounding heartbeats or fluttering in your chest;

depressed mood, thoughts of suicide or hurting yourself;

trouble concentrating, problems with thinking or speech, feeling like you might pass out;

blurred vision, eye pain, or seeing halos around lights;

low blood sugar (headache, hunger, weakness, sweating, confusion, irritability, dizziness, fast heart rate, or feeling jittery);

severe pain in your lower back, red or pink urine;

feeling very thirsty or hot, being unable to urinate, heavy sweating, or hot and dry skin;

low potassium (confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling); or

dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, seizure).

Less serious side effects may include:

mild dizziness, anxiety, feeling tired or irritable;

constipation;

memory problems, sleep problems (insomnia);

numbness of tingly feeling; or

altered sense of taste, dry mouth, or an unpleasant taste in your mouth.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect phentermine and topiramate?

dizzy Before using phentermine and topiramate, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine,

sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for depression or anxiety). They can add to sleepiness and other side effects caused

by phentermine and topiramate.

Tell your doctor about all other medicines you use, especially:

digoxin (Lanoxin, Lanoxicaps);

lithium (Eskalith, LithoBid);

a diuretic (water pill);

glaucoma medications such as acetazolamide (Diamox) or methazolamide (Glauctabs, MZM, Neptazane); i

nsulin or oral diabetes medication;

or seizure medication such as carbamazepine (Carbatrol, Equetro, Tegretol), divalproex sodium (Depakote), lamotrigine (Lamictal), phenytoin (Dilantin), valproic acid

(Depakene, Stavzor), or zonisamide (Zonegran).

This list is not complete and other drugs may interact with phentermine and topiramate. Tell your doctor about all medications you use. This includes prescription,

over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

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