Qsymia (Phentermine/Topiramate)

Qsymia (Phentermine/Topiramate)

Qsymia (Phentermine/Topiramate) is a combination appetite suppressant/stimulant and seizure medication indicated as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in overweight and obese adults.

Phentermine and topiramate come as extended-release capsules to take by mouth. The medication is usually taken with or without food once a day in the morning. This medication may cause difficulty falling asleep or staying asleep if it is taken in the evening. Take phentermine and topiramate at around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take phentermine and topiramate exactly as directed.

Phentermine and topiramate will help control your weight only as long as you continue to take the medication. Do not stop taking phentermine and topiramate without talking to your doctor. If you suddenly stop taking phentermine and topiramate, you may experience seizures. Your doctor will tell you how to decrease your dose gradually.

Before Taking Phentermine and Topiramate,

• Tell your doctor and pharmacist if you are allergic to phentermine (Adipex-P, Lomaira); topiramate (Eprontia, Qudexy XR, Topamax,Trokendi XR); sympathomimetic amine medications such as midodrine (Orvaten) or phenylephrine (in cough and cold medications); aspirin; tartrazine (a yellow dye in some processed foods and drugs); 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.
• If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking phentermine and topiramate.
• You should know that phentermine and topiramate may slow your thinking and movements and affect your vision. Do not drive a car or operate machinery until you know how this medication affects you.
• Do not drink alcoholic beverages while you are taking phentermine and topiramate. Alcohol can make the side effects of phentermine and topiramate worse.
• You should know that phentermine and topiramate can prevent you from sweating and make it harder for your body to cool down when it gets very hot. 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.