Qsymia Medical Weight Loss

qsymia denver co weight loss

Qsymia is one of the latest weight loss drugs to be approved by the FDA, deemed effective for adults with a body mass index (BMI) of 30 or greater. In addition to a reduced calorie diet and increased physical activity, clinical studies have shown Qsymia to be an effective tool for weight loss.


Clinical studies and real life experiences are providing proof that Qsymia can help even the most overweight adults lose weight, providing hope to those who have nearly given up their question for a healthier life.


Clinical Study:


In one clinical study, 1,267 obese patients were evaluated. The patient’s BMI ranged from 35 to 79. Some patients were given Qsymia, while others were given a placebo. 58 percent of the patients in the Qsymia group completed one year of treatment vs. 47 percent in the placebo group. Participants who took 15 mg/92 mg (the top dose) lost 10.9 percent of their body weight, while participants taking 3.75 mg/23 mg (the starting dose) lost 5.1 percent of their body weight. The placebo group lost 1.6 percent.


67 percent of patients who took the top dose and 45 percent who took the starting dose achieved a 5 percent or greater weight loss after one year vs. 17 percent of those who took a placebo.


Studies show that losing as little as 5-10 percent of your body weight can make a tremendous impact on your overall health. Besides, weight loss provides you the encouragement of knowing you can do it. That encouragement may be just what you need to keep the healthy lifestyle going.


Qsymia: Basic Facts


Qsymia contains phentermine and topiramate extended release. It is believed that the combination work together to reduce appetite, thereby decreasing food consumption. The medication should be used with a reduced calorie diet and increased physical activity. Although it is not known if Qsymia alters your risk of heart problems or stroke, or death due to heart problems or stroke, it is known that with weight loss can usher in a reduction in other weight-related conditions.


It is not known if Qsymia is safe and effective in children under 18 years of age or if it is safe and effective when taken with other prescription, over-the-counter, or herbal weight loss products.


Right for You?


If you have tried and failed to lose weight and keep it off, it may be a good time to speak with your healthcare provider to learn if you are a good candidate for Qsymia. In addition is to making you feel better about the way you look, weight loss can also positively impact health conditions such as:


  • High blood pressure
  • Diabetes
  • Some cancers
  • Gallbladder disease and gallstones
  • Osteoarthritis
  • Gout
  • Breathing problems
  • Sleep apnea
  • Asthma


After taking a detailed health history, your healthcare provider will have a better sense of whether Qsymia might work for you. Be sure to tell your provider about all drugs, including over-the-counter and herbal, that you currently take. Even though it may be embarrassing, it is important that your healthcare provider know if you take street drugs of any kind.  Also tell your provider about any medical conditions you have had, even if they occurred years ago. No bit of information is too small. Each piece will help your provider point you in the right direction.


What Your Healthcare Provider Needs to Know


Tell your healthcare provider if any of the following are true:


  • You are pregnant or planning to become pregnant
  • Have had a heart attack or stroke
  • Have or have had depression, mood problems, suicidal thoughts or behavior
  • Have or have had an abnormal heart rhythm
  • Have eye problems, particularly glaucoma
  • Have a history of metabolic acidosis or another condition that puts you at higher risk for metabolic acidosis, such as:

-chronic diarrhea


-a diet high in fat and low in carbohydrates (like a ketogenic diet)

-have weak, brittle, or soft bones, or have decreased bone density

  • Have liver problems
  • Have kidney problems, kidney stones, or are getting kidney dialysis
  • Are breastfeeding
  • Are on birth control pills
  • Take water pills
  • Are taking any medications that impair or decrease your thinking, concentration, or muscle coordination
  • Take seizure medications
  • Take carbonic anhydrase inhibitors
  • Drink a lot
  • Take street drugs


Who should not take Qsymia


Qsymia is a powerful drug and not the correct choice for every patient. Qsymia is not recommended for patients who:


  • are pregnant, planning to become pregnant, or becomes pregnant during Qsymia treatment
  • have thyroid problems
  • have glaucoma
  • take monoamine oxidase inhibitors (MAOIs) or has taken MAOIs in the past 14 days
  • are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia.


This list underscores the importance of carefully answering all your healthcare provider’s questions and giving your provider a full picture of your health history. The best weight loss drug for you will work with your particular situation.


How to take Qsymia


Once you and your healthcare provider have determined that Qsymia is right for you, it is important to follow provider instructions, such as:


  • Stay on your diet and exercise program while taking Qsymia
  • Take Qsymia precisely as your healthcare provider tells you to take it
  • Do not change your dosage without talking to your healthcare provider
  • Take Qsymia one time a day in the morning
  • If you miss a dose of Qsymia, wait until the next morning to take your usual dose
  • Never double up on your Qsymia dose
  • If you have not lost a certain amount of weight within the first 12 weeks, expect your healthcare provider to tell you to A) stop taking Qsymia, or B) to increase your dosage.
  • Do not stop taking Qsymia without talking to your healthcare provider first. Suddenly stopping Qsymia can cause serious problems, such as seizures. If you do decide to stop, your healthcare provider will help you taper off.
  • If you take too much Qsymia, call your healthcare provider or go to the nearest emergency room right away


Possible Side Effects


As with all medications, prescription and over-the-counter, taking Qsymia can cause certain side effects. Among them:


  • Concentration, memory, and speech difficulties. Qsymia can affect how you think and can cause confusion, trouble concentrating, attention problems, and difficultly speaking.
  • Mood changes and trouble sleeping. Qsymia may cause mood problems or depression. It may also impact your ability to get to sleep or stay asleep.
  • Low blood sugar. People with type 2 diabetes mellitus who also take medications used to treat type 2 diabetes can experience hypoglycemia while taking Qsymia. If you are diabetic, check your blood sugar regularly.
  • Increased acid in bloodstream (known as metabolic acidosis). Left untreated, metabolic acidosis can cause brittle or soft bones, kidney stones, and may harm your baby if you are pregnant. Although metabolic acidosis can happen with or without symptoms, some people with the condition will:

-feel tired, fatigued, or out of energy

-appetite loss

-feel changes in heartbeat

-have trouble thinking clearly

  • Kidney stones. Drink plenty of fluids while taking Qsymia in order to help decrease your risk of getting kidney stones. Symptoms of kidney stones include severe side or back pain and/or blood in your urine. Call your doctor if you believe you may be suffering kidney stones.
  • Possible seizures if you stop taking Qsymia too quickly.
  • Decreased sweating and fever.


The most common side effects of Qsymia include:


  • Dizziness
  • Numbness or tingling in the hands, arms, feet, or face
  • Change in the way foods taste or loss of taste
  • Trouble sleeping
  • Constipation
  • Dry mouth


Inform your healthcare provider if you have any side effects. It is important that you not keep this information to yourself or assume that they will go away. Your healthcare provider can help you understand what’s happening and can walk you through the process.


What to Avoid While Taking Qsymia


  • Do not drink alcohol while taking Qsymia.
  • Do not drive a car, operate heavy machinery, or take part in other dangerous activities until you know for sure how Qsymia affects you.
  • Do not get pregnant while taking Qsymia.


Ingredients of Qsymia


Active ingredients: phentermine hydrochloride and topiramate extended-release


Inactive ingredients: methylcellulose, sucrose, starch, microcrystalline cellulose, ethyl cellulose, povidone, gelatin, talc, titanium dioxide, FD&C Blue #1, FD&C Red #3, FD&C Yellow #5 and #6, and pharmaceutical black and white inks.


How is Qsymia Stored?


Qsymia should be stored at room temperature, 59 degrees Farenheit – 77 degrees Farenheit.

Keep this medication out of the reach of children.


Final Notes


Once you have tried and failed to lose weight a number of times it is easy to believe that it simply cannot be done. What Qsymia clinical trials have shown is that even very obese people can lose enough weight to put them on the path to a healthier life.


The first step is deciding that now is the time to talk to your healthcare provider and to explore your many options.   Weight loss is not a journey that you have to take on your own. We are here to provide advice and experience, to make this the one time that really works for you.






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