On the other hand, if therapeutic effects are only modest and side effects are of moderate or severe intensity, it may be better to cease phentermine usage. Do not be surprised if phentermine causes some anxiety as a side effect, especially when taken at high doses. Overdose symptoms may include confusion, hallucinations, panic, feeling hostile or aggressive, nausea, vomiting, diarrhea, stomach cramps, irregular heartbeat, rapid breathing, overactive reflexes, confusion, hallucinations, seizure convulsions , feeling light-headed, or fainting. Decreasing the dosage of phentermine may prove helpful for restoring taste of some users, but not all. If no matter what you do, the constipation fails to subside, it may be wise to stop using phentermine.
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The National Library of Medicine says that typical dosage is There are specific health dangers associated with phentermine of which users should be aware. The National Library of Medicine says that pulmonary hypertension is a condition in which the force of blood pressing against the blood vessels in your lung is very high. This condition has been reported with phentermine use. Symptoms of this condition include shortness of breath, intermittent chest pain angina pectoris , fainting syncope and leg or feet swelling.
The Mayo Clinic says you can develop fatigue, a blue hue cyanosis to your skin and a very fast pulse tachycardia , as well. A variety of medications are able to treat pulmonary hypertension. Blood vessel dilators such as epoprostenol widen your narrowed vessels to allow more blood flow through your vessels. Endothelin receptor antagonists such as bosentan block the ability of endothelin substance that constricts your blood vessels from binding to its specified receptor.
Abrisentan, like bosentan, also promotes blood vessel dilation. Phentermine can increase your risk of developing heart valve diseases. Your heart valves' job description is to regulate the blood flowing through your heart. Sometimes, this valve may become calcified. In other cases, it can become weak and disrupt the direction of your heart's blood flow. According to the National Heart Lung and Blood Institute, symptoms of heart valve disease include fatigue, trouble breathing and swelling of your stomach, ankles and feet.
Sometimes, you may experience chest pain, an irregular heartbeat, dizziness or fainting. Your doctor can prescribe medications to treat or prevent heart failure, high blood pressure, high cholesterol and irregular heartbeats. In severe cases, your doctor may recommend that your heart valve be repaired or even replaced. Phentermine may make your PPH worse. For people with history of heart disease: These include stroke, arrhythmia irregular heartbeat , heart failure, coronary artery disease, valve disease, and uncontrolled high blood pressure.
Phentermine may cause a serious increase in your blood pressure. This may make your heart work harder. The extra stress on your heart may make your heart disease worse. For people with history of hyperthyroidism: Tell your doctor if you have hyperthyroidism an overactive thyroid. Phentermine may increase your thyroid activity.
This may raise your thyroid levels even further. For people with glaucoma: This drug may increase your eye pressure even more. This may cause permanent damage to your vision. Tell your doctor if you have glaucoma. For people with diabetes: Your doctor may lower the dosage of your diabetes drugs. For people with a history of drug misuse: This drug may be habit-forming. Tell your doctor if you have a history of drug or alcohol misuse. For people with agitation: This drug may cause restlessness and anxiety and may make your agitation worse.
Phentermine is a category X pregnancy drug. That means two things:. Stop taking phentermine and call your doctor right away if you become pregnant while taking this drug. For women who are breastfeeding: Phentermine may pass into breast milk and may cause side effects in a child who is breastfed. Talk to your doctor if you breastfeed your child. You may need to decide whether to stop breastfeeding or stop taking this medication. The kidneys of older adults may not work as well as they used to.
This can cause your body to process drugs more slowly. As a result, a higher amount of a drug stays in your body for a longer time. This raises your risk of side effects. All possible dosages and drug forms may not be included here. Your dosage, drug form, and how often you take the drug will depend on:. Your doctor may start you on a lowered dosage or a different dosing schedule.
This can help keep levels of this drug from building up too much in your body. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. Always speak with your doctor or pharmacist about dosages that are right for you. Phentermine oral capsule is used for short-term treatment. You may not lose weight. If you take this drug for a long period of time and stop it suddenly, you may have extreme fatigue and depression.
Your medication may not work as well or may stop working completely. For this drug to work well, a certain amount needs to be in your body at all times. If you take too much: You could have dangerous levels of the drug in your body. Symptoms of an overdose of this drug can include:. If your symptoms are severe, call or go to the nearest emergency room right away.
What to do if you miss a dose: Take your dose as soon as you remember. But if you remember just a few hours before your next scheduled dose, take only one dose. Never try to catch up by taking two doses at once. This could result in dangerous side effects. A prescription for this medication is refillable. You should not need a new prescription for this medication to be refilled. Your doctor will write the number of refills authorized on your prescription. This should help you lose weight.
Your doctor may also ask you to keep a journal of your food intake, exercise, and weight. This will help track your weight loss progress. This will tell you and your doctor if the medication is working to help you lose weight. During your treatment, you and your doctor should monitor certain health issues. This can help make sure you stay safe while you take this drug.
These issues include blood pressure. You should follow a reduced-calorie diet as directed by your doctor while taking this drug. Not every pharmacy stocks this drug. When filling your prescription, be sure to call ahead to make sure your pharmacy carries it. Many insurance companies require a prior authorization for this drug.