Some of the side effects associated with phentermine include: If needed, the doc may increase the dose to half a tablet twice a day. This may prove to make the phentermine more effective, but could also result in the difficulty sleeping. Overdosage of pharmacologically similar compounds has resulted in fatal poisoning usually terminates in convulsions and coma. It was developed in and given along with Pondimin fenfluramine or Redux dexfenfluramine , but the "fen-phen" combination resulted in serious heart valve conditions, so it is now given without the other two medications. These top holiday cooking videos have got you covered for everything from appetizers to dessert!
: Phentermine dosage per day med abbreviation
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Phentermine -topiramate carries risks of several serious side effects. Notably, topiramate is a recognized teratogen, at least at the higher doses used for the treatment of epilepsy. The combination of phentermine -topiramate carries a warning of birth defects cleft lip and palate in the offspring of pregnant women taking the combination therapy.
Pregnant women should not take the drug, nor should women who are trying to conceive or are at risk for becoming pregnant. The combination is only available through restricted pharmacies as Qsymia. Several drugs approved for treatment of diabetes also cause weight loss; these include metformin, pramlintide, and the GLP-1 agonists, exenatide and liraglutide. Bupropion, approved for the treatment of depression, may be useful in treating obesity.
A combination of bupropion and naltrexone is currently under consideration for approval pending additional safety studies. Targets of investigational therapies include the melanocortin 4 receptor and others. There is sufficient turnover in these clinical development programs that any list is almost immediately out of date and incomplete. Readers should refer to a recent review for a more complete discussion of current developmental candidates. The biggest limitation of lifestyle interventions is the tachyphylaxis; most patients return to their initial weight within 5 years.
It remains to be determined if pharmacotherapy can be used to assist with weight maintenance after weight reduction. Bello 1 , in Side Effects of Drugs Annual , A year-old woman taking phentermine She typically took phentermine intermittently, two to three times a week. However, for the last 2 weeks she increased the medication to two to three times daily.
She had a pack-year history of smoking tobacco. Upon arrival her vital signs were within the normal range but CT scans reveal a subarachnoid hemorrhage SAH in the basal cistern. Patient remained stable during her 9-day hospitalization. At her 6-week follow-up she was stable and had resumed a normal routine. The authors suggest the cause of SAH was likely secondary to a suddenly escalation in phentermine [ 60 A].
Nervous system A year-old woman took phentermine , developed altered mental status, and had two generalized seizures [ 77 A ]. She had large bilateral parieto-occipital hemorrhages and was thought to have posterior reversible encephalopathy syndrome with hemorrhagic conversion. Phentermine was withdrawn, and 5 months later an MRI scan showed resolution of the diffuse edema and hemorrhage. Psychiatric In a study using the Modified Prescription Event Monitoring system, the risks of major and minor depressive episodes in 10 new users of rimonabant were the same overall in the 6 months before and the 6 months after starting treatment [ 81 C ].
The risk of a primary outcome event non-fatal myocardial infarction, non-fatal stroke, resuscitation after cardiac arrest, or cardiovascular death was The rates of non-fatal myocardial infarction and non-fatal stroke were 4. The rates of cardiovascular death and death from any cause were not increased. Endocrine A year-old woman took sibutramine and developed amenorrhea and galactorrhea with hyperprolactinemia [ 84 A ].
Sibutramine was withdrawn, and her serum prolactin concentration returned to normal within 15 days; the amenorrhea and galactorrhea resolved. Nicolas Rasmussen 1 , in International Review of Neurobiology , Some are mainly consumed on prescription for medically authorized purposes; others, both legally and illegally manufactured, mainly for recreational purposes; and others still in the broad grey zone between, encompassing both nonmedical use of prescribed drugs and unprescribed self-medication.
Many of the other psychostimulants widely used today are derivatives of amphetamine, developed in an effort to maximise one of the founder drug's other three types of action. I will describe how the amphetamines were discovered as pharmacological agents, and the ways in which their various actions were exploited by medicine, the drug industry, the military, and although I have insufficient space to say much here also by recreational users up to about , when the bad reputation they had earned brought them under international control and greatly reduced their medical use.
Cookies are used by this site. For more information, visit the cookies page. Obesity Samuel Klein, Johannes A. Romijn, in Williams Textbook of Endocrinology Thirteenth Edition , Phentermine Phentermine stimulates the release of norepinephrine, and to a lesser extent serotonin 5-HT, 5-hydroxytryptamine and dopamine, from nerve terminals. Pak Chung Ho 1 , in Obesity , Phentermine and Diethylpropion Phentermine and diethylpropion are noradrenergic sympathomimetic agents, but unlike amphetamine, they are not dopaminergic .
Phenethylamine analog amphetamine-like DEA C lass: Occasional Restlessness, insomnia, tremor, palpitations, tachycardia, elevation in blood pressure, headache, dizziness, dry mouth, unpleasant taste, diarrhea or constipation, changes in libido. Volume I Michael A. A worldwide yearly survey of new data in adverse drug reactions Nicholas T. Phentermine is related to a group of drugs known as amphetamines, and it's prescribed for short-term use to treat obesity.
However, there are many serious side effects associated with phentermine. These include heart palpitations, hypertension, tachycardia abnormal heart rhythms , heart valve disease, primary pulmonary hypertension a dangerous lung disease , anxiety, restlessness, nervousness, insomnia, tremor, headache, dry mouth, diarrhea, constipation, and changes in libido.
Phentermine also interacts adversely with many medications. Lifestyle modifications that include a daily exercise routine and adopting healthy eating habits are safer alternatives to weight loss. Please consult with your physician and ask for a referral to a nutritionist who can assist you with permanent lifestyle modifications. Many years back, there was a Phen-phen diet pill craze. It didn't last long because they discovered the combination caused pulmonary damage.
I am hearing about Phentermine again, but not as the dynamic duo. I am thinking about going on it but want to be wise and safe. What is your recommendation about this "miracle" diet pill? Is it safe when used alone? Phentermine is a stimulant that is similar to an amphetamine. Phentermine is an appetite suppressant that affects the central nervous system.
It should be used short-term a few weeks , by itself for the treatment of obesity and should not be used in combination with any other diet medications. Phentermine should be combined with diet, exercise, and behavioral therapy. You should not take this medication if you have heart disease or moderate to severe high blood pressure; artheriosclerosis hardening of the arteries ; an overactive thyroid; glaucoma; if you are in an agitated state; or if you have a history of drug or alcohol abuse.
What are the side effects of phentermine? Your question concerns the side effects of phentermine. According to a drug interaction report performed by Lexi-Comp, there are no drug interactions detected with your phetermine Adipex P , Alli Orlistat and vitamin B12 cyanocobalamin. Your multivitamin could not be included in the drug interaction report because there are different multivitamin formulations and each vitamin would need to be analyzed to determine if there is a drug interaction.
It is known that Alli can decrease the absorption of some vitamins, mainly the fat soluble vitamins A, D ,E and K. The recommendation is to take the multivitamin at least two hours before or after taking Alli. A concern is that you are taking two separate medications for weight loss. Please make sure that your physician is okay with you taking both Phentermine and Alli.
As always, talk with your health care provider regarding questions you have about your medications. My doctor prescribed diet pills when I have high blood pressure and Grave's disease. One day I stopped breathing and they had to do CPR and use the paddles on me. At the hospital, they told my family that my heart was healthy, and that it was most likely the diet pills that the doctor had prescribed to me phentermine.
Do I have any recourse that I can take? Even if it was just to pay all my hospital bills, I had to have a pacemaker put in and can't drive for 6 months. We are truly sorry for your experience. There is a possibility that the medication may have exacerbated an existing condition or heart valve problem. Phenterrmine is similar to an amphetamine and should be prescribed with care, however it is impossible to know how anyone will react with it. With this information, it is important to stay away from stimulants of any kind, including ephedrine, pseudoephedrine, excess caffeine, and other herbal stimulants.
It is not our place to conclude any wrong doing by the physician or the drug manufacturer. However, I do recommend that you share your story in online patient forums. You may save someone's life. Please visit this link to see what other people have written about phentermine: Is taking phentermine okay for weight loss? Phenteramine is marketed as a generic and under the brand names of Fastin, Ionamin, and Adipex.
Phenteramine is an appetite suppressant of the amphetamine and phenethylamine drug class. It is approved as an appetite suppressant to help reduce weight in obese patients when used short-term and combined with exercise, diet, and behavioral modification. It is typically prescribed for individuals who are at increased medical risk because of their weight and works by helping to release certain chemicals in the brain that control appetite.
Some medical conditions are contra-indicated in taking phenteramine: Additionally, other medications may interact with phenteramine. You will need to provide a complete list of these medications for us to check for drug-drug interactions. Long-term use has the potential to cause psychological dependence. Recognizing the conditions listed above, I would say that phenteremine is safe to use when combined with a diet and exercise program.
For any immediate concerns, consult your physician. What is phentermine HCL, and is it safe in helping me to lose weight? It was developed in and given along with Pondimin fenfluramine or Redux dexfenfluramine , but the "fen-phen" combination resulted in serious heart valve conditions, so it is now given without the other two medications. Through increasing norepinephrine in specific pathways, the "fight or flight" response is activated and this reduces appetite. Studies have shown an average weight loss of 6.
The best way to lose weight is still considered to be through diet and exercise. For more information on medications, diet and nutrition, weight management, and healthy recipes, please visit our links at: I had taken phentermine Is this common or is this because I do drink coffee? I have since stopped taking the medication but it was helping me lose weight when I did take it.
Can you give me any advice? Phentermine is a medication that is used to assist with weight loss. This medication is a stimulant that works by suppressing the appetite. It is chemically related to amphetamines and may also increase metabolism. The prescribing information on phentermine does not list headache as a common side effect of this medication. The most common side effects are: You should consult with your physician about the severe headaches experienced while taking this medication.
Can phentermine cause severe dry eye syndrome? According to the prescribing information, dry eye was not a reported side effect associated with treatment with phentermine. If you have been experiencing symptoms of dry eye, consult with your health care provider for proper evaluation, diagnosis of the underlying cause and possible treatment options. Adipex phentermine is a stimulant appetite suppressant that affects the central nervous system. Phentermine is indicated for short term use together with diet and exercise to treat obesity.
Phentermine works best if taken on an empty stomach before breakfast or within 2 hours after breakfast. Phentermine can cause sleep problems, so take phentermine early in the day and no later than 6 pm. Take your dose of phentermine exactly as prescribed and never take more medication than what is recommended. Consult with your doctor if you are still hungry and you are concerned phentermine is not working effectively.
Phentermine should not be used in individuals with a history of heart disease, hyperthyroidism, or glaucoma. Common side effects associated with phentermine include elevated blood pressure, increased heart rate, dizziness, headache, restlessness, and dryness of the mouth. Phentermine has the potential for abuse. In addition, abrupt discontinuation of phentermine can result in extreme fatigue and mental depression. This is not a complete list of side effects so consult with your doctor if you experience any unwanted side effects while taking phentermine.
It is also important to let your doctor know if you take other prescription medications and any over-the-counter products. Over-the-counter products can include vitamins, supplements, and herbals. Some products available over-the-counter could adversely react with phentermine and cause unwanted side effects or health conditions. Consult with your doctor or pharmacist before beginning any new medication or for guidance based on current medications.
Phentermine is a prescription medication that is used for short-term weight loss. It is chemically related to amphetamines and works by suppressing the appetite and could have an effect on metabolism. The prescribing information on phentermine does not specifically list nosebleeds as a side effect of the medication. However, this medication may cause an increase in blood pressure that could possibly lead to nosebleeds.
The most common side effects of phentermine include: If you are experiencing nosebleeds and believe that the medication may be causing this side effect you should consult with your physician to be sure that your blood pressure is not elevated. The physician will do a physical exam to see if any underlying conditions may be the cause of your nosebleed and offer suggestions for alleviating this symptom.
Does phentermine affect the skin, making it drier? Some of the side effects associated with phentermine include: According to medical references, dry skin is not a common reported side effects associated with the use of phentermine. Consult your physician regarding the dry skin you are experiencing. Is sweating a side effect of phentermine?
Since I have started this medication, I sweat very easily and a lot. According to the prescribing information for phentermine, sweating was not a reported side effect of the medication. Some of the side effects of phentermine include overstimulation, restlessness, insomnia, dizziness, euphoria, diarrhea, unpleasant taste, constipation, changes in libido, tremor and headache.
This is not a complete list of side effects associated with phentermine. If you think you are experiencing a side effect from the medication, please consult with your health care provider for proper evaluation. According to the prescribing information, phentermine is indicated for short term use a few weeks as an adjunct therapy to diet, exercise, and behavioral modification to help lose weight.
Phentermine works by decreasing a person's appetite. Phentermine should not be used in people with severe high blood pressure, glaucoma, or a history of drug abuse. Phentermine should also not be used in people in agitated states or during, or within 14 days following, therapy with a monoamine oxidase inhibitor MAOI. Administration of phentermine and selective serotonin reuptake inhibitors SSRIs given together for weight loss is not recommended.
Some patients who had received phentermine and fenfluramine or dexfenfluramine were found to have Primary Pulmonary Hypertension PPH or valvular heart disease. PPH is a rare, but fatal lung disease. According to the prescribing information for phentermine, the possibility of PPH or valvular heart disease occurring with phentermine use alone cannot be ruled out. A person may become tolerant to the decreased appetite effect of phentermine within a few weeks. The recommended dose should not be exceeded to overcome this effect, the drug is usually discontinued.
Phentermine may impair the ability of a person to operate heavy machinery or drive a car. Phentermine and alcohol use may result in an adverse drug reaction. Phentermine should be used with caution in those with even mild high blood pressure. Phentermine, along with a dietary regimen, may alter insulin requirements. I have taken phentermine and have had good success to lose weight after a pregnancy several years ago. I wanted to try it again but I am afraid of using it again because of any long-term effects it might have.
Phentermine can cause sleep problems so take phentermine early in the day and no later than 6 pm. Also, abrupt discontinuation of phentermine can result in extreme fatigue and mental depression. Phentermine may also be habit-forming and should be used only by the person it was prescribed for. Phentermine is only indicated for short-term use a few weeks. Phentermine should be used in conjunction with a reduced calorie diet and an increase in exercise.
There are not long-term studies done on phentermine since it is only indicated for short-term use according to prescribing information. Talk to your doctor about the use of phentermine. The doctor can determine the risk and benefits with the use of phentermine based on your current health condition. Your doctor may be able to give your guidance on how to safely and effective lose weight healthily. I've lost 70 pounds over the past several years by changing to a healthier lifestyle walking, portion control, healthier foods.
I've been on a plateau, however, for at least 6 months and my physician prescribed phentermine. I'm also training for a marathon. About a week after beginning the phentermine, I began having terrible muscle aches in my legs, even waking me up at night. I don't know if it could be the increased mileage or the phentermine. Could phentermine cause this? Muscle aches and muscle pain were not listed as side effects in the prescribing information for phentermine. Muscle aches in the legs can be caused by many different factors.
Please consult with your health care provider in regards to the symptoms you are experiencing. I used phentermine for weight loss for three months. It has been two months since I stopped. Can I use it again? According to the Weight Control Information Network, which is part of the National Institutes of Health NIH , prescription medications for weight loss should be used in people who have previously tried to lose weight through diet and exercise, and are at an increased risk of medical complications because of their weight.
Taking medications to help fight obesity is a decision that should be made with your health care provider. Risk factors can include diabetes, hypertension high blood pressure , and high cholesterol. Can phentermine cause a metallic taste in the mouth? I've taken it before and never had that. I just saw the dentist, a week ago, and they said my teeth are fine and no dental work was done.
Dry mouth and unpleasant taste are both listed as possible side effects associated with treatment with phentermine, according to prescribing information. Please consult with your health care provider in regards to the metallic taste you are experiencing for proper evaluation, diagnosis of the underlying cause and treatment options, if necessary. Read Next Phentermine Reviews. You can browse Drugs A-Z for a specific prescription or over-the-counter drug or look up drugs based on your specific condition.
This information is for educational purposes only, and not meant to provide medical advice, treatment, or diagnosis. Remember to always consult your physician or health care provider before starting, stopping, or altering a treatment or health care regimen. Every effort has been made to ensure that the information provided by on this page is accurate, up-to-date, and complete, but no guarantee is made to that effect.