The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. Avoid alcoholic beverages. Phentermine is used with a doctor-approved exercise, behavior change, and reduced-calorie diet program to help you lose weight. [8][9] It is taken by mouth If it is near the time of the next dose or late in the evening, skip the missed dose. The best remedy for this is to ensure that you are getting proper sleep, diet, and exercise, and the fatigue should diminish within a few days. If you are using the tablets made to dissolve in the mouth, your medication may contain aspartame. It is said to pass out of the body 80 percent unchanged. Before using this medication, tell your doctor or pharmacist your medical history, especially of: diabetes, high blood pressure, glaucoma, personal or family history of a substance use disorder (such as overuse of or addiction to drugs/alcohol), heart disease (such as chest pain, heart attack, heart murmur, fast/irregular heartbeat, heart valve problems), mental/mood problems (such as depression, thoughts of suicide, severe anxiety/agitation), high blood pressure in the lungs (pulmonary hypertension), stroke, overactive thyroid (hyperthyroidism), kidney disease, seizures. This risk may be higher if you have a substance use disorder (such as overuse of or addiction to drugs/alcohol). Phentermine and topiramate is not approved for use by anyone younger than 18 years old. Drug interactions may change how your medications work or increase your risk for serious side effects. Tell your doctor if you have fast or pounding heartbeats while you are resting. This document does not contain all possible drug interactions. One of the side effects of phentermine is energy and focus which can lead to insomnia or trouble sleeping. Carefully follow your doctor's instructions. Store in a tightly closed container at room temperature away from light and moisture. Do not stop using phentermine and topiramate suddenly or you could have a seizure (convulsions). Join the FDA’s Office of Minority Health and Health Equity on 2/25 at 6:00 p.m. … Selected from data included with permission and copyrighted by First Databank, Inc. Your doctor will adjust the dose to find the best dose for you. For best results, this drug must be used along with a doctor-approved diet and exercise program. Keep all medical and lab appointments. Sleep is a simple but powerful solution to your energy crisis. Avoid drinking large amounts of beverages containing caffeine (coffee, tea, colas) or eating large amounts of chocolate. Losing weight and keeping it off can lessen the many health risks that come with obesity, including heart disease, diabetes, high blood pressure, and a shorter life.It is not known how this medication helps people to lose weight. Available for Android and iOS devices. Moreover, there are a lot of side effects associated with Phentermine use. This drug should not be used with certain medications because very serious interactions may occur. We use cookies to give you the best possible experience on our website. If you are interested in learning more about phentermine or other weight loss information try these books: Safer Than Phen-Fen! Tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine). Do not start Effexor XR if you stopped taking an MAOI in the last 2 weeks unless directed to do so by your physician. Phentermine is also available in combination with topiramate for weight loss (Qsymia). However, drugs, such as phentermine… What should I know regarding pregnancy, nursing and administering Phentermine HCL to children or the elderly? Dizziness, dry mouth, difficulty sleeping, irritability, nausea, vomiting, diarrhea, or constipation may occur. diabetes (weight loss may cause low blood sugar); metabolic acidosis (too much acid in your blood); soft or brittle bones (osteomalacia, osteopenia, osteoporosis); kidney disease, kidney stones, or dialysis; mood problems, depression, or suicidal thoughts or actions; Topiramate can increase the level of acid in your blood (metabolic acidosis). Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. To help you remember, take it at the same time(s) each day. Take phentermine regularly as directed with a glass of water. Check your blood pressure regularly and tell your doctor if the results are high. Avoid becoming overheated or dehydrated in hot weather. Do not use phentermine and topiramate if you have used an MAO inhibitor in the past 14 days. You may need blood tests to make sure you do not have metabolic acidosis. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. Consult your doctor for more details. If you are prescribed more than one dose per day, take the last dose 4 to 6 hours before your normal bedtime. Not all possible drug interactions are listed here. Things to remember when you fill your prescription. The takeaway. No prescription can replace a healthful diet and exercise. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Should I avoid certain foods while taking Phentermine HCL? Another weight loss aid that is available in the UK is orlistat, a medication that works by reducing the amount of fat absorbed by your body from the food you eat. It is a prescription only medication and a GP or online doctor … Therefore, breast-feeding is not recommended while using this drug. Phentermine is a popular weight loss drug that helps suppress appetite. Canada residents can call a provincial poison control center. This drug may make you dizzy or blur your vision. Call your doctor for medical advice about side effects. Before having surgery, tell your doctor or dentist that you are using this medication. If you are using sustained-release capsules, the dose is usually taken once a day before breakfast or at least 10 to 14 hours before bedtime. Store at room temperature away from moisture and heat. Do not use Qsymia if you are pregnant or if you become pregnant. Stop taking this medicine and call your doctor right away if you become pregnant. Make sure laboratory personnel and all your doctors know you use this drug. If it is after lunchtime, … I accidentally took phentermine at night and can't sleep. This drug may rarely cause serious (sometimes fatal) lung or heart problems (pulmonary hypertension, heart valve problems). However, you should always ask your doctor before combining melatonin and phentermine given the substances’ opposite effects. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Enter your medication into the WebMD interaction checker, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter, What a 5% Weight Loss Can Do for Your Health, 8 Ways to Prevent Blood Sugar Spikes Naturally, Healthy Diet, Healthy Skin: What You Eat Can Affect Psoriasis, List Phentermine HCL side effects by likelihood and severity. Do not share this medication with others. Written by Cerner Multum. Weight loss during pregnancy also can harm an unborn baby, even if you are overweight. Other drugs may affect phentermine and topiramate, including prescription and over-the-counter medicines, vitamins, and herbal products. Side effects of Phentermine include constipation, diarrhea, sleep disorders, dry mouth, agitation, headaches and more, but do not include sleep disorders. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of … A dangerous drug interaction could occur. Caffeine can increase the side effects of this medication. Swallow the medication whole. Limit your alcohol intake to three hours before bedtime. Taking this medication late in the day may cause trouble sleeping (insomnia). As will be explained in greater detail below, losing weight doesn’t happen overnight, but is weeks or months in the making. Prioritize Sleep. Always take phentermine 15mg on an empty stomach, this way the bioavailability of the drug increases. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Losing weight is not going to be an easy nor a pretty process most of the time, but choosing the right methods such as combining the use of Phentermine, regular exercising, and an effective diet plan, it will surely deliver great results. Taking the medication on an empty stomach or with food is not as important as making sure to take it early in the day. If you have diabetes, check your blood sugar regularly as directed and share the results with your doctor. Here are the things you should remember before taking Phentermine 15. [1][7] While it has seen off-label use as a purported cognitive enhancer, the research on its effectiveness for this use is not conclusive. Sleep in a dark, quiet room with a comfortable temperature. This medication is an appetite suppressant and belongs to a class of drugs called sympathomimetic amines. US residents can call their local poison control center at 1-800-222-1222. Exercising five or six hours before bedtime may help you sleep more soundly. Many people choose to go through the daunting task of losing weight through more and more physical exercises and rigorous dieting regimes, but there are some who choose fad diets and trends to burn calories, such as baby food diet and sleep diet . Phentermine may be habit-forming. Topiramate may increase the risk of cleft lip and palate in a newborn. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures. Some products have ingredients that could raise your heart rate or blood pressure. Do not use two doses at one time. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. It is used by certain overweight people, such as those who are obese or have weight-related medical problems. First, dry your hands before handling the tablet. Stay alert to changes in your mood or symptoms. Ask your doctor when to start or stop taking this medication. Long-term amphetamine exposure at sufficiently high doses in some animal species is known to produce abnormal dopamine system development or nerve damage, but, in humans with ADHD, pharmaceutical amphetamines, at therapeutic dosages, appear to improve brain … Buy Adipex, Phentermine online 37.5 mg Buy Adipex Online from our online store which is the best and most reliable online pharmacy for your meds. In the first weeks of Phentermine use, it is very important to make sure by yourself that these weight loss pills are effective. ; Other symptoms can include For sure, you have heard about Phentermine and its claims. Keep the medication in a place where others cannot get to it. 4-6 hours prior to going to bed. Discuss the risks and benefits, and the length of phentermine treatment, with your doctor. … Continue reading How to lower blood … The dosage and length of treatment are based on your medical condition and response to treatment. If you suddenly stop using this medication, you may have withdrawal symptoms (such as depression, severe tiredness). If phentermine doesn’t give you the boost you had hoped for, here are several habits that naturally increase energy levels: 1. Do you have questions about vaccines? Modafinil, sold under the brand name Provigil among others, is a CNS stimulant and a medication to treat sleepiness due to narcolepsy, shift work sleep disorder, or obstructive sleep apnea. If you notice other effects not listed above, contact your doctor or pharmacist. Properly discard this product when it is expired or no longer needed. You may report side effects to Health Canada at 1-866-234-2345. To get the most benefit, take this medication regularly, exactly as prescribed, and for as long as directed by your doctor. It is best to take phentermine in the morning as it can cause trouble sleeping.. What if you forget a dose? If you are pregnant or think you may be pregnant, tell your doctor right away. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. They are not available on the NHS but are available on private prescription. You should not breastfeed while using this medicine. Melatonin promotes more restful sleep, which makes it popular among patients who have phentermine insomnia. Talk to your pharmacist for more details. I had to take melatonin 5mg so I can go to sleep around 3 am. If you are interested in losing weight by using one of the best weight loss drugs – Phentermine, then you are in the right place! Does Phentermine HCL interact with other drugs you are taking? Withdrawal is more likely if you have used phentermine for a long time or in high doses. May 16, 2019 at 2:14 pm I take my phentermine as soon as I … Use effective birth control to prevent pregnancy while you are using phentermine and topiramate. Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or to any other sympathomimetic amines (including decongestants such as pseudoephedrine, stimulants such as amphetamine, appetite suppressants such as diethylpropion); or if you have any other allergies. 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