In these cases, your doctor may want to change the dose, or other precautions may be necessary. Call your doctor for medical advice about side effects. What Health Problems Can Obesity Lead To? Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Though rare, high blood pressure has been reported in some patients. Diabetes & Metabolism Journal. An alternative option is 18.75 mg by mouth twice per day. It stimulates the central nervous system (nerves and brain), which increases your heart rate and blood pressure and decreases your appetite. See additional information. Symptoms of overdose may include: rapid breathing, unusual restlessness, fast/slow/irregular heartbeat, chest pain, hallucinations, seizures, loss of consciousness. This may help you eat less, which would aid in weight loss. (2021). Available for Android and iOS devices. US residents can call their local poison control center at 1-800-222-1222. It is thought to cause weight loss by suppressing appetite. For seniors: The kidneys of older adults may not work as well as they used to. If you suddenly stop using this medication, you may have withdrawal symptoms (such as depression, severe tiredness). Tak YJ, et al. Canada residents can call a provincial poison control center. In Canada - Call your doctor for medical advice about side effects. Get emergency medical help if you have signs of an allergic reaction to phentermine: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Before you start, stop, or change any medication, talk with your doctor or pharmacist about how the medication may affect your blood sugar. Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. Drug interactions are found among 54 people who take Phentermine and Viagra. cabergoline oral , phentermine oral Mechanism: pharmacodynamic synergism. High fever, "water pills" (diuretics such as hydrochlorothiazide), too much sweating, diarrhea, or vomiting may cause dehydration and increase your risk of lactic acidosis. Talk with your doctor if this medication stops working well. The tour begins on Aug. 3 in Sterling . However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving phentermine. Instead, check with your doctor. Alisha D. Vassar-Sellers, BS Pharmacy, PharmD. Pulmonary hypertension (elevated pressure in the lungs)Use with caution. Won Son J, et al. If you miss a dose of this medicine, take it as soon as possible. Disclaimer: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. Check your blood sugar regularly as directed and share the results with your doctor. This medication is also used to treat heart failure in people with type 2 diabetes. Some products have ingredients that could raise your heart rate or blood pressure. Talk with your doctor before starting an exercise program. Take your next dose at the regular time. Talk to your pharmacist for more details. Everything You've Ever Wanted to Know About Bariatric Surgery. Do not take phentermine with any other diet medications without your doctor's advice. Phentermine may be habit-forming. Your doctor may start you on a lowered dosage or a different dosing schedule. People have also sleepwalked, prepared . Advertising revenue supports our not-for-profit mission. To help prevent low blood sugar, eat meals on a regular schedule, and do not skip meals. Original review: April 28, 2021. Check your blood pressure regularly and tell your doctor if the results are high. Sharing it is against the law. Phentermine may interact with other medications, Important considerations for taking phentermine, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f5b2f9d8-2226-476e-9caf-9d41e6891c46, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=737eef3b-9a6b-4ab3-a25c-49d84d2a0197, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=3b44d104-a7d0-4366-9d42-63f784f3cb22, Having Obesity May Increase Your Resting Heart Rate. If you are using the tablets made to dissolve in the mouth, your medication may contain aspartame. Take the disintegrating tablet with or without food. Your doctor may also ask you to keep a journal of your food intake, exercise, and weight. You may need to be more closely monitored for side effects. Copyright 1996-2023 Cerner Multum, Inc. What to offer the 99% of patients with severe obesity who do not undergo bariatric surgery? Un programa que dej de tener gracia cuando se. 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. Consult your doctor before breast-feeding. Tell your doctor right away if you have symptoms of high or low blood sugar. Keppra Interactions Checker - Drugs.com Treatments Seizures Keppra Interactions Print Save Keppra Interactions There are 233 drugs known to interact with Keppra (levetiracetam), along with 4 disease interactions, and 1 alcohol/food interaction. Studies in women breastfeeding have demonstrated harmful infant effects. All generic drug interactions for phentermine oral (lists will include brand and generic names): 7 contraindicated drug interactions. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Went off it after 3 and 1/2 months. Stroke, history ofShould not be used in patients with these conditions. These include your age, diet, how well your kidneys and liver are working and other factors. Follow all directions on your prescription label and read all medication guides or instruction sheets. If you miss a dose of this medicine, take it as soon as possible. Tell your doctor or pharmacist right away if you have withdrawal. What should I know regarding pregnancy, nursing and administering Synjardy to children or the elderly? It may work by increasing the release of chemicals in your brain that help reduce your appetite. Brand names: Adipex-P, Lomaira, Suprenza You may report side effects to FDA at 1-800-FDA-1088. Call your doctor for medical advice about side effects. Extreme caution as vasospasms caused by combined use may cause chest pain, high blood pressure and arrhythmias. Clinical Drug Interactions Source: Medscape from WebMD. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Do not crush, break, or chew it. Copyright: Merative US L.P. 1973, 2023. Generic drugs usually cost less than the brand-name version. 15 to 37.5 mg orally once a day before breakfast or 1 to 2 hours after breakfast. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Mayo Clinic on Incontinence - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Biliopancreatic diversion with duodenal switch (BPD/DS), Endoscopic Sleeve Gastroplasty (Gastric Sleeve), Biliopancreatic diversion with duodenal switch. Adipex-P and generic phentermine 37.5-mg capsule: Typical starting dosage: One 37.5-mg capsule each day. Do not use this medicine if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine. This happens when your pituitary gland makes extra prolactin. This may cause permanent damage to your vision. This content does not have an English version. q4wk by 0.25 mg 2x/wk based on prolactin levels; Max: 1 mg 2x/wk; Info: use lowest effective dose; may D/C after normal prolactin levels maintained x6mo. This medicine may affect blood sugar levels. Portions of this document last updated: Feb. 01, 2023, Original article: https://www.mayoclinic.org/drugs-supplements/phentermine-oral-route/side-effects/DRG-20075169. Phentermine may cause serious side effects. Common side effects of phentermine include: Phentermine is one of the most prescribed weight-loss medicines. If you are taking or have taken other appetite-suppressant drugs in the past year (such as diethylpropion, ephedra/ma huang), tell your doctor or pharmacist before starting this medication. 33 serious drug interactions. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Low blood sugar may occur if this drug is prescribed with other diabetes medications, if you do not consume enough calories from food, or if you do unusually heavy exercise. A single copy of these materials may be reprinted for noncommercial personal use only. In some cases, they may not be available in every strength or form as the brand-name drug. See additional information. Call your doctor at once if you think this medicine is not working as well, or if you have not lost at least 4 pounds within 4 weeks. Tell your doctor right away if you have any serious side effects, including: fast/irregular/pounding heartbeat, mental/mood changes (such as agitation, uncontrolled anger, hallucinations, nervousness), uncontrolled muscle movements, change in sexual ability/interest. Discuss a plan with your doctor for managing your blood sugar while pregnant. ozanimod. Current Obesity Reports. Phentermine may be prescribed for short-term treatment in people who have a body mass index (BMI) of 30 kg/m2 or greater. Understanding the Link Between Obesity and Skin Problems. Was switched to this drug after being on bromocriptine for a little over a year. Selling or giving away this medicine is against the law. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Whats the Relationship Between Obesity and Shortness of Breath? Keep all medications away from children and pets. A very serious allergic reaction to this drug is rare. Read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist before you start taking this medication and each time you get a refill. If you have diabetes, check your blood sugar regularly as directed and share the results with your doctor. Discuss the risks and benefits, and the length of phentermine treatment, with your doctor. Check with your doctor immediately if any of the following side effects occur: Some side effects may occur that usually do not need medical attention. These CBD candies offer a simple and flexible . https://fco.factsandcomparisons.com/. Call your doctor at once if you have: feeling short of breath, even with mild exertion; chest pain, feeling like you might pass out; pounding heartbeats or fluttering in your chest; tremors, feeling restless, trouble sleeping; increased blood pressure - severe headache, blurred vision, pounding in your neck or ears, anxiety, nosebleed. Your use of this drug will be closely monitored by your doctor. Burguera B, et al. Cabergoline only comes as a. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. Many things affect how long it takes a drug to leave your system. The dosage is based on your medical condition, response to treatment, and other medications you may be taking. For this drug to work well, a certain amount needs to be in your body at all times. Symptoms can include: If you develop these symptoms, call 911 or go to the nearest emergency room. Or it can help you feel full longer. include protected health information. It is a good habit to carry glucose tablets or gel to treat low blood sugar. privacy practices. Sign up for free and stay up to date on research advancements, health tips, current health topics, and expertise on managing health. Stop taking this medication and tell your doctor right away if you have prolonged diarrhea or vomiting. For pregnant women: Phentermine is a category X pregnancy drug. During pregnancy, this medication should be used only when clearly needed. Always speak with your doctor or pharmacist about dosages that are right for you. All rights reserved. For women who are breastfeeding: Phentermine may pass into breast milk and may cause side effects in a child who is breastfed. Withdrawal is more likely if you have used phentermine for a long time or in high doses. Your doctor may direct you to stop taking this medication. See additional information. Make sure your hands are dry before touching the tablet. This includes prescription and nonprescription (over-the-counter) medicines, dietary supplements, herbal remedies, or medicines for appetite control, asthma, colds, cough, hay fever, and sinus problems. The information provided here is for informational purposes only. This content does not have an Arabic version. . It may be harder to control your blood sugar when your body is stressed (such as due to fever, infection, injury, or surgery). The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. RxList does not provide medical advice, diagnosis or treatment. For people with agitation: This drug may cause restlessness and anxiety and may make your agitation worse. All rights reserved. Mayo Clinic does not endorse companies or products. Check with your doctor or pharmacist to find out what you should do if you miss a meal. It shouldnt be used in people younger than 16 years. Podcast Episode: Drug Treatments for Weight Loss, weight loss management for an obese person, weight loss management for overweight person with bmi 27 to 29 and weight-related comorbidity, FDA Labeling for phentermine HCL on RxList. Allergy to tartrazineSuprenza contains tartrazine. Phentermine is used as part of a short-term plan, along with a low calorie diet, for weight reduction. However, get medical help right away if you have any pain/redness/swelling in or around the genital/anal area, along with a fever or feeling unwell. Or it can help you feel full longer. Limit alcohol while taking this medication because it can increase your risk of developing lactic acidosis, low blood sugar, and a high ketone level. Seeing, hearing, or feeling things that are not there, fast, irregular, pounding, or racing heartbeat or pulse, trembling or shaking of the legs, arms, hands, or feet, trouble with thinking, speaking, or walking, difficulty having a bowel movement (stool), increased in sexual ability, desire, drive, or performance, loss in sexual ability, desire, drive, or performance. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. Does cabergoline interact with my other drugs? It should melt quickly. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products or diet aids). Symptoms can include: fatigue and weakness, especially when you increase your activity level, shortness of breath during activity or when you lie down, angina (chest pain), chest discomfort or tightness that often gets worse during exercise, Tremors (uncontrollable rhythmic movement in one part of your body), Erectile dysfunction in men (trouble getting or keeping an erection). Avoid drinking large amounts of beverages containing caffeine (coffee, tea, colas) or eating large amounts of chocolate. Take this medication by mouth as directed by your doctor, usually once a day, 1 hour before breakfast or 1 to 2 hours after breakfast. Last medically reviewed on October 17, 2022. Additive vasospasm. This medication works by helping to restore your body's proper response to the insulin you naturally produce. Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. Phentermine also is offered combined with topiramate for weight loss (Qsymia). During your treatment, you and your doctor should monitor certain health issues. To make sure this medicine is safe for you, tell your doctor if you have: heart disease or coronary artery disease; diabetes (your diabetes medication dose may need to be adjusted); or. It can help weight loss by making you less hungry. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. How to use Phentermine HCL Take this medication by mouth as directed by your doctor,. This product may contain inactive ingredients, which can cause allergic reactions or other problems. This medication is an appetite suppressant and belongs to a class of drugs called sympathomimetic amines. Phentermine may also be used for purposes not listed in this medication guide. To avoid trouble with sleeping, take the last dose of the day about 4 to 6 hours before bedtime, unless your doctor tells you otherwise. Your doctor will adjust the dose to find the best dose for you. This medication is an appetite suppressant and belongs to a class of drugs called sympathomimetic amines. Contraindicated. Properly discard this product when it is expired or no longer needed. Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. This document does not contain all possible drug interactions. 15 to 37.5 mg orally once a day before breakfast or 1 to 2 hours after breakfast. But the rate of misuse seems to be low. If you are a Mayo Clinic patient, this could Be sure to avoid doing this when the weather is very hot or very cold. Discover facts and statistics about obesity in America. If you have any questions, ask your doctor or pharmacist. These issues include blood pressure. If you don't have these reliable forms of glucose, rapidly raise your blood sugar by eating a quick source of sugar such as table sugar, honey, or candy, or drink fruit juice or non-diet soda. This is not a complete list of possible side effects. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Your urine will test positive for glucose. Canada residents can call a provincial poison control center. pressure . This tool may not cover all possible drug interactions. You should not need a new prescription for this medication to be refilled. Keep these considerations in mind if your doctor prescribes phentermine for you. cabergoline oral , phentermine oral Mechanism: additive drug effects. But weight management can take time. Ask your doctor or dentist for instructions before your surgery/procedure. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. If you take too much of this medicine, it may become habit-forming (causing mental or physical dependence). Adipex-P, phentermine hydrochloride tablet, capsule. Phentermine side effects (more detail) Valvular heart disease. Beta-blocker medications (such as metoprolol, propranolol, glaucoma eye drops such as timolol) may prevent the fast/pounding heartbeat you would usually feel when your blood sugar falls too low (hypoglycemia). The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. If your symptoms are severe, call 911 or go to the nearest emergency room right away. To help prevent withdrawal, your doctor may lower your dose slowly. You should not breast-feed while using this medicine. Taking phentermine together with other diet medications such as fenfluramine (Phen-Fen) or dexfenfluramine (Redux) can cause a rare fatal lung disorder called pulmonary hypertension. All rights reserved. Store at room temperature away from moisture and heat. Clinical Drug Interactions Source: Medscape from WebMD. 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 raises your risk of side effects. This will tell you and your doctor if the medication is working to help you lose weight. Our website services, content, and products are for informational purposes only. Children 16 years of age and youngerUse is not recommended. Before having surgery or any X-ray/scanning procedure using iodinated contrast, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). How Do Gastric Sleeve and Gastric Bypass Surgeries Compare? In the US - Call your doctor for medical advice about side effects. Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Taking certain drugs with phentermine may cause serious side effects. Prevention and management of childhood obesity in the primary care setting. If you take this drug for a long period of time and stop it suddenly, you may have extreme fatigue and depression. For children: This medication hasnt been studied in children. Use: Short-term (a few weeks) adjunct in a regimen of weight reduction based on exercise, behavioral modification, and caloric restriction in the management of exogenous obesity in patients with an initial body mass index (BMI) of 30 kg/m2 or greater, or BMI of 27 kg/m2 or greater in the presence of other risk factors (e.g., controlled hypertension, diabetes, hyperlipidemia). Many insurance companies require a prior authorization for this drug. Not all possible interactions are listed here. You may report side effects to the FDA at 1-800-FDA-1088. It is usually taken first thing in the morning, before breakfast. Not every pharmacy stocks this drug. We comply with the HONcode standard for trustworthy health information. Using this medicine with any of the following medicines is not recommended. Store at room temperature away from light and moisture. Phentermine may increase your thyroid activity. Take phentermine once per day in the morning. Phentermine oral capsule doesnt cause drowsiness, but it can cause trouble sleeping. You may report side effects to FDA at 1-800-FDA-1088. Phentermine may make your PPH worse. Never try to catch up by taking two doses at once. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. Do not use phentermine if you are pregnant. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. This can cause your body to process drugs more slowly. Phentermine is a prescription drug. Start: 0.25 mg 2x/wk, incr. For people with diabetes: You may be able to control your diabetes better as you lose weight while youre on this drug. the unsubscribe link in the e-mail. Mayo Clinic Proceedings. If you notice other effects not listed above, contact your doctor or pharmacist. View Free Coupon. The exact way phentermine works to cause weight loss is not known. He armed himself with a balaclava, latex gloves, condoms and Viagra pills and posed as a cab driver in a Mercedes to roam the streets of Brighton, East Sussex. Contain ingredients that cause drowsiness, but it can help weight loss by making you less.. Regarding pregnancy, this medication to treat low blood sugar One 37.5-mg capsule: Typical starting dosage: One capsule... Before breakfast or 1 to 2 hours after breakfast and ask how to use phentermine HCL take medication. Is not known health and wellness space, and products are for informational purposes only of the prescribed... Dependence ), for weight loss with agitation: this drug calorie diet how. Been selected on the basis of their potential significance and are not necessarily all-inclusive diet... 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