Frequently asked questions

What is the most crucial information I must know around can cause serious side effects, including:

Birth defects (cleft lip and also cleft palate).

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If you take during pregnancy, your baby has actually a higher risk for birth defects called cleft lip and cleft palate. This defects can begin early in pregnancy, even prior to you recognize you are pregnant.

Patients who are pregnant need to not take

Patients who can become pregnant should:

Have a pregnant test prior to taking and also every month while acquisition efficient birth regulate (contraception) consistently while taking Speak to your healthcare provider around how to stop pregnancy.

If you become pregnant while taking, avoid taking immediately, and also tell your healthcare provider ideal away. healthcare providers and patients should report all situations of pregnancy to:

FDA MedWatch in ~ 1-800-FDA-1088, andBecause the the danger for birth defects (cleft lip and cleft palate), is accessible through a restricted program called the threat Evaluation and also Mitigation Strategy (REMS). is only available through certified pharmacies that get involved in the REMS program. Your healthcare provider can offer you information about how to discover a certified pharmacy. For much more information, go to or speak to 1-888- 998-4887.Increases in heart rate. have the right to increase her heart rate at rest. Your healthcare provider should inspect your heart price while you take Phone call your healthcare provider if friend experience, while in ~ rest, a racing or pounding emotion in her chest lasting several minutes when taking thoughts or actions. Topiramate, an ingredient in, may reason you to have actually suicidal think or actions.Call your health care provider ideal away if girlfriend have any of these symptoms, specifically if they are new, worse, or issue you:thoughts about suicide or dyingattempts to commit suicidenew or worse depressionnew or worse anxietyfeeling agitated or restlesspanic attackstrouble sleeping (insomnia)new or worse irritabilityacting aggressive, being angry, or violentacting on dangerous impulsesan too much increase in activity and talking (mania)other unusual changes in habits or moodSerious eye problems i m sorry include:any sudden decrease in vision, through or without eye pain and redness,a blockage of liquid in the eye causing enhanced pressure in the eye (secondary angle closure glaucoma).These troubles can result in permanent vision loss if no treated. phone call your medical care provider right away if you have actually any new eye symptoms. have the right to have various other serious side effects. Check out “What are the possible side impacts of”

What is is a prescription medication that includes phentermine and topiramate extended-release that may assist some obese adult or some overweight adult who likewise have weight-related medical troubles lose weight and also keep the load need to be provided with a diminished calorie diet and increased physics activity.It is not well-known if alters your threat of heart difficulties or stroke or of fatality due to heart difficulties or stroke.It is not well-known if is safe and effective once taken with various other prescription, over-the-counter, or herbal weight loss products.It is not known if is safe and effective in children under 18 year is a federally managed substance (CIV) since it contains phentermine and also can it is in abused or bring about drug dependence. Store in a for sure place, to defend it native theft. Never provide your to anyone else, because it may cause death or harm them. Offering or giving away this medicine is against the law.

Who must not take it

Do no take if you:

are pregnant, planning to come to be pregnant, or come to be pregnant throughout treatment.have glaucoma.have thyroid difficulties (hyperthyroidism).are taking particular medicines dubbed monoamine oxidase inhibitors (MAOIs) or have actually taken MAOIs in the past 14 days.are allergic to topiramate, sympathomimetic amines such as phentermine, or any type of of the ingredient in See the end of this Medication guide for a finish list of ingredient in

What should I phone call my healthcare provider before taking

Before acquisition, call your healthcare provider about all the your medical conditions, including if you:

have had actually a heart assault or stroke.have or have had actually an abnormal heart rhythm.have or have had actually depression, the atmosphere problems, or suicidal think or behavior.have eye problems, especially glaucoma. View “Who have to not take it”.have a history of too lot acid in the blood (metabolic acidosis) or a condition that puts friend at higher risk because that metabolic acidosis together aschronic diarrhea, surgery, a diet high in fat and low in carbohydrates (ketogenic diet), weak, brittle, or soft skeletal (osteomalacia, osteoporosis, osteopenia), or decreased bone density.have kind 2 diabetes and also take medicine to control your blood sugar.have kidney problems, kidney stones, or are getting kidney dialysis.have liver problems.have seizures or convulsions (epilepsy).are breastfeeding or setup to breastfeed. can pass right into your chest milk and may damage your baby. You and also your health care provider need to decide if you will take or breastfeed. You must not perform both.

Tell your medical care provider about all the medications you take, consisting of prescription and over-the-counter medicines, vitamins, and also herbal supplements. taken with other medications may impact how each medicine works and may reason side effects.

Especially tell your healthcare provider if friend take:

Birth regulate pills. phone call your medical care provider if her menstrual bleeding transforms while you space taking birth manage pills the contain both estrogen and also progestin (combination oral contraceptives) and pills (diuretics) such as hydrochlorothiazide (HCTZ).Any drugs that impair or decrease her thinking, concentration, or muscle coordination.Carbonic anhydrase inhibitors such as ZONEGRAN (zonisamide), DIAMOX (acetazolamide) or NEPTAZANE (methazolamide).Seizure medicines such as valproic acid (DEPAKENE or DEPAKOTE).

Ask your healthcare provider or pharmacist because that a list of these medicines, if you room not sure.

Know the drugs you take. Save a list of them to display your medical care provider and pharmacist each time you obtain a new medicine. Carry out not start a new medicine without talk to your medical care provider.

How should I take

Your health care provider should start girlfriend on a diet and also exercise program when you start taking Remain on this regime while you room taking not readjust your dose without talking to your healthcare have the right to be taken v or without food.If you miss a sheep of, wait until the following morning come take her usual sheep of Execute not dual your dose.To begin treatment through audioeditorfree.comTake 1 3.75 mg/23 mg capsule (Figure A) 1 time every morning because that the first 14 days.After acquisition 3.75 mg/23 mg capsule because that 14 days, then take 1 7.5 mg/46 mg capsule (Figure B) 1 time each morning.After taking for 12 weeksYour healthcare provider need to either tell girlfriend to prevent taking or boost your sheep of if you do not shed a details amount of weight within the first 12 mainly of treatment at the recommended dose.If your healthcare provider rises the dose of audioeditorfree.comTake 1 11.25 mg/69 mg capsule (Figure C) 1 time every morning for 14 days.After taking 14 job of 11.25 mg/69 mg capsule, climate take 1 15 mg/92 mg capsule (Figure D) 1 time each morning.Stopping treatmentYour medical care provider have to tell you to prevent taking if you have not lost a specific amount of load after an additional 12 main of therapy on the higher dose.Do not prevent taking without talking to your health care provider. Stopping unexpectedly can reason serious problems, such together seizures.

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Your health care provider will certainly tell you exactly how to avoid taking slowly.

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