Which is better phentermine tablets or capsules

If you take phentermine and topiramate during pregnancy, your baby may develop a birth defect called cleft lip or cleft palate. Your baby may develop this birth defect very early in the pregnancy, before you know that you are pregnant.

You must use birth control to prevent pregnancy during your treatment. You must take a pregnancy test before you begin your treatment and once every month during your treatment.

If you become pregnant while taking phentermine and topiramate, stop taking the medication and call your doctor immediately. Skip the missed dose and take your usual dose the next morning. Do not take a double dose to make up for a missed one. Phentermine and topiramate may cause other side effects. Call your doctor if you have any unusual problems while taking this medication. Keep this medication in the container it came in, tightly closed, and out of reach of children.

Store it at room temperature and away from excess heat and moisture not in the bathroom. Store phentermine and topiramate in a safe place so that no one else can take it accidentally or on purpose. Keep track of how many capsules are left so you will know if any are missing. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet.

Instead, the best way to dispose of your medication is through a medicine take-back program. It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach.

In case of overdose, call the poison control helpline at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your body's response to phentermine and topiramate. Do not let anyone else take your medication. Giving or selling phentermine and topiramate to others may harm them and is against the law.

Phentermine and topiramate is a controlled substance. Prescriptions may be refilled only a limited number of times; ask your pharmacist if you have any questions. It is important for you to keep a written list of all of the prescription and nonprescription over-the-counter medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital.

It is also important information to carry with you in case of emergencies. Phentermine and Topiramate pronounced as fen'' ter meen toe pyre' a mate. Why is this medication prescribed?

Some Medicare plans may help cover the cost of mail-order medications. You may also be able to get a day supply of the drug via mail order. They may be able to suggest online pharmacy options that could work for you. If you need financial support to pay for phentermine, consider looking into websites that offer cost resources and information.

Two such organizations are:. These sites can provide details on drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Talk with your doctor or pharmacist, who can provide personalized guidance on cost issues related to you and phentermine. Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date.

However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or other healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

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Physical activity and adequate sleep are also…. Phentermine and cost. Although not studied, the concomitant use of ethanol and phentermine may result in an adverse reaction and should be avoided. Phentermine, like other sympathomimetics, is contraindicated in selected patients with thyroid disease; 10 caution should be used if coadministering thyroid hormones with phentermine.

Atomoxetine has been reported to increase blood pressure and heart rate, probably via inhibition of norepinephrine reuptake. Consider monitoring heart rate and blood pressure at baseline and regularly throughout treatment if these agents must be used together. Bupropion is associated with a dose-related risk of seizures.

Excessive use of psychostimulants, such as phentermine or the combination of phentermine; topiramate, may be associated with an increased seizure risk; therefore, seizures may be more likely to occur in patients receiving these weight loss aides with bupropion or bupropion-containing combinations.

Other side effects might also occur, such as dizziness, blood pressure changes, or other side effects. Patients should be closely monitored if this combination is necessary. Do not combine therapy with phentermine or phentermine-combinations and bupropion; naltrexone due to this risk and the duplication of therapy for weight loss.

Due to the pharmacology of salmeterol, 21 caution and close observation should also be used when fluticasone; salmeterol is used concurrently with other adrenergic sympathomimetics, administered by any route, to avoid potential for increased cardiovascular effects based on the pharmacology of salmeterol. Use phentermine and selective serotonin reuptake inhibitors SSRIs or serotonin norepinephrine reuptake inhibitors SNRIs together with caution; 2 use together may be safe and efficacious for some patients based on available data, provided the patient is on a stable antidepressant regimen and receives close clinical monitoring.

Regular appointments to assess the efficacy of the weight loss treatment, the emergence of adverse events, and blood pressure monitoring are recommended 22 23 Watch for excessive serotonergic effects. Phentermine is related to the amphetamines, and there has been historical concern that phentermine might exhibit potential to cause serotonin syndrome or cardiovascular or pulmonary effects when combined with serotonergic agents.

One case report has been received of adverse reactions with phentermine and fluoxetine. Because depression and obesity often coexist, the study data may be important to providing optimal co-therapies. Use phentermine and vortioxetine together with caution; use together may be safe and efficacious for some patients based on available data, provided the patient is on a stable antidepressant regimen and receives close clinical monitoring.

One case report has been received of adverse reactions with phentermine and the antidepressant fluoxetine. This medicine may be habit-forming with long-term use. Check medicines with healthcare provider. This medicine may not mix well with other medicines. Limit caffeine for example, tea, coffee, cola and chocolate intake. Use with this medicine may cause nervousness, shakiness, and fast heartbeat.

Use birth control that you can trust to prevent pregnancy while taking this medicine. Primary pulmonary hypertension, a rare and serious lung disease, has developed in patients who received a combination of phentermine along with fenfluramine or dexfenfluramine.

Phentermine may cause this lung disease. This medicine may be habit-forming; avoid long-term use. Tell healthcare provider if you have a history of drug or alcohol abuse.

May cause serious heart-related side effects. Tell healthcare provider if you have any heart disease. If you suspect an overdose, call your local poison control center or emergency department immediately.

Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat. Severe behavioral problems. Chest pain or pressure or fast heartbeat. Severe dizziness or passing out. Very nervous and excitable. Severe headache. Any rash. No improvement in condition or feeling worse. Central nervous system adverse reactions that have been reported in patients receiving phentermine include dizziness, dysphoria, euphoria, headache, insomnia, overstimulation, restlessness, and tremor.

Psychosis at recommended doses may occur rarely in some patients. Primary pulmonary hypertension PPH and cardiac valvulopathy regurgitant cardiac valvular disease have been reported with phentermine. The initial symptom of PPH is usually dyspnea; other initial symptoms include: angina pectoris, syncope, or peripheral edema.

Treatment should be discontinued in patients who develop new, unexplained symptoms of dyspnea, angina pectoris, syncope, or peripheral edema. Other cardiovascular adverse effects that have been reported include hypertension, ischemic events, palpitations, and sinus tachycardia.

Reported adverse gastrointestinal effects of phentermine include constipation, diarrhea, dysgeusia, nausea, and xerostomia. Impotence erectile dysfunction , libido increase, and libido decrease have been reported in patients receiving phentermine. Urticaria has been reported in patients receiving phentermine. Phentermine has not been systematically studied for its potential to produce dependence in obese patients treated with usual recommended dose ranges.

Phentermine is related chemically and pharmacologically to the amphetamines, and these stimulant drugs have been extensively abused and the possibility of abuse of phentermine should be kept in mind when evaluating the desirability of including this drug product as part of a weight reduction program.

Abuse of amphetamines and related drugs e. Physical dependence physiological dependence is a state that develops as a result of physiological adaptation in response to repeated drug use. Physical dependence manifests by drug-class-specific withdrawal symptoms after abrupt discontinuation or a significant dose reduction of a drug. Limited data are available for phentermine. Abrupt cessation following prolonged high dosage administration results in extreme fatigue and mental depression; changes are also noted on a sleep electroencephalogram.

Thus, in situations where rapid withdrawal is required, appropriate medical monitoring is recommended. The maximum recommended dose should not be exceeded. Keep all medicine out of the reach of children. Throw away any unused medicine after the beyond use date. Do not flush unused medications or pour down a sink or drain. Phentermine HCl Capsules. Generic Name: Phentermine. Pharmacokinetics Phentermine is administered orally. Route-Specific Pharmacokinetics: Oral Route : Following oral administration, most absorption of phentermine occurs from the small intestine.