Maintaining a healthy weight by reducing caloric intake and engaging in regular exercise involves integrating dramatic changes to your lifestyle as well as the way you think about food needs. Reflection Medical Spa understands how difficult it is to lose weight, prevent it from returning and overcoming a possible food addiction that promotes compulsive eating habits. In fact, studies examining the neurochemistry and genetics of chronically overweight individuals reveals that abnormal levels of the same neurotransmitters influence both food and substance addictions.
Reflection Medical Spa provides safe and effective appetite suppressants that decrease appetite by releasing hunger-suppressing neurochemicals into the bloodstream. For example, Phentermine is an FDA-approved appetite suppressant that not only reduces the desire for food but also stimulates the hypothalamus, a gland responsible for the regulation of sleep, body temperature and appetite.
Two other appetite suppressant that Reflection Medical Spa prescribes to help people safely lose weight are Phentermine and Topiramate. Both boost central nervous system activity and decrease appetite which facilitates weight loss when accompanied by an appropriate diet and regular exercise.
Losing weight not only provides positive psychological benefits such as increased self-esteem and self-confidence but may also eliminate the risk of eventually suffering potentially serious medical conditions such as hypertension, high cholesterol, heart disease and even some cancers. When appetite suppressants are used in conjunction with a reduced calorie diet and daily physical activity like walking, bicycling or jogging, you will easily lose weight, feel more energetic and find that you no longer experience the compulsion to overeat.
Why is this medication prescribed?
Phentermine and topiramate extended-release (long-acting) capsules are used to help adults who are obese or who are overweight and have weight-related medical problems to lose weight and to keep from gaining back that weight. Phentermine and topiramate extended-release capsules must be used along with a reduced calorie diet and exercise plan. Phentermine is in a class of medications called anorectics. It works by decreasing appetite. Topiramate is in a class of medications called anticonvulsants. It works by decreasing appetite and by causing feelings of fullness to last longer after eating.
How should this medicine be used?
Phentermine and topiramate come as extended-release capsules to take by mouth. The medication is usually taken with or without food once a day in the morning. This medication may cause difficulty falling asleep or staying asleep if it is taken in the evening. Take phentermine and topiramate at around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take phentermine and topiramate exactly as directed.
Your doctor will probably start you on a low dose of phentermine and topiramate and increase your dose after 14 days. After you take this dose for 12 weeks, your doctor will check to see how much weight you have lost. If you have not lost a certain amount of weight, your doctor may tell you to stop taking phentermine and topiramate or may increase your dose and then increase it again after 14 days. After you take the new dose for 12 weeks, your doctor will check to see how much weight you have lost. If you have not lost a certain amount of weight, it is not likely that you will benefit from taking phentermine and topiramate, so your doctor will probably tell you to stop taking the medication.
Phentermine and topiramate may be habit forming. Do not take a larger dose, take it more often, or take it for a longer period of time than prescribed by your doctor.
Phentermine and topiramate will help control your weight only as long as you continue to take the medication. Do not stop taking phentermine and topiramate without talking to your doctor. If you suddenly stop taking phentermine and topiramate, you may experience seizures. Your doctor will tell you how to decrease your dose gradually.
Phentermine and topiramate is not available at retail pharmacies. This medication is available only through specific mail order pharmacies. Ask your doctor if you have any questions about how you will receive your medication.
Your doctor or pharmacist will give you the manufacturer’s patient information sheet (Medication Guide) when you begin treatment with phentermine and topiramate and each time you refill your prescription. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) or the manufacturer’s website to obtain the Medication Guide.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
What special precautions should I follow?
Before taking phentermine and topiramate,
What special dietary instructions should I follow?
Drink extra fluids during your treatment with phentermine and topiramate.
Unless your doctor tells you otherwise, continue your normal diet.
What should I do if I forget a dose?
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.
What side effects can this medication cause?
Phentermine and topiramate may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately or get emergency medical treatment:
Phentermine and topiramate may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/Safety/MedWatch] or by phone [1-800-332-1088].
What storage conditions are needed for this medicine?
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). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.
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.
What other information should I know?
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.
Brand names of combination products
Qsymia® (containing Phentermine, Topiramate)