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Qsymia capsule is a combination oral product comprised of immediate-release phentermine hydrochloride (expressed as the weight of the free base) and extended-release topiramate. Qsymia contains phentermine hydrochloride, a sympathomimetic amine anorectic, and topiramate, a sulfamate-substituted monosaccharide related to fructose antiepileptic drug.this medication is available in four dosage strengths: Buy Qsymia online – Qsymia for sale
-Qsymia 3.75 mg/23 mg (phentermine 3.75 mg and topiramate 23 mg extended-release) capsules
-Qsymia 7.5 mg/46 mg (phentermine 7.5 mg and topiramate 46 mg extended-release) capsules
-Qsymia 11.25 mg/69 mg (phentermine 11.25 mg and topiramate 69 mg extended-release) capsules
-Qsymia 15 mg/92 mg (phentermine 15 mg and topiramate 92 mg
extended-release) capsules. qsymia buy online, buy qsymia, Buy Qsymia
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Pregnancy testing is recommended before initiating Qsymia in patients who can become pregnant and monthly during Qsymia therapy.
Determine the patient’s BMI. BMI is calculated by dividing weight (in kilograms) by height (in meters) squared. A BMI conversion chart (Table 1) based on height [inches (in) or centimeters (cm)] and weight [pounds (lb) or kilograms (kg)] is provided below. qsymia buy online, buy qsymia
In adults with an initial BMI of 30 kg/m2 or greater or 27 kg/m2 or greater when accompanied by weight-related co-morbidities such as hypertension, type 2 diabetes mellitus, or dyslipidemia prescribe Qsymia as follows:
Take Qsymia once daily in the morning with or without food. Avoid
dosing with Qsymia in the evening due to the possibility of insomnia.
Start treatment with Qsymia 3.75 mg/23 mg (phentermine 3.75
mg/topiramate 23 mg extended-release) daily for 14 days; after 14 days
increase to the recommended dose of Qsymia 7.5 mg/46 mg (phentermine 7.5
mg/topiramate 46 mg extended-release) once daily.
Evaluate weight loss after 12 weeks of treatment with Qsymia 7.5 mg/46 mg.
If a patient has not lost at least 3% of baseline body weight on Qsymia
7.5 mg/46 mg, discontinue Qsymia or escalate the dose, as it is unlikely
that the patient will achieve and sustain clinically meaningful weight
loss at the Qsymia 7.5 mg/46 mg dose. Buy Qsymia online – Qsymia for
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To escalate the dose: Increase to Qsymia 11.25 mg/69 mg (phentermine
11.25 mg/topiramate 69 mg extended-release) daily for 14 days; followed
by dosing Qsymia 15 mg/92 mg (phentermine 15 mg/topiramate 92 mg
extended-release) once daily.
Evaluate weight loss following dose escalation to Qsymia 15 mg/92 mg after an additional 12 weeks of treatment.
If a patient has not lost at least 5% of baseline body weight on Qsymia
15 mg/92 mg, discontinue Qsymia as directed, as it is unlikely that the
patient will achieve and sustain clinically meaningful weight loss with
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Qsymia 3.75 mg/23 mg and Qsymia 11.25 mg/69 mg are for titration purposes only.
Discontinuing Qsymia
Discontinue Qsymia 15 mg/92 mg gradually by taking a dose every other day for at least 1 week prior to stopping treatment altogether, due to the possibility of precipitating a seizure . Qsymia buy online, buy Qsymia, Buy Qsymia online – Qsymia for sale
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Monoamine Oxidase Inhibitors
Use of phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis.
Oral Contraceptives
Co-administration of multiple-dose Qsymia 15 mg/92 mg once daily with a single dose of oral contraceptive containing 35 μg ethinyl estradiol (estrogen component) and 1 mg norethindrone (progestin component), in obese otherwise healthy volunteers, decreased the exposure of ethinyl estradiol by 16% and increased the exposure of norethindrone by 22%
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