How much topiramate in qnexa




















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Charles Preston, M. Your decision today will greatly influence whether the FDA approves a combination of two old drugs, each of which has significant risks: an amphetamine and an anti-seizure medication — phentermine and topiramate — for the treatment of obesity. Given the literally insatiable appetite of doctors and patients for new drugs as a quick fix for obesity, there is every reason to believe that, if approved, a combination like this, will be used by millions, over long periods of time far beyond its labeling indications.

Because of a long list of safety reasons, this drug should not be approved. Few drugs act on as many different sites as topiramate, including GABA receptors, on voltage gated ion channels, on aquaporins proteins regulating the flow of water , and on carbonic anhydrases.

A few examples include: acute myopia secondary to angle closure glaucoma, cognitive impairment, kidney stones, metabolic acidosis, oligohydrosis and hyperthermia, suicidal ideation, and teratogenicity.

Phentermine acts on adrenergic receptors, with corresponding effects on many different organ systems, including the neurologic, cardiovascular, and gastrointestinal. It increases heart rate and blood pressure, heightens wakefulness, and decreases appetite. With such a combination of highly active agents, unintended effects are guaranteed.

Is thus acceptable? Vivus is seeking drug approval for the treatment of obesity, with specific recommendations that Qnexa be used for patients with a BMI greater than 30 or a BMI greater than 27 with related co-morbidities. We need to know how these patients would fare under Qnexa. But as the phase 3 studies show, the majority of participants were obese, middle age, Caucasian women.

Vivus only conducted trials lasting one year. Receive an email when new articles are posted on. Please provide your email address to receive an email when new articles are posted on. You've successfully added to your alerts. You will receive an email when new content is published. Click Here to Manage Email Alerts. We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice slackinc.

Back to Healio. Elaine H. Topamax can be taken with or without food and is generally taken at the same time each day. Metabolic acidosis is a condition where too much acid builds up in body fluids, and it can become life-threatening if it goes untreated. If you start to experience rapid breathing, confusion, extreme tiredness, and an increased heart rate while taking Topamax, you should seek medical attention as soon as possible because these are signs that you may have metabolic acidosis.

In an observational study done by the National Library of Medicine , discontinuation of Topamax for at least six months showed a trend for returning to a baseline weight. So people may be more likely to return to what they weighed before they started taking Topamax, but this may take some time. This return to a baseline weight may happen because the body is no longer experiencing a reduced appetite and faster metabolism.

Lifestyle changes can help you lose weight and keep it off so that you can enjoy the benefits of weight loss without taking Topamax, while taking it, or after taking it. Here are some of the safest ways to lose weight. Eating healthy is one of the safest and best ways to lose weight. For the best advice on what to eat to lose weight you should talk with your doctor, but making some small changes like eating more fruits and vegetables can be a great way to start. Processed foods, refined carbohydrates, sugar, and alcohol are all examples of foods that can cause weight gain.

Fresh fruits, vegetables, and high-quality proteins like salmon, beans, and eggs are all great examples of foods that the body can easily process and get vital nutrients from. According to the Centers for Disease Control and Prevention CDC , exercise not only helps control weight, but it reduces high blood pressure, reduces the risk of Type 2 diabetes, and can even reduce the symptoms of depression and anxiety.

Some great exercises for weight loss include walking, biking, swimming, and weight training. Stress is linked to many health problems such as anxiety and depression. Feeling stressed can lead to emotional eating, which can lead to weight gain over time.

Finding ways to reduce stress may help you lose weight. You might try meditating, yoga, going for walks, or calling a friend or family member. You can also ask your doctor or a counselor for proven ways to reduce stress that will fit into your lifestyle. According to the Sleep Foundation , a lack of sleep may increase the appetite and lead to metabolic problems. Getting enough sleep can help your body function properly and give you more energy to do things like exercise, which will help you lose weight.



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