#PICOLINATE SIDE EFFECTS HOW TO#

tell your doctor and pharmacist if you are allergic to phentermine (Adipex-P, Suprenza) topiramate (Topamax) sympathomimetic amine medications such as midodrine (Orvaten, ProAmatine) or phenylephrine (in cough and cold medications) any other medications, or any of the ingredients in phentermine and topiramate capsules.

You can also visit the Food and Drug Administration (FDA) website ( ) or the manufacturer's website to obtain the Medication Guide.īefore taking phentermine and topiramate, Read the information carefully and ask your doctor or pharmacist if you have any questions. 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. Ask your doctor if you have any questions about how you will receive your medication. This medication is available only through specific mail order pharmacies. Phentermine and topiramate is not available at retail pharmacies.

#PICOLINATE SIDE EFFECTS HOW TO#

Your doctor will tell you how to decrease your dose gradually. If you suddenly stop taking phentermine and topiramate, you may experience seizures. Do not stop taking phentermine and topiramate without talking to your doctor. Phentermine and topiramate will help control your weight only as long as you continue to take the medication. 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 may be habit forming. 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. 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, 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 this dose for 12 weeks, your doctor will check to see how much weight you have lost. Your doctor will probably start you on a low dose of phentermine and topiramate and increase your dose after 14 days. Take phentermine and topiramate exactly as directed. 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 at around the same time every day.

This medication may cause difficulty falling asleep or staying asleep if it is taken in the evening. The medication is usually taken with or without food once a day in the morning. Phentermine and topiramate come as extended-release capsules to take by mouth.

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