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Qsymia for Weight Loss: How Does Qsymia Work
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Weight loss

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Qsymia Administration and Dosage
Qsymia is given as a once-daily oral capsule taken in the morning without food. You should not take Qsymia in the evening as it may cause insomnia. It is started at a dose of 3.75mg/23mg (phentermine 3.75mg/topiramate 23mg) for a period of 14 days. After 14 days, it is increased to the recommended dose of 7.5mg/46mg. It can be gradually increased based on how well you tolerate the medication or if you are seeing results. The maximum dose of Qsymia is 15 mg/92mg.
Qsymia Side Effects
The most common side effects of Qsymia are numbness and tingling of the hands and feet, dizziness, dry mouth, and trouble sleeping due to the activation of the sympathetic nervous system, as mentioned before. You should not take Qsymia if you are pregnant or are planning on becoming pregnant due to the risk of birth defects. You should also avoid Qsymia if you have a history of fast heart rate (tachycardia) or arrhythmias like atrial fibrillation.
Cost and Coverage
The average retail cost for Qsymia is around $250 for a month's supply. Since Qysmia has been on the market for some time and has been approved for weight loss, it is more likely to be covered by insurance. You can use the following link to see if your insurance plan covers Qsymia. There is also a Qysmia Savings Card where you can pay up to $70 for the first copay, and then the card covers up to $65 of the remaining cost.
Where Can I Learn More?
If you would like to learn more about GLP-1 medications or want to see if you might be eligible for medication-assisted weight loss, check out Mochi Health, where board-certified obesity medicine physicians can offer expertise in this realm!
References:
Gadde KM, Allison DB, Ryan DH, Peterson CA, Troupin B, Schwiers ML, Day WW. Effects of low-dose, controlled-release, phentermine plus topiramate combination on weight and associated comorbidities in overweight and obese adults (CONQUER): a randomised, placebo-controlled, phase 3 trial. Lancet. 2011 Apr 16;377(9774):1341-52. doi: 10.1016/S0140-6736(11)60205-5. Epub 2011 Apr 8. Erratum in: Lancet. 2011 Apr 30;377(9776):1494. PMID: 21481449.
Garvey WT, Ryan DH, Look M, Gadde KM, Allison DB, Peterson CA, Schwiers M, Day WW, Bowden CH. Two-year sustained weight loss and metabolic benefits with controlled-release phentermine/topiramate in obese and overweight adults (SEQUEL): a randomized, placebo-controlled, phase 3 extension study. Am J Clin Nutr. 2012 Feb;95(2):297-308. doi: 10.3945/ajcn.111.024927. Epub 2011 Dec 7. PMID: 22158731; PMCID: PMC3260065.
Allison DB, Gadde KM, Garvey WT, Peterson CA, Schwiers ML, Najarian T, Tam PY, Troupin B, Day WW. Controlled-release phentermine/topiramate in severely obese adults: a randomized controlled trial (EQUIP). Obesity (Silver Spring). 2012 Feb;20(2):330-42. doi: 10.1038/oby.2011.330. Epub 2011 Nov 3. PMID: 22051941; PMCID: PMC3270297.
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