What is phentermine/topiramate used for?

Phentermine and topiramate combination is used together with a reduced-calorie diet and proper exercise to help you lose weight. It is also used in overweight people who may also have diabetes, high blood pressure, high cholesterol, or heart disease.

Is topiramate used for weight loss?

Key Points. Yes, topiramate (Topamax) has been shown to cause weight loss when used for both seizure control and migraine prevention. Topiramate (used by itself) is not specifically approved by the FDA for weight loss, but some doctors may prescribe it if you have seizures or migraine and need to lose weight, too.

Is phentermine/topiramate Topamax?

The drug, to be marketed as Qsymia (Vivus) is a combination of phentermine (Adipex, Gate), a sympathomimetic amine anorectic, and extended-release topiramate (Topamax, Janssen), an antiepileptic drug.

Is topiramate better than phentermine for weight loss?

Phentermine has an average rating of 8.7 out of 10 from a total of 2918 ratings on Drugs.com. 84% of reviewers reported a positive effect, while 5% reported a negative effect. Topiramate has an average rating of 6.3 out of 10 from a total of 1222 ratings on Drugs.com.

Is topiramate a controlled substance?

by Drugs.com Topamax (generic name: topiramate) is not classified as a controlled substance under the U.S. Controlled Substances Act (CSA). Topamax is an anticonvulsant (seizure) medication, but is also prescribed for other conditions such as prevention of migraine.

How fast does topiramate work for weight loss?

It can take some time to see weight loss results from taking Topamax. Some people may not notice a difference until they’ve taken the drug for at least four months, while other people may start to lose weight in their first month of taking it. Weight loss results from topiramate are proven to increase over time.

Is topiramate a stimulant?

Phentermine is a stimulant and appetite suppressant. Topiramate is an anticonvulsant that has weight loss side effects. The exact mechanism of action for both drugs is unknown….Phentermine/topiramate.

Combination of
Phentermine	Appetite suppressant/stimulant of the amphetamine and phenethylamine class

How does topiramate feel?

Topamax can sometimes cause personality changes that affect the way people behave, react, feel, or interact with others. For example, the drug may cause agitation, aggression, or other behavior problems. Topamax may also cause mood changes, such as anxiety, mood swings, and depression.

Is topiramate a pain killer?

Background: Topiramate is an antiepileptic drug with multiple possible mechanisms of action. Antiepileptic drugs are widely used to treat chronic neuropathic pain (pain due to nerve damage) and fibromyalgia, and many guidelines recommend them.

What is the best time of day to take Topamax for weight loss?

Take this medicine once a day in the morning, with or without food. Avoid taking this medicine in the evening to prevent trouble sleeping. Swallow the extended-release capsule whole. Do not crush, break, or chew it.

Is topiramate a narcotic?

Topamax (generic name: topiramate) is not classified as a controlled substance under the U.S. Controlled Substances Act (CSA). Topamax is an anticonvulsant (seizure) medication, but is also prescribed for other conditions such as prevention of migraine.

Does topiramate help you sleep?

Conclusions: Topiramate may be of benefit for patients with NES or SRED in reducing nocturnal eating, improving nocturnal sleep, and producing weight loss.

Can topiramate make you feel high?

There have not been any studies on whether topiramate can cause dependence, but it may be possible. Unlike many other drugs of abuse, topiramate won’t make you feel high. Instead, you’re more likely to feel sleepy, dazed, or a little bit confused. It won’t produce feelings of pleasure, excitement, or happiness.

Does Topamax burn fat?

Ketosis: Topamax causes fluctuations in blood glucose and insulin levels, which may induce ketosis. Ketosis is a state in which the body uses fat as fuel, resulting in significant weight loss. Boosts metabolism: Topamax may help speed up metabolism, which can contribute to weight loss.

How long does it take for topiramate to kick in?

You’ll likely not notice Topamax working right away when you first start using it. It may take 1 month for your migraine attacks to become less frequent and 2 to 3 months for Topamax to become fully effective. Keep your doctor updated on your symptoms while taking Topamax.

How much Topamax should I take to lose weight?

For weight loss: Adults—At first, one tablet of 3.75 milligrams (mg) of phentermine and 23 mg of topiramate once a day for 14 days. After 14 days, your doctor may increase your dose to 7.5 mg of phentermine and 46 mg of topiramate once a day.

What is the recommended dose for topiramate tablets monotherapy?

The recommended dose for Topiramate tablets monotherapy in adults and pediatric patients 10 years of age and older is 400 mg/day in two divided doses.

What is the recommended dosage of topiramate for Lennox Gastaut syndrome?

The recommended total daily dose of Topiramate tablets as adjunctive therapy for pediatric patients 2 to 16 years of age with partial-onset seizures, primary generalized tonic-clonic seizures, or seizures associated with Lennox-Gastaut syndrome is approximately 5 to 9 mg/kg/day in two divided doses.

How many patients with topiramate (topiramate) discontinued therapy due to adverse reactions?

Approximately 21% of the 159 adult patients in the 400 mg/day group who received Topiramate as monotherapy in Study 1 discontinued therapy due to adverse reactions.

What are the side effects of topiramate 100 mg for migraine?

The most common adverse reactions with Topiramate 100 mg in the clinical trials for the preventive treatment of migraine of predominantly adults that were seen at an incidence higher (≥ 5 %) than in the placebo group were: paresthesia, anorexia, weight loss, taste perversion, diarrhea, difficulty with memory, hypoesthesia, and nausea (see Table 8).