Qsymia is a prescription diet and weight loss pill created by Vivus Inc. for adults with a BMI of 30 or higher. The two main ingredients are Phentermine and Topiramate. It is not available over the counter; your healthcare professional must prescribe it to you, and instruct you on how much and when to take it. There are many potentially hazardous side effects that come with taking this pill, including mood changes, trouble sleeping, concentration difficulties, and kidney stones. Phentermine is a well-known weight loss ingredient that has been said to suppress your appetite, and Topiramate is a well-known seizure medication that also can aid in weight loss as it makes you feel more full after eating.
Qsymia is not intended for women who are pregnant or may become pregnant, as it has been shown to cause birth defects. There are many precautions when taking this diet pill, so be aware of any health conditions you might have before taking this. Your doctor will also go over it with you. An important note quoted from Drugs.com:
You should not take Qsymia if you are allergic to phentermine (Adipex-P, Oby-Cap, Suprenza, T-Diet, Zantryl) or topiramate (Topamax), or if you have glaucoma or overactive thyroid. Do not use Qsymia if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.
Before you take Qsymia, tell your doctor if you have high blood pressure, heart disease, diabetes, liver or kidney disease, low blood levels of potassium, or if you have had a heart attack or stroke in the past 6 months. 
The tablets are slow-release, so when you take them you should swallow them whole versus crushing them up. Your doctor will evaluate you every so often while you’re prescribed this medication, and you should not share your medication with anyone else. The main website which endorses Qsymia also endorses coupling the pills with the Mayo Clinic Diet for overall health and wellness, but you should follow your own doctor’s advice on that. There are eligibility requirements when looking into Qsymia, such as a BMI over 30, or BMI of 27 with high blood pressure, type 2 diabetes, and high cholesterol.
What’s The Word?
On the Everyday Health website there were real customers who evaluated their experience with Qsymia.
One of them stated, “Qsymia is an awesome weight loss drug, and I would venture to say that it also helped to reduce my blood pressure. A couple of bothersome disadvantages were dry mouth and a tingling sensation in my hands/ fingers.” 
Another customer stated: “Curbs appetite—initially, may lose interest in eating altogether. Experienced some bothersome side effects first week (especially fatigue, brain fog, difficulty concentrating, dizziness) but abated by week two. Have taken for 5 months, 25 lb. loss to date. Steady loss. Raises heart rate so beware.” 
According to a Time article written by Alice Park, “In clinical trials, people taking Qsymia lost more weight; those taking Belviq lost 5.8% of their body weight on average after a year.” Qsymia, Qnexa, and Belviq are often compared to one another on the accuracy scale regarding which one is more effective for quick weight loss.
What Does Qsymia Offer?
The company’s main website makes the risks well known, but it does make some promises, as any marketing campaign will. Some of those claims include Qsymia can help you lose 24+ pounds, lose at least four inches or more off your waist, and achieve 10% body weight loss with just one pill per day.  Which is great, but not everyone (or possibly anyone) is going to necessarily have that experience. Your doctor will know better than the marketing department what Qsymia is likely to do for you.
The average cost for a 30-day supply of Qsymia is around $200.00, but this varies from pharmacy to pharmacy. On the main website they offer a free trial period to try it out once approved and prescribed.
Is Qsymia Worth A Try?
Depends. As stated above, this product is not open to the public for purchase. If you fall within the parameters accepted to take Qsymia, talk to your doctor about potential benefits vs. side effects, which can be severe in some cases. Phentermine is a well-known appetite suppressor, but can itself cause dizziness, headaches, sleep problems, and dry mouth. When you add in Topiramate—a seizure medication known to help with making one feel more full after a meal—you may experience tingling limbs, diarrhea, and drowsiness. The company is up front about the dangers of taking this weight loss supplement, and a doctor should monitor anyone who is taking it. It has not been proven safe for anyone under 18, so please reach out to a doctor first for more information about your weight-loss options.
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