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Lomaira vs. Qsymia

Lomaira (phentermine) is a prescription appetite suppressant. It's used to help with weight loss and is approved for people ages 17 years and older. Lomaira (phentermine) is taken by mouth, typically three times per day. This medication is shorter-acting compared to Adipex-P (phentermine), which is taken once daily. Common side effects include dry mouth, trouble sleeping, and headache. You should avoid drinking alcohol while taking Lomaira (phentermine) because doing so can lead to serious risks, such as dizziness and heart problems.

• Short-term treatment for weight management in people ages 17 years and older with a body mass index (BMI) of:
  • 30 kg/m2 or greater; or
  • 27 kg/m2 or greater, and with at least one other weight-related condition (e.g., high blood pressure, high blood sugar, high cholesterol)

• Dry mouth
• Headache
• Tremor
• Constipation
• Diarrhea
• High blood pressure
• Fast heart rate
• Difficulty sleeping

• Not safe to combined with other weight loss medications
• Phentermine not working well
• Risk of misuse and dependence
• Trouble concentrating or problem with coordination
• Heart and lung problems
• Risk of high blood pressure
• Risk of low blood sugar in people with diabetes

Qsymia (phentermine / topiramate extended release) is a combination medication used to help with weight loss. It's approved for people over 12 who are considered obese and for some adults who are considered overweight. This medication is a tablet that you take once a day. You should also eat a balanced diet and exercise regularly for best results. Side effects include a "pins-and-needles" feeling, dry mouth, and constipation. You can only get this medication through the Qsymia REMS (Risk Evaluation and Mitigation Strategies) program because of the risk of birth defects if taken during pregnancy.

• Weight loss and long-term weight management, together with diet and exercise, for certain people:
  • People age 12 years and older considered obese
  • Adults considered overweight with at least one weight-related condition (e.g., heart disease, high blood pressure, Type 2 diabetes)

Adults:

• Feeling of pins and needles (up to 20%)
• Dry mouth (up to 19%)
• Constipation (up to 16%)
• Upper respiratory tract infection (up to 16%)
• Headache (up to 11%)
• Change in taste (up to 9%)
• Trouble sleeping (up to 9%)
• Dizziness (up to 9%)

Children:

• Depression (up to 4%)
• Nausea (up to 4%)
• Fever (up to 4%)
• Dizziness (up to 4%)
• Joint pain (up to 4%)

• Harm to an unborn baby
• Mood problems and suicidal thoughts or behavior
• Fast heart beat
• Vision problems
• Problems concentrating
• Higher level of acid in blood (metabolic acidosis)
• Possible lower kidney function
• Kidney stones
• High body temperature and inability to sweat
• Serious allergic reactions and skin reactions
• Possible slowed growth in children