The following information is NOT intended to endorse drugs or recommend therapy. While these reviews might be helpful, they are not a substitute for the expertise, skill, knowledge and judgement of healthcare practitioners in patient care.
Qsymia (phentermine / topiramate) for Obesity: I also have Type 2 diabetes. I've been on Qsymia for a little over 3 months now and my appetite has just been GONE. Period. I've had to take insulin for my type2 diabetes ever since coronary bypass surgery over 5 years ago. As my HbA1c crept up, the insulin dosage crept up, the excess fat crept up, the insulin resistance crept up, all in a vicious little circle. After one month on Qsymia I actually experienced a low blood sugar incident, which was scary but good. @ 3 months I'm down 12 pounds in weight and my HbA1c is down over one point. I've also been able to cut my insulin dosage to less than a third of what it used to be. Yet, my insurance won't cover Qsymia, even though my improving health is saving them more money in 1 month's worth of unused insulin than a whole year of Qsymia.
Review by Texas Girl (taken for 6 months to 1 year):
Qsymia (phentermine / topiramate) for Weight Loss: I started on Qsymia 6 months ago, and I have had plenty of side effects. I started with tingling in my fingers and toes, even my lips occasionally. I get terrible cotton mouth, brain fog, mild headaches, extreme fatigue and have a hard time concentrating. I even run the gamut of emotions at time from irritation to outright hostility, but it usually passes quickly and I have learned to control it. Having said that, I started out at 216 pounds, I am now at 175 and most of the side effects have began to subside. I can live with the cotton mouth by increasing my water intake and have found a work around for all the other inconveniences I experienced in the beginning, but if you stick with it, you'll find that it is worth it. 40 lbs to go!
Qsymia (phentermine / topiramate) for Weight Loss: I had a good experience on this medicine. After years of nothing working, I lost 35 pounds over 8 months. Started at 206lbs, ended at 170lbs. I've always been active, exercising 6 days a week and I ate well. The medicine turned off any cravings I had and I felt full after only a few bites of the healthy food I was eating. There were two big down sides. First, the cost! It went from $150 to $190 in the 7 months I took it. To add to it, my state requires monthly check ins at the Dr. which add $60 a month for a total of $250/month. If I was continuing to drop a lot of weight, it might have been worth it but I plateaued and for the last 3 months did not lose any weight. Been off for 3 months and I have maintained. I would consider taking it again.
Qsymia (phentermine / topiramate) for Weight Loss: I just started Qsymia on 2/20/14 it has only been 4 days and I have dropped 5 pounds. The only side effect I've experienced is insomnia. I am happy in knowing that the more weight I lose the longer I will be on this earth for my family.
13 users found this comment helpful.
Review by gettingslim (taken for less than 1 month):
Qsymia (phentermine / topiramate) for Weight Loss: I am a 42 year old female. I am the heaviest I have ever been at 212lbs because of menopause. I started Qsymia on 02/18/2014. The only side effect I've noticed is a mild headache only when I haven't eaten enough.
11 users found this comment helpful.
Qsymia (phentermine / topiramate) for Obesity: I have been on Qsymia for 5 weeks now and have lost a total of 17 lbs. I am 5'2" and on January 7, 2014 I weighed 196 lbs. Today is 2//16/14 and I am down to 179 lbs. The only side effects I experienced are dry mouth and tingling in my toes once in a while. I have not had time to exercise and I still eat fast food once in a while but I skip the fries and soda as I do not have a desire for them or sweets anymore.
28 users found this comment helpful.
Qsymia (phentermine / topiramate) for Obesity: I have been on Qsymia for 2 weeks now, started at 305 and 295 as of last night. I haven't experienced any side effects to this date. I have use the app "Lose It" to keep up with my food intake and also brought the Lose it scale. I found drinking water in large amounts helps with the dry mouth. Looking to lose 91lbs, will update soon.
36 users found this comment helpful.
Review by Anonymous (taken for less than 1 month):
Qsymia (phentermine / topiramate) for Weight Loss: I tried Qsymia for 9 days. I lost 8 pounds but had too many side effects. I felt like I was going to pass out at church one Sunday. I got extremely agitated. That was just NOT me. I stopped taking it because I got into an argument with the pharmacist and cried all the way home. I turned into someone I didn't like.
25 users found this comment helpful.
Qsymia (phentermine / topiramate) for Obesity: Qsymia makes me think like a thin person. I no longer have any compulsion to find think about food. I have been obese for 98% of my adult life (I am 64) and tried everything. With Qsymia, I can make all the right decisions (and a few wrong ones) that I have known all along I needed to make. Now, just like a thin person, I am not driven to every fast food door, seconds or thirds of meals, eating a whole container or bag of anything. With minimal effort and smart decisions, I have gone from obese to within 5 pounds of normal weight for my height. No noteable side efffects - a little constipation when I don't eat much and a dry mouth. If I forget to take Qsymia for a day or two I know right away - my old eating habits come right back
33 users found this comment helpful.
Qsymia (phentermine / topiramate) for Weight Loss: I have been taking Qsymia now since 6/13 I started at 211 lbs and I am 5' 1". Today is 1/27/14 and I weigh 176.4lbs. I do not eat the healthy foods and I do not exercise regularly as I have issues with my knees and shoulders that my tendons flare up when I workout so I only do so occasionally and my main activity is housework and yard work. I still eat fast-food occasionally and pizza just not like I used to. Now here is the thing I had high blood pressure when I started and now its perfect! I am my doctors guinea pig and I am being monitored I had an EKG before starting it and I have to still go in for follow ups and he did a blood panel last month to make sure I wasn't having any hidden side effects! Came back negative and I've lost 35lb.
39 users found this comment helpful.
Review by HealthJourney (taken for less than 1 month):
Qsymia (phentermine / topiramate) for Weight Loss: I am a 25 year old female. I'm 5'8" and weighed 240lbs at my heaviest. I tried Qsymia after it was recommended by a family member who has lost 40 lbs on it and I have been on it for exactly a week now. I'm combining it with The 17 Day Diet by Dr. Mike Moreno, which is low fat, low carb, low sugar, and I'm happy to say that somehow in one week I've lost 14 pounds. I know it's mostly water weight but I feel good and I can actually tell that the pill makes me not crave food or feel hungry throughout the day like I used to be, which makes following the diet so much easier. I would recommend Qsymia to anyone. Only side effect is a little lightheadedness the first day or two.
48 users found this comment helpful.
Qsymia (phentermine / topiramate) for Obesity: Started back in June, and at first it seemed as though I was having all of the side effects from constipation to acid reflux, you name it. So far I have gone from 212 to 182 lbs. This is the only diet medication that has worked for me. It has always been a problem losing after being diagnosed with a thyroid condition. I am grateful my physician decided to try me on Qsymia.
83 users found this comment helpful.
Qsymia (phentermine / topiramate) for Weight Loss: I have been on Qysimia for two weeks and have lost 11 pounds. I started with the headaches and the fogginess. I also had dizzy spells, but I later figured out that many of the symptoms were because of the lack of food I was eating. I started eating healthier portions, (smaller, but healthier) and the side effects were gone and the pounds just started coming off. I don't want to up the dose because I am afraid the weight is coming off too fast.
87 users found this comment helpful.
Qsymia (phentermine / topiramate) for Obesity: I had seen a story about Qsymia on the news right before seeing my doctor for the results of my physical. I was at the highest weight I had ever been 233 lbs, 43 years old and a mostly inactive lifestyle. I did some research on side effects, printed out all the information I could find and took it with me to my appointment. My doctor was hesitant because she never heard of Qsymia, but agreed to a trial 6 month run that was in July. Today I had my fifth doctor's appointment, 40 pounds lost, current weight 193, she has approved me to be on Qsymia until the goal weight is reached since she has done research and found that it okay to be on it for the long term. No dieting! Barely exercising. Appetite is decreased - HUGE SUCCESS.
105 users found this comment helpful.
Qsymia (phentermine / topiramate) for Obesity: My wife and I both started Qsymia 11 months ago and have both lost 65lbs ea. We have had no side effects other than minor tingling. We both support each other and eat normal foods just less of them. I am a diabetic and was using insulin and pills, I no longer use insulin and may be able to get off the pills soon. Our Doctor sees us every 3 months to check on us. This medicine has been good for us. But you have to work at it, it's not magic.
77 users found this comment helpful.
Qsymia (phentermine / topiramate) for Weight Loss: Update to my weight loss experience, I'm 51, 5'5" female, 3 kids, started Qysmia 9/9/13 at 198 lbs. This morning, Nov. 7, I weighed in at 173 lbs. Lost 25 lbs in 2 months! Eating 1200 calories a day, drinking lots of diet tea. Still have occasional tingling in toes, but thats it. Weight loss is about a pound a week but thats probably the healthiest way to go and I'm not feeling hungry or deprived. I eat what I want, just less, BUT drink a BIG glass of tea before eating! Cost - yes expensive - but you're cutting back calories so it is the cost of one Big Mac Meal or its equal. I'm VERY happy with my results!!!
79 users found this comment helpful.
Qsymia (phentermine / topiramate) for Weight Loss: I am a 51 year old female with 3 kids, I started Qysmia Sept. 9 at 198 lbs and have lost 19 lbs as of today, Oct. 12. I know initially you loose more because it is mostly water, but now I have leveled off and I am loosing the healthy 2 lbs/week. I have tried so many diets, nothing has worked like this. The only side effect I have felt is very occasionally the tingling in my feet. Not only am I not "wound up" from this med, I have never been so calm, I'm finally seeing results for all the effort and I am not frustrated. Appetite is way down, I eat about 1200 calories or less a day, have plenty of energy, and drink LOTS of fluid, 30 lbs to go! Can't wait! Definitely would recommend Qysmia to the extremely overweight or obese.
85 users found this comment helpful.
Qsymia (phentermine / topiramate) for Weight Loss: I've been on this for close to 30 days, I've lost 13lbs, started at 225lbs. I haven't had many of the side effects that others have had. I see a common theme that no one mentions whether or not they take vitamins/multivitamin to help curb the side effects. That was the very first thing my doctor told me and drink plenty of water.
62 users found this comment helpful.
Qsymia (phentermine / topiramate) for Weight Loss: I'm going through peri-menopause at 46 and have put on 25lbs over the past few years. No amount of diet or exercise could help me lose this extra weight. I exercise each day just to not gain any more weight. Seeing that I was struggling with this issue, my Dr. prescribed Qysmia. First few weeks, I did feel a little tired and foggy, but got through it. On 7.5 mg now and have lost 9 lbs in 19 days. My appetite has been squashed like I never expected! When I eat a meal, I cannot finish all on my plate because I feel full very quickly. I still have a half glass of red wine at night though. No desire for sweets or carbs.
67 users found this comment helpful.
Qsymia (phentermine / topiramate) for Weight Loss: Just started Qsymia 9/24/13 weighing in @ 239lbs as of this morning 10/4/13 I weighed in at 232.6lbs. Eating a little healthier, smaller meals more frequently only drinking water or freshly brewed unsweetened Tea, no carbonated beverages, nothing with high fructose corn syrup and nothing with any artificial sweeteners. And I have to be honest I am no by any means a gym person I haven't stepped foot in a gym in years, however I do stay very active with housework inside and outside of the home, which after a while is exercise in itself. Also I find I can go on very little sleep, I am full of energy and feel great. This is a miracle in my book. Good luck everyone.
56 users found this comment helpful.
Qsymia (phentermine / topiramate) for Obesity: I started on Qsymia half a year ago, lost 28 lbs so far. Overall been very pleased with the weight drop. Not much side effect. I have tried so many other things, this one is actually the most effective method I have ever had.
I did notice tingling at my fingers a couple of times but was not bothering much. Oh, one thing the Coke I drink tasted weird after taking the medication.
49 users found this comment helpful.
Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.
Data sources include Micromedex™ (updated Dec 30th, 2013), Cerner Multum™ (updated Jan 17th, 2014), Wolters Kluwer™ (updated Mar 2nd, 2014) and others. To view content sources and attributions, refer to our editorial policy.