I have been on Phentermine for a month now. I have not lost even 1lb. I have high blood pressure, diabeties 2, hypo thyroid, all of this showed up in one year with 50 extra lbs of weight. My new doctor prescribed me Phentermine 37.5 one time a day, removed me from the diabeties medicine and 1 of the blood pressure medicines. He says I will loose weight and everyone deserves a chance. I am 40 years old and I work and go to school full time. I take care of 5 children ages 11-23. I am on my feet all day, and I walk on a regular base. I just don't understand why I'm hungry still on this medicine. I also do not eat big meals but small meals all day, water not soda's and I eat many fruits. Is it that I will be like this or worse the rest of my life regardless?
I too have high BP and was prescribed Phentermine. I actually haven't taken it yet because 1) I'm afraid of a negative interaction with my other meds and 2) I've been told repeatedly it doesn't work for appetite suppression. The old "phen-phen" combination was effective 20 yrs ago, but a major side effect was discovered. It killed people!!
My prescribing physician is a gastroenterologist. They prepare many patients for variant tic surgery using this drug for some initial weight loss. I was told they need to see that the patient is disciplined enough to live with the post-op dietary restrictions and/or get to a certain weight before the operation can be performed. Many in this group of people are diabetic, Pre-diabetic and/or hypertensive.
I am not heavy enough to be a candidate for this surgery but my BMI qualifies me to be treated under my Ins Co's Wellness Program. Soooo..I'm still studying phentermine. Topamax is also offered, but I'm terrified of seizures (perhaps unreaistically,) so I won't take that. I know I didn't answer your question, but I do share your frustration. You must have a talk with your Dr again.Please let me know... PM is fine if you prefer.
4N Substances aka Frenchie
Are you able to meet with a registered dietitian? I happen to be one and know a good one could help you a great deal. Depending on how your doctor codes it and what insurance you have, a session may be covered. If your doc uses coding for diabetes rather than weight loss, most insurance companies will cover it. Unfortunately there is not a magic pill for weight loss, even phentermine. There could be a number of things going on. Most importantly, how are your blood sugars off your DM meds? If they're not in the recommended ranges, then you're body is back to having insulin resistance. If that is going on, it's nearly impossible to lose weight. It's very important to have good blood sugar control. If they are controlled, then again, a dietitian could dig a little deeper into your history, your food logs and see if there's something there.
I know how frustrating it is. I've been educating for years. See if your insurance will cover a visit and maybe that will be helpful. Very best of luck!!!
I have found if you take phentermine every day it is less effective. I sometimes take it once or twice a week on an empty stomach. I too have the medical problems you describe and stay hungry all the time except for the 5 or 6 hours following phen. but once I eat that day I become hungry again.
- Phentermine Information for Consumers
- Phentermine Information for Healthcare Professionals (includes dosage details)
- Side Effects of Phentermine (detailed)
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.
Updated 28 Oct 2009 • 1 answer
Updated 18 Mar 2011 • 1 answer
Updated 9 Sep 2014 • 1 answer
Updated 23 May 2018 • 1 answer
Updated 5 Jun 2018 • 1 answer