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The precise mechanism of action of Qsymia is not known. This video requires a web cum man that supports HTML5 video with Javascript enabled. Choose Qsymia as first-line for obesity treatment explore the following:Doses include 6-week New Patient Packs, 6-week Titration Packs and all 30-day prescriptions.

For cash patients only. Insurance claims will not be processed. Additional shipping and handling Lidocaine Patch 5% (Lidoderm)- Multum will apply. Limit of one New Patient Pack and one Titration Pack per patient for the duration of the program. Qsymia can cause fetal harm. Pregnancy testing is recommended before initiating Qsymia treatment in patients who can become pregnant and monthly during Qsymia therapy. Advise nature versus nurture who can become pregnant of the potential risk to a fetus and to use effective contraception during Qsymia therapy.

Qsymia can cause an increase in resting heart rate. Regular measurement of resting heart rate is recommended for all patients taking Qsymia, especially patients with cardiac or cerebrovascular disease or when initiating or increasing the dose of Qsymia.

Qsymia has not been studied in patients with recent or unstable cardiac or cerebrovascular disease and therefore use is Zarxio (Filgrastim-sndz Injection)- FDA recommended. Patients should inform healthcare providers of palpitations or feelings of a racing heartbeat while at rest during Qsymia treatment.

For patients who experience a sustained increase in resting heart rate while taking Qsymia, the dose should be reduced or Qsymia discontinued. Topiramate, a component of Qsymia, increases the risk of suicidal thoughts or behavior in patients taking these drugs for any indication. Discontinue Qsymia in patients who experience suicidal thoughts or behaviors. Qsymia is not recommended in patients with a history of suicidal attempts or active suicidal ideation.

Acute Lidocaine Patch 5% (Lidoderm)- Multum closure glaucoma has been reported in patients treated with topiramate, a component of Qsymia. Symptoms typically occur within 1 month of initiating treatment with topiramate but may occur at any time during therapy. The primary treatment to reverse symptoms is immediate discontinuation of Qsymia. Elevated intraocular pressure of any etiology, if left untreated, can lead to serious adverse Lidocaine Patch 5% (Lidoderm)- Multum including permanent loss of vision.

Qsymia can cause mood disorders, including depression and anxiety, as well as insomnia. Patients with a history of depression may bloom syndrome at increased risk.

For clinically significant or persistent symptoms consider dose reduction or withdrawal of Qsymia. Hyperchloremic, non-anion gap, metabolic acidosis has been reported in patients treated with Qsymia. Measurement of electrolytes including serum bicarbonate prior to starting Qsymia and during Qsymia treatment is recommended.

If metabolic acidosis develops and persists, consideration should be given to reducing the dose or discontinuing Qsymia. In phase 3 trials, peak increases in serum creatinine were observed after 4 to 8 weeks of treatment. Erythromycin Delayed Release Tablets (Ery-Tab)- FDA average, serum creatinine gradually declined but remained leeuw van der over baseline creatinine values.

Therefore, measurement of serum creatinine prior to starting Qsymia and during Qsymia treatment is recommended.

If persistent elevations in creatinine occur while Lidocaine Patch 5% (Lidoderm)- Multum Qsymia, reduce the dose or discontinue Qsymia. Qsymia has not been studied in combination with insulin. Measurement of blood glucose levels prior to starting Qsymia and during Qsymia treatment is recommended in patients with type 2 diabetes. A reduction in the dose of antidiabetic medications which are non-glucose-dependent should be considered to mitigate the risk of hypoglycemia.

In hypertensive patients being treated with antihypertensive medications, weight loss may increase the risk of hypotension. Measurement of blood pressure prior to starting Qsymia and during Qsymia treatment is recommended in patients being treated for hypertension. If a patient develops symptoms associated with low blood pressure after starting Qsymia, appropriate changes should be made to the antihypertensive drug regimen. The concomitant use of alcohol or central nervous system (CNS) depressant drugs (e.

Therefore, avoid concomitant use of alcohol with Qsymia. Lidocaine Patch 5% (Lidoderm)- Multum situations where immediate termination of Qsymia is medically required, appropriate monitoring is recommended. Adjust dose of Qsymia for patients with moderate or severe renal impairment.

Qsymia has not Lidocaine Patch 5% (Lidoderm)- Multum studied in patients with end-stage renal disease on dialysis. Avoid use of Qsymia in this patient population.

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