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What should I know before taking phentermine and topiramate?

Donna Hill Howes, RN
Family Practitioner

Women who might be pregnant need a pregnancy test before starting treatment. If you are pregnant, planning to become pregnant, or think you may be pregnant, you should not take Qsymia.

You should not take Qsymia if you are breastfeeding.

If you have had a recent heart attack, or have unstable heart disease or heart rhythm problems, you should not take Qsymia.

If you have glaucoma or hyperthyroidism, you should not take Qsymia.

If you have a history of drug abuse, you should not take phentermine.

If you have severe liver impairment, Qsymia may not be a good option for you.

If you take Qsymia, you should avoid alcohol and kava kava. 

This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor.

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