Qsiva
Qsiva is a medicine that combines two active ingredients, phentermine and topiramate, to help you lose weight and keep it off by reducing your appetite when used with a low-calorie diet and exercise.
Form
säädellysti vapauttava kapseli, kova
Strength
11.25 mg / 69 mg
Active Ingredient
Phentermine hydrochloride
Manufacturer
VIVUS BV
How to Use
Dosage
Your doctor will start you on a low dose: 1 capsule of Qsiva 3.75 mg/23 mg once a day for 14 days, after which the usual dose is 1 capsule of Qsiva 7.5 mg/46 mg once a day.
Method
Swallow the capsules whole with a glass of water or another sugar-free drink in the morning, with or without food; do not crush or chew them.
Important
The maximum daily dose is 1 capsule of Qsiva 15 mg/92 mg once a day; if you need to stop this highest dose, your doctor will advise you to gradually reduce it over at least one week.
Possible Side Effects
COMMON
- •Dry mouth
- •Constipation
- •Tingling or numbness in your hands or feet
- •Loss of appetite, changes in taste
- •Trouble sleeping, feeling sad or worried, feeling easily annoyed
- •Headache
- •Dizziness, trouble thinking clearly, feeling tired, memory problems
- •Blurred vision, dry eyes
- •Feeling your heart beat faster
- •Nausea, diarrhea, stomach ache, digestion problems
- •Hair loss
- •Feeling thirsty, feeling nervous
RARE
- •Urinary tract infections
- •Changes in blood levels (e.g., low red blood cells, low potassium, low blood sugar)
- •Swelling or dehydration
- •Increased hunger
- •Strong mood changes like confusion, anger, or feeling very restless
- •Sleep problems, abnormal dreams, or nightmares
- •Panic attacks, paranoia
- •Memory loss, drowsiness, or feeling very sluggish
- •Uncontrolled shaking, speech problems, fainting
- •Eye pain, light sensitivity, seeing flashes, double vision, itchy eyes
- •Ringing in the ears, ear pain, or deafness
- •Changes in heart rate or blood pressure, cough, nosebleeds, breathing difficulties, stomach problems like acid reflux or vomiting
- •Skin problems like rashes, itching, acne, dry skin, or sweating more than usual
- •Muscle and joint pain, muscle cramps or weakness
- •Kidney stones, trouble urinating, or urinating more often at night
- •Sexual problems (e.g., erectile dysfunction) or changes in menstrual periods
- •Suicidal thoughts, aggression, or hallucinations
Important Warnings
- Do not take Qsiva if you are allergic to phentermine, topiramate, or any other ingredients in the medicine.
- Do not take Qsiva if you are allergic to certain medicines called 'sympathomimetic amines' used for asthma, nasal congestion, or eye problems.
- Women who are pregnant or could become pregnant must not take Qsiva, as it can harm an unborn baby; use highly effective birth control during treatment and for 4 weeks after your last dose.
- Do not take Qsiva if you have used MAO inhibitor medicines (for depression or Parkinson's disease) in the last 14 days.
- Do not take Qsiva with other medicines that help you lose weight.
Show 7 more warnings
- Talk to your doctor if you have mood problems, depression, or suicidal thoughts, as Qsiva can make these worse.
- Talk to your doctor if you have heart problems, as Qsiva can increase your heart rate; your doctor will check your heart rate regularly.
- Drink plenty of water every day to help prevent kidney stones, which Qsiva can increase the risk of.
- If you have sudden vision problems or eye pain, stop taking Qsiva and contact your doctor right away; these could be signs of serious eye conditions.
- Qsiva is not recommended if you have severe liver problems, end-stage kidney disease, dialysis, or an overactive thyroid.
- Phentermine in Qsiva can make you feel more energetic or excited, which means there's a risk of misuse or becoming dependent on the medicine.
- Avoid alcohol while taking Qsiva, as it can increase the risk of side effects.