Qsiva
Qsiva is a medicine that combines two active ingredients, phentermine and topiramate, to help reduce appetite and promote weight loss when used with a low-calorie diet and exercise.
Form
säädellysti vapauttava kapseli, kova
Strength
15 mg / 92 mg
Active Ingredient
Phentermine hydrochloride
Manufacturer
VIVUS BV
How to Use
Dosage
Your doctor will start you on a low dose, typically 1 Qsiva 3.75 mg/23 mg capsule once a day for 14 days, then usually 1 Qsiva 7.5 mg/46 mg capsule once a day. Your doctor will adjust your dose if needed.
Method
Swallow capsules whole with a glass of water or other sugar-free drink in the morning. Do not crush or chew them. You can take them with or without food.
Important
The maximum daily dose is 1 Qsiva 15 mg/92 mg capsule once a day.
Possible Side Effects
COMMON
- •Dry mouth
- •Constipation
- •Tingling, burning, or numbness (abnormal sensations)
- •Loss of appetite
- •Changes in taste
- •Sleep problems
- •Depression
- •Anxiety
- •Irritability
- •Headache
- •Dizziness
- •Trouble concentrating
- •Tiredness
- •Memory problems
- •Reduced skin sensitivity
- •Blurred vision
- •Dry eyes
- •Feeling of fast heartbeat
- •Nausea
- •Diarrhea
- •Stomach pain
- •Digestive problems
- •Hair loss
- •Thirst
- •Nervousness
RARE
- •Urinary tract infection
- •Low red blood cells (anemia)
- •Low potassium in blood
- •Low blood sugar
- •Swelling from too much fluid in tissues
- •Dehydration
- •Increased appetite
- •Decreased or increased sex drive
- •Mood changes, emotional problems
- •Agitation, restlessness
- •Confusion, mood swings, lack of interest
- •Sleep problems, including bad dreams or nightmares
- •Crying, stress, anger
- •Panic attack, paranoia
- •Partial or total memory loss
- •Drowsiness, sluggishness
- •Uncontrolled trembling
- •Thinking or speech problems
- •Changed taste
- •Migraine
- •Overactivity
- •Nerve problems (not in brain or spinal cord)
- •Fainting
- •Restless legs syndrome
- •Unusual coordination
- •Changed sense of smell
- •Eye pain, eyelid twitching
- •Unpleasant light sensitivity in eyes
- •Flashing lights in vision
- •Double vision, itchy eyes
- •Ringing in ears
- •Increased heart rate
- •Redness
- •Low or high blood pressure
- •Cough, nosebleed
- •Breathing difficulties
- •Sore throat and voice box
- •Blocked sinuses or nose, post-nasal drip
- •Gas, burping
- •Heartburn, vomiting
- •Itching, hives, rash, skin redness, dry skin
- •Increased sweating, acne, unusual body odor
- •Unusual hair texture
- •Arm and leg pain, muscle pain, back pain, joint pain
- •Muscle cramps, muscle weakness, muscle twitching
- •Kidney stones
- •Frequent urination (not increased volume), trouble starting urination
- •Frequent nighttime urination
- •Erection problems
- •Menstrual problems
- •Weakness, unusual sensations
- •Swelling of arms and/or legs due to fluid buildup
- •Increased energy, chest pain, cold or hot sensations
- •Decreased blood levels of bicarbonate or potassium
- •Abnormal liver function tests
- •Reduced creatinine clearance (a measure of kidney function)
- •Respiratory infection (e.g., flu, bronchitis, sinusitis)
- •Yeast infection (Candida)
- •Ear infection
- •Excess body acid due to metabolic disorder, gout
- •Suicidal thoughts, aggression
- •Inability to feel pleasure (including low motivation), grief
- •Teeth grinding, aversion to food
- •Hallucinations, confusion about time and place
- •Stammering
- •Pins and needles sensation
- •Increased tear production
- •Increased eye pressure, bleeding in the eye's conjunctiva
- •Deafness, earache
- •Heart rhythm disorder (very rapid activity in upper heart chambers), irregular heartbeat
- •Deep vein thrombosis (a type of blood clot)
- •Dry throat, runny nose
- •Bad breath, gum pain, tongue inflammation, burning sensation on tongue
- •Hemorrhoids, irregular bowel movements
- •Gallstones or related diseases
- •Gallbladder inflammation
- •Brittle nails
- •Muscle stiffness
- •Unusual urine smell
- •Walking problems
- •Falls
- •Increased creatinine in blood
- •Increased blood sugar levels
- •Viral stomach and intestinal inflammation
- •Hypersensitivity (general allergic reaction)
- •Excessive talkativeness
- •Suicide attempt
- •Seizures
- •Pain in one or more nerves
- •Temporary blindness
- •Dilated pupils
- •Lens clouding (cataract)
- •An eye disease where the center of the retina breaks down, potentially leading to central vision loss
- •Hearing loss, fluid buildup in the middle ear
- •Heart failure
- •Nasal polyps, acute lung failure
- •Difficulty swallowing, discomfort in mouth, gagging
- •Severe allergic reaction causing swelling of the face or throat
- •Acute kidney injury
- •Feeling of a foreign object
- •Lowered blood sugar levels
- •Increased blood levels of glycosylated hemoglobin, thyroid hormone, triglycerides
- •Eye inflammation (uveitis) with symptoms like eye redness, pain, light sensitivity, watery eyes, small spots in visual field, or blurred vision
Important Warnings
- Do not take if you are allergic to phentermine, topiramate, or any other ingredient in Qsiva, or to similar medicines called sympathomimetic amines (used for asthma, nasal congestion, or eye problems).
- Do not take if you are pregnant or can become pregnant and are not using highly effective birth control. Qsiva can harm an unborn baby.
- Do not take if you have used certain depression or Parkinson's disease medicines (called MAO inhibitors) in the last 14 days.
- Do not take other medicines that help you lose weight.
- Tell your doctor immediately if you have any sudden changes in mood, behavior, or suicidal thoughts.
Show 9 more warnings
- Inform your doctor if you have heart problems, as Qsiva can increase your heart rate or may not be suitable if you've had recent heart issues.
- Drink plenty of water daily to help prevent kidney stones, which Qsiva can increase the risk of.
- Stop taking Qsiva and contact your doctor immediately if you experience sudden blurry vision, eye pain, or other serious eye problems.
- Tell your doctor if you have too much acid in your blood.
- Tell your doctor if you have kidney problems, liver problems, or an overactive thyroid, as Qsiva might not be suitable for you.
- Avoid alcohol while taking Qsiva, as it may increase side effects.
- Be careful when driving or operating machinery until you know how Qsiva affects you, as it can cause dizziness or blurred vision.
- If you have a sugar intolerance (saccharose), talk to your doctor before taking Qsiva.
- Some Qsiva strengths contain tartrazine and sunset yellow, which may cause allergic reactions.