Phentermine & Topamax Combination

I was on that same combination a couple of years ago and lost 40lbs in 4 months. I think it's a great combo but I'm not sure how it will affect you being diabetic

I took Phentermine and had to watch my blood pressure closely. It didn't make me hungary and I had no energy (I think a combo of not feeling hungary, not eating, I just felt blah) but that was me. I did lose weight, 20 pounds in just a couple months (if that) but gained it back (snuck up fast, I swear) plus 10 more because when I was off of it, I wanted to finally eat, even the healthy stuff I couldnt get enough of. I havent tried Topamax so I have no comment on that one. I have learned the hard way that a proper diet and exercise is better. Good luck but I wouldnt go this route, there is no quick fix for those are generally temporarily.

Edit to add: My son is a juvenile diabetic since 4 years of age and the specialist refused to put him on Topamax for his migrains due to the diabeties and possible liver issues, but this could just be his age as well.

Hi,
I take 100mg of topamax everyday to help prevent migraines. I started about 2 months ago. I was told lack of appetite could be a side effect, but since I've actively been trying to lose weight the past month, not sure that's worked in my favor. I did have other weird side effects that just recently dissipated; forgetting a word, or stumbling over words, wanting to write one letter and jotting something else. I think however, those effects are fairly normal, and like I said, in my case have already gone away.

I can't believe it's being given out as a diet aid! It was originally prescribed as an anti-seizure med I believe.
Caro

I am currently on Phentermine. I have just started my 3rd month. I was at a point where i just didnt care...felt it was just easier to be fat and enjoy the food that tasted good. I also had no desire whatsover to be bothered with exercise at all.

My doctor put me on Phentermine as a jump start ( i want to lose 60lbs). to get my mind where it needed to be. Well, i have to say she has given me my life back. It takes a good bit of my appetite away , took ALL of my cravings away and i was able to get myself off the junk sugary treats. It has given me the motivation and energy to exercise and WANT to exercise. It does have a few side effects i found tolerable ( dry mouth, constipation, insomnia) .

Month 1 i lost 17lbs
Month 2 i lost 11lbs.

Now going into month 3 i feel i have a good handle on the proper foods and portions and the exercise to start weaning off the meds after this month. My weight loss is slowing down and i need to learn how to eat/exercise under normal circumstances without the aid of the meds. I have 30 lbs left to go and i know it will take me a while to lose that but i am determined to have the best food/fitness lifestyle that i can going forward the rest of my life.

So id say give it a try and watch closely how it affects you . I want to start feeling like ME again thu....not someone on a pill.

I started Monday on 37.5 of Phentermine and 50 mgs of Topamax along with a high protein diet and have lost 10 lbs in 5 days!

I have been on Topamax for 2 years now for migraines. I took phentermine several years ago with good results so my doctor agreed to put me back on it recently. I took it one month, off one, on one, off one (my doc is big on not becomming addicted to these types of meds). I just started my 3rd round and I've lost 9 lbs in the last 4 days. It will make you not hungry and if you don't force yourself to eat SOMEthing you will feel sluggish and have no energy. I always eat earlier in the day. I don't always eat healthy. When I do I get even better results. If I have to eat later into the evening I make sure it's a calorie count specific meal. I had trouble sleeping at first. Either I couldn't fall asleep or I would wake up in the middle of the night and couldn't go back to sleep. Melatonin helps a LOT. I take 10mg melatonin every night about an hour before bed. My phentermine dosage is 30mg, Topamax is 50mg (supposed to be 2x a day but I have trouble remembering to take it the second time). Side effects, dry mouth, constipation (but nothing regular or out of control). My blood pressure has been great, maybe even more normal than before, No heart problems. I actually have a condition where my heart can start beating like crazy and I feel weak but I have even had an episode since I started losing weight. And so far I've lost 45 lbs.

I went to to my doctor on January 3 asking for Qysmia. She stated it was quite expensive but went the route of prescribing Phentermine 1X day then I take 1/2 Topamax in AM then another 1/2 in PM to get the extended release like in Qysmia. I did get some side effects from the Topamax. Including dry mouth, lack of concentration or feeling foggy, the tingle around my lips and fingers and the loss of appetite I do have to check my blood pressure 3 times a week just to be sure everything is ok. Because It had run high years before but hadn't been in a while. But better be safe than sorry.
Now for me it's hard to gauge as I had a lot of things go on in January I had 2 root canals 2 weeks apart so I did a liquid diet for . 2 days. I also have a highly stressful job so the mental fogginess was a concern for me BUT I work 14 hour shifts so the added energy was a plus. After the first week my mind did get better, I'm not 100% as I do have to think extra hard on simple things some times. I ended up having to set alarms on my phone to make myself eat because I am never ever hungry. I drink at least a gallon of water a day and I eat 3 apples a day. My co-workers nick named me Eve. My work does not have elevators and I am required to go up and down at least 16 times a shift. In 32 days I went from 298 to 261. Size 28 jeans to a 20. 4XL top to a 2XL. I just started my 2nd month and I hope it goes as well as the first. BTW I'm using slim fast I drink it when I wake up since I don't have time to cook- then I have a salad at work with Romaine lettuce, Spinach, carrots, snow peas, cucumbers, and about 2oz of diced chicken breasts and a little bit of cottage cheese then another slim fast when I get home. I eat that or a variation of that 5 times a week. I really can't eat anything else it makes me feel sick to smell or see food. Maybe that/s just in my head.
Hope this helps anyone and I know it may sound funny and people may think I'm making a joke but I'm being serious when I say my results may not be typical so just because I lost so much in a month doesn't mean you will. I think it depends on a variety of things. Your body, your mind set, your support system, and what's going on in your life.

I tried taking topamax about a year ago. I had horrible side effects (like suicidal thoughts). I honestly thought I was going crazy. My doctor told me to stop taking the topamax. The relief was almost immediate.

I think my side effect is rare, but it's one, nonetheless. Track your moods and behaviors while on this drug.

Glynn, how did you get the Qysmia? Where did you order it, I see that Express Scripts has it now? I am doing phen and topamax but wish I could have qysmia!