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You are fully responsible for paying for your prescriptions at the pharmacy at the time of service, but will be entitled to receive a discount from pharmacies in accordance with the specific pre-negotiated discounted fee schedule. SingleCare will use your information in accordance with its privacy policy located at www. Prescription drug information regarding your dependents who you register with this service may be shared or withheld from you or such dependents in accordance with applicable law.

Neither WebMD nor any of its affiliates including, but not limited to, MH Sub I guarantees the quality of the services provided at any pharmacy. Laura Cable, PharmD. A: Phentermine Adipex-P is an anorexiant used for short-term few weeks weight loss treatment in obese patients. Some common side effects of phentermine include altered taste, constipation, diarrhea, insomnia, dizziness, dry mouth, headache and nervousness. Phentermine is most effective when combined with a low-calorie diet and counseling to improve diet and exercise.

It is not known whether phentermine passes into the breast milk so it is not recommended to breastfeed while on phentermine. A: Phentermine Adipex P is classified as an anorexiant and as a sympathomimetic. Phentermine is approved for the short-term treatment of obesity.

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Phentermine works in the body as a stimulant that suppresses appetite by its effects on the CNS central nervous system. According to medical references, phentermine is contraindicated in patients that have cardiovascular disease. The medication also has various warnings and precautions regarding cardiovascular issues such as a risk of developing valvular heart disease.

Due to this risk, it is recommended to avoid the medication in patients with known serious structural cardiac abnormalities, cardiomyopathy, serious abnormal heart rhythms or other serious cardiac problems. Patients that have high blood pressure or other cardiovascular conditions that could be worsened by increases in blood pressure or heart rate should use the medication with caution. Your physician is best able to evaluate your heart issues and to determine if phentermine is an appropriate therapy for you.

For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Jen Marsico, RPh. Phentermine is approved for the short term treatment of obesity. According to medical references, changes in liver enzymes is not a common side effect associated with phentermine. If you think that you are experiencing a possible side effect from a medication, talk to your physician.

A: Phentermine Adipex P is classified as an anorexiant and a sympathomimetic medication.

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Phentermine is approved for the short term treatment few weeks of obesity. Phentermine is a stimulant and works in the body to suppress the appetite. Phentermine, like any medication has possible risks, warnings and side effects associated with its use. The medication is contraindicated should not be used in patients that have advanced arteriosclerosis, cardiovascular disease, moderate to severe high blood pressure, pulmonary hypertension, hyperthyroidism, glaucoma, agitated states, history of drug abuse or in patients that are either taking or have taken in the past fourteen days a MAO inhibitor medication.

The following are warnings and precautions associated with the use of phentermine. Central Nervous System effects: Medication may impair the ability to perform in hazardous activities Primary pulmonary hypertension: This rare but often fatal condition of the lungs has been reported in patients that have taken phentermine along with fenfluramine Pondimin or dexfenfluramine Redux.

However, the risk of primary pulmonary hypertension can not be ruled out with using phentermine alone. Valvular heart disease: The medication has been associated with the development of valvular heart disease.

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The recommendation is that patients that have serious structural cardiac abnormalities, cardiomyopathy, serious heart rhythm abnormalities, or any other serious heart problems should not use the medication. The following is a list of the possible side effects associated with the use of phentermine: high blood pressure, palpitation, primary pulmonary hypertension, cardiac valvular disease, tachycardia fast heart beat , dizziness, dysphoria unpleasant or uncomfortable mood , euphoria, headache, insomnia, overstimulation, psychosis, restlessness, urticaria hives , changes in libido, constipation, diarrhea, unpleasant taste, xerostomia dry mouth , impotence and tremor.

This is not a complete list of all the adverse effects, risks and warnings associated with the use of phentermine. The recommendation is to talk to your physician regarding the questions and concerns you have regarding phentermine. When selecting a specific medication to treat a medical condition, there are many variables involved with this decision such as the patient's condition, other medical conditions the patient has, other medications the patient is taking, any drug allergies the patient has, etc.

Your health care provider has access to your medical information and is best able to make the decision if phentermine is appropriate for you. A: Phentermine is a weight loss drug to be used in combination with a healthy diet and exercise program.

Common side effects for phentermine include dizziness, headache, trouble sleeping, overstimulation, restlessness, tremor, high blood pressure, palpitations, constipation, diarrhea, nausea, vomiting, and dry mouth. This is not a complete list of the side effects associated with phentermine. Biotene is an over-the-counter product designed specifically to help people who suffer from chronic dry mouth.

Biotene is available in a toothpaste, mouth spray, liquid, gum, gel, and mouthwash. Other lifestyle changes you can make to help improve the production of saliva include: sipping water often, chewing sugar-free gum or candies, use a humidifier at night to keep the air moist, avoid drinks that contain caffeine and alcohol, and avoid tobacco. If you have tried several of these suggestions and your symptoms are becoming worst or are too bothersome consult with your health care provider regarding the symptoms you are experiencing. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat.

Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. If possible, use one pharmacy for all your prescription medications and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. Tell your health care provider about any negative side effects from prescription drugs.

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You can also report them to the U. Food and Drug Administration by visiting www. Jennifer Carey, PharmD. A: Adipex-P phentermine is an appetite suppressant to help reduce weight in obese patients when used short-term and combined with exercise, diet, and behavioral modification. Phentermine is contraindicated in patients with cardiovascular disease. The cause of these valvulopathies has not been established and their course in individuals after the drugs are stopped is not known.

The possibility of an association between valvular heart disease and the use of Phentermine alone cannot be ruled out; there have been rare cases of valvular heart disease in patients who reportedly have taken Phentermine alone. For more specific information, consult with your doctor or pharmacist for guidance based on your specific condition and current medications. Shereen A.


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Gharbia, PharmD. A: Generic phentermine must meet the standard set forth by the FDA in order to be placed on the market. As long as you are getting it from a local pharmacy and not on the Internet, there should not be any problem in taking the generics. This is a controlled substance, and you need a prescription for it, as you know. Medication from Internet web sites do not always give you the medications you are looking for even though they say they have a great price. A: Phentermine is a stimulant.

It is FDA-approved for short-term use in conjunction with diet and exercise for weight loss. According the manufacturer, phentermine should be administered before breakfast or 1 to 2 hours after breakfast. Alternatively, the tablet form may be divided in half and taken twice daily. It is best to avoid taking it late evening due to possible insomnia.

In order to decrease appetite, most information recommends taking the drug 30 minutes before breakfast. At the same time, in order to avoid some side effects, others suggest taking it with food. The alternate dosing of twice daily could be beneficial to prolong the effects throughout the day if your appetite returns in the afternoon. This may prove to make the phentermine more effective, but could also result in the difficulty sleeping. It is important follow the prescription exactly as written. If you want to make an adjustment, contact the prescriber before doing so.

Jeff O'Connell, PharmD. A: Phentermine is related to a group of drugs known as amphetamines, and it's prescribed for short-term use to treat obesity.

However, there are many serious side effects associated with phentermine. These include heart palpitations, hypertension, tachycardia abnormal heart rhythms , heart valve disease, primary pulmonary hypertension a dangerous lung disease , anxiety, restlessness, nervousness, insomnia, tremor, headache, dry mouth, diarrhea, constipation, and changes in libido. Phentermine also interacts adversely with many medications. Lifestyle modifications that include a daily exercise routine and adopting healthy eating habits are safer alternatives to weight loss.


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Please consult with your physician and ask for a referral to a nutritionist who can assist you with permanent lifestyle modifications. A: Phentermine is a stimulant that is similar to an amphetamine. Phentermine is an appetite suppressant that affects the central nervous system. It should be used short-term a few weeks , by itself for the treatment of obesity and should not be used in combination with any other diet medications. Phentermine should be combined with diet, exercise, and behavioral therapy. You should not take this medication if you have heart disease or moderate to severe high blood pressure; artheriosclerosis hardening of the arteries ; an overactive thyroid; glaucoma; if you are in an agitated state; or if you have a history of drug or alcohol abuse.

A: Your question concerns the side effects of phentermine. Gregory Latham, RPh. A: According to a drug interaction report performed by Lexi-Comp, there are no drug interactions detected with your phetermine Adipex P , Alli Orlistat and vitamin B12 cyanocobalamin. Your multivitamin could not be included in the drug interaction report because there are different multivitamin formulations and each vitamin would need to be analyzed to determine if there is a drug interaction.

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It is known that Alli can decrease the absorption of some vitamins, mainly the fat soluble vitamins A, D ,E and K. The recommendation is to take the multivitamin at least two hours before or after taking Alli. A concern is that you are taking two separate medications for weight loss. Please make sure that your physician is okay with you taking both Phentermine and Alli. As always, talk with your health care provider regarding questions you have about your medications.

A: We are truly sorry for your experience.