Qsymia


An FDA-approved prescription weight-loss medicine

Qsymia® is an FDA-approved prescription medicine that may help some obese adults or some overweight adults who also have weight-related medical problems lose weight and keep the weight off. Together with a healthy diet and regular activity, Qsymia can help patients achieve meaningful, lasting weight loss.  

Qsymia® is for adults with a BMIof 30 or more and should be used with a reduced-calorie diet and increased physical activity.

2 in 1 Weight Loss

Qsymia is the only FDA-approved weight-loss medicine that contains 2 ingredients that may help to lose weight and keep it off. In two combined clinical trials, patients with a BMI* of 35+ lost more than 5 times the number of pounds on the top dose of Qsymia compared to diet and exercise alone.‡1

  • One ingredient likely reduces appetite and decreases food consumption
  • The other ingredient may make you feel full throughout the day                             

The precise mechanism of action of the 2 ingredients on chronic weight management is unknown. Capsule shown not actual size.

Do not take Qsymia if you are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment; have glaucoma; have thyroid problems (hyperthyroidism); are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days; are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia.  See the end of the Medication Guide for a complete list of ingredietns in Qsymia.  

Common side effects of Qsymia include: Numbness or tingling in the hands, arms, feet, or face (paraesthesia); dizziness; changes in the way foods taste or loss of tast (dysgeusia); trouble sleeping (insomia); constipation; and dry mouth.


Obesity Is a Serious and Growing Problem

Thanks to fast food and other conveniences, Americans today are eating more than ever. And now more than 1 out of 3 adults are obese.

LOSING WEIGHT MEANS MORE THAN DIETING

Short-term changes in diet are not the answer to losing weight and keeping it off. Lasting weight loss involves lifestyle changes that may include:

  •   Healthy food choices
  •   Regular physical activity
  •   Balancing the number of calories you eat with the number of calories your body uses

Talking With A Doctor About a Weight-loss Prescription Medicine

Deciding to lose weight is an important step, but success takes more than just desire. It takes commitment, planning, and support.

Your healthcare provider may recommend a weight-loss prescription medicine if proper nutrition and physical activity are not enough.

SOMETIMES YOU NEED HELP

When you see your healthcare provider about weight loss, he or she will determine whether a weight-loss medicine is right for you.


Q and Me™ Patient Support Program

Q and Me is a no-cost program that gives patients the support and tools they need to achieve meaningful weight loss. It provides helpful support and resources to keep patients motivated between office visits.

ENCOURAGING PROPER NUTRITION AND INCREASED PHYSICAL ACTIVITY

Q and Me helps people lose weight—sensibly, healthily, effectively. Keeping track of your progress and personalized plan has never been easier. Q and Me provides the tools, learning and coaching materials to help you achieve your weight loss goals.


* BMI (body mass index) measures the amount of fat in the body based on height and weight.

† Or a BMI of 27 or more with one weight-related medical condition.

Qsymia was studies in 2 large trials supporting FDA approval, which involved more than 3,700 people whose BMI was 27 or greater.  In 1 study, people had 2 or more weight-related medical problems such as high blood pressure or diabetes.  The combined number of people with a BMI of 35 or greater across both studies, and used in the subset analysis, was 2,695.  In both trials used to support FDA approval, a well-balanced, reduced-calorie diet of at least 500 kcal/day was recommended for all patients.

Reference: 1. Data on file. VIVUS INC.


INDICATION

Qsymia® should be used together with a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of:

• 30 kg/m2 or greater (obese) or
• 27 kg/m2 or greater (overweight) in the presence of at least one weight-related medical condition such as high blood pressure, type 2 diabetes, or high cholesterol

Limitations of Use:

• It is not known if Qsymia changes your risk of heart problems or stroke or of death due to heart problems or stroke
• It is not known if Qsymia is safe and effective when taken with other prescription, over-the-counter, or herbal weight loss products
• It is not known if Qsymia is safe and effective in children under 18 years old
 

IMPORTANT SAFETY INFORMATION

Do not take Qsymia if you are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment; have glaucoma; have thyroid problems (hyperthyroidism); are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days; are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia. See the end of the Medication Guide for a complete list of ingredients in Qsymia.

Qsymia can cause serious side effects, including:

Birth defects (cleft lip/cleft palate). If you take Qsymia during pregnancy, your baby has a higher risk for birth defects called cleft lip and cleft palate. These defects can begin early in pregnancy, even before you know you are pregnant. Women who are pregnant must not take Qsymia. Women who can become pregnant should have a negative pregnancy test before taking Qsymia and every month while taking Qsymia and use effective birth control (contraception) consistently while taking Qsymia. Talk to your healthcare provider about how to prevent pregnancy. If you become pregnant while taking Qsymia, stop taking Qsymia immediately, and tell your healthcare provider right away. Healthcare providers and patients should report all cases of pregnancy to FDA MedWatch at 1-800-FDA-1088, and the Qsymia Pregnancy Surveillance Program at 1-888-998-4887.

Increases in heart rate. Qsymia can increase your heart rate at rest. Your healthcare provider should check your heart rate while you take Qsymia. Tell your healthcare provider if you experience, while at rest, a racing or pounding feeling in your chest lasting several minutes when taking Qsymia.

Suicidal thoughts or actions. Topiramate, an ingredient in Qsymia, may cause you to have suicidal thoughts or actions. Call your healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you: thoughts about suicide or dying; attempts to commit suicide; new or worse depression; new or worse anxiety; feeling agitated or restless; panic attacks; trouble sleeping (insomnia); new or worse irritability; acting aggressive, being angry, or violent; acting on dangerous impulses; an extreme increase in activity or talking (mania); other unusual changes in behavior or mood.

Serious eye problems, which include any sudden decrease in vision, with or without eye pain and redness or a blockage of fluid in the eye causing increased pressure in the eye (secondary angle closure glaucoma). These problems can lead to permanent vision loss if not treated. Tell your healthcare provider right away if you have any new eye symptoms.

Possible side effects of Qsymia include:

Mood changes and trouble sleeping. Qsymia may cause depression or mood problems, and trouble sleeping. Tell your healthcare provider if symptoms occur.

Concentration, memory, and speech difficulties. Qsymia may affect how you think and cause confusion, problems with concentration, attention, memory or speech. Tell your healthcare provider if symptoms occur.

Increases of acid in bloodstream (metabolic acidosis). If left untreated, metabolic acidosis can cause brittle or soft bones (osteoporosis, osteomalacia, osteopenia), kidney stones, can slow the rate of growth in children, and may possibly harm your baby if you are pregnant. Metabolic acidosis can happen with or without symptoms. Sometimes people with metabolic acidosis will: feel tired, not feel hungry (loss of appetite), feel changes in heartbeat, or have trouble thinking clearly. Your healthcare provider should do a blood test to measure the level of acid in your blood before and during your treatment with Qsymia.

Low blood sugar (hypoglycemia) in people with type 2 diabetes mellitus who also take medicines used to treat type 2 diabetes mellitus. Weight loss can cause low blood sugar in people with type 2 diabetes mellitus who also take medicines used to treat type 2 diabetes mellitus (such as insulin or sulfonylureas). You should check your blood sugar before you start taking Qsymia and while you take Qsymia.

High blood pressure medicines. If you are taking medicines for your blood pressure, your doctor may need to adjust these medicines while taking Qsymia.

Central Nervous System (CNS) side effects. The use of prescription sleep aids, anxiety medicines, or drinking alcohol with Qsymia may cause an increase in CNS symptoms such as dizziness and light-headedness. Do not drink alcohol with Qsymia.

Possible seizures if you stop taking Qsymia too fast. Seizures may happen in people who may or may not have had seizures in the past if you stop Qsymia too fast. Your healthcare provider will tell you how to stop taking Qsymia slowly.

Kidney stones. Drink plenty of fluids when taking Qsymia to help decrease your chances of getting kidney stones. If you get severe side or back pain, and/or blood in your urine, call your healthcare provider.

Decreased sweating and increased body temperature (fever). People should be watched for signs of decreased sweating and fever, especially in hot  temperatures. Some people may need to be hospitalized for this condition.

Common side effects of Qsymia include:

Numbness or tingling in the hands, arms, feet, or face (paraesthesia); dizziness; changes in the way foods taste or loss of taste (dysgeusia); trouble sleeping (insomnia); constipation; and dry mouth.

Tell your healthcare provider if you have any side effect that bothers you or does not go away. These are not all of the possible side effects of Qsymia. For more information, ask your healthcare provider or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to VIVUS, Inc. at 1-888-998-4887 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please read the Qsymia Medication Guide and Full Prescribing Information.

 

 

   Intended for US residents only.  © 2015 VIVUS, Inc.  All rights reserved.  100573.01-USP 02/2015