The most commonly recommended solution is exercise, and restriction of one’s diet. While the former works gradually over a period of time, it is often difficult to stick to a specific diet, when career demands often dictate, where you eat, with who you eat, what you eat, and most often, when you eat.

While exercise is something that may be done at one’s convenience, the search for something that will regularize and control the appetite leads us to, what we call weight loss drugs.

The Food and Drug Administration (FDA) conducts studies on the safety of these weight loss drugs, and there are several drugs approved by the FDA, that those of us who find exercise and dieting difficult, might look at.

Phentermine, is a weight loss drug, that works by suppressing your appetite. Often sold in the market under brand names such Fastin; Ionamin; Obephen; Obermine, Adipex-P; Anoxine-AM; Phentrol, and Obestin-30; this drug is available as tablets and extended release capsules.

It is important that this drug is taken ONLY after being prescribed by a doctor. The success of your weight loss program will depend on how completely you have described your medical background to your doctor, before he prescribes the medication. Since Phentermine works by acting on that part of your brain that deals with appetite, it is important that you mention to the doctor, any other medications that you may be taking, which may be one or more of, say, insulin, MAO inhibitors phenelzine (Nardil), tranylcypromine (Parnate), fluvoxamine (Luvox), guanethidine, and fluoxetine (Prozac). Sometimes you take drugs for depression and other things, and these, like, paroxetine (Paxil), sertraline (Zoloft), and vitamins also have a bearing on whether you are an ideal candidate for Phentermine.

When taking weight loss drugs, it is extremely important to let your doctor know if you have any problems, and are taking any medication related to blood pressure, heart, and overactive thyroid glands. Having diabetes, and taking medication for it, arteriosclerosis (or narrowing and hardening of arteries), as well as glaucoma (an eye disease) is also bad news for anyone contemplating taking weight loss drugs.

If you are pregnant, or planning to get pregnant, the doctor needs to know about it. In addition, if you are breast-feeding, you may simply endanger the baby’s health, by taking these drugs indiscriminately.

So discuss with your doctor regarding your medications, any medical conditions you are suffering from, any life-stage issues, as well s your family history, which is very important.

While Phentermine works, it is also useful to know that if you have a job that involves driving, you need to tell the doctor that.

Phentermine makes you drowsy. So taking this and driving is not at all advisable. Like all drugs, this drug too has side effects. You may or may not experience all, but it is prudent to know what these side effects are. If you notice anything like constipation, unpleasant taste in the mouth, diarrhea, dry mouth, or even vomiting, consult your doctor.

While these are minor side effects, be suitably alarmed if you have symptoms like increase in ,restlessness, dizziness, tremors, insomnia, shortness of breath, chest pain, swelling of the legs and ankles, and even if you notice difficulty doing exercise that you have been able to do earlier. Blood pressure increase and heart palpitations are a sure sign that you need to immediately contact your doctor.

Phentermine (Adipex-P, Ionamin) is a prescription medication used to curb appetite. Phentermine is recommended for people who are seriously overweight, not those who simply want to lose a few pounds. Given the few long-term studies on phentermine, it’s approved only for short-term use (a few weeks). Unfortunately, any weight lost during this time is usually regained. Phentermine side effects may include blurred vision, dry mouth, sleeplessness, irritability and constipation. Phentermine also increases heart rate and blood pressure. Don’t take phentermine if you have certain medical conditions, including heart disease, high blood pressure, an overactive thyroid gland, glaucoma or diabetes. If your doctor prescribes phentermine, it should be part of an overall weight-loss plan that includes healthy eating and regular exercise. Remember, lasting weight loss requires permanent changes to your eating and exercise habits.

Who should not take phentermine?
donot You cannot take phentermine if you

* have heart disease or high blood pressure;
* have arteriosclerosis (hardening of the arteries);
* have glaucoma;
* have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil) in the last 14 days; or
* have a history of drug or alcohol abuse.

Before taking this medication, tell your doctor if you have

* problems with your thyroid,
* an anxiety disorder,
* epilepsy or another seizure disorder, or
* diabetes.

You may not be able to take phentermine, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.
nopreg It is not known whether phentermine will harm an unborn baby. Do not take phentermine without first talking to your doctor if you are pregnant.
nobrfeed It is also not known whether phentermine passes into breast milk. Do not take phentermine without first talking to your doctor if you are breast-feeding a baby.
How should I take phentermine?

Take phentermine exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
water Take each dose with a full glass of water.
stomach Phentermine is usually taken once or twice a day before a meal on an empty stomach.

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Do not take phentermine in the evening because it may cause insomnia.
nocrush Do not crush, chew or open any “once-daily” phentermine tablets or capsules. Swallow them whole.
donot Never take more of this medication than is prescribed for you. Too much phentermine could be very dangerous to your health.
rt Store phentermine at room temperature away from moisture and heat.
What happens if I miss a dose?
donot Take the missed dose as soon as you remember. However, if it is almost time for your next dose or if it is already evening, skip the missed dose and take only your next regularly scheduled dose. A dose taken too late in the day will cause insomnia. Do not take a double dose of this medication.
What happens if I overdose?
emt Seek emergency medical attention.

Symptoms of a phentermine overdose include restlessness, tremor, rapid breathing, confusion, hallucinations, panic, aggressiveness, nausea, vomiting, diarrhea, an irregular heartbeat, and seizures.
What should I avoid while taking phentermine?
dizzy Use caution when driving, operating machinery, or performing other hazardous activities. Amphetamine may cause dizziness, blurred vision, or restlessness, and it may hide the symptoms of extreme tiredness. If you experience these effects, avoid hazardous activities.

Do not take phentermine late in the day. A dose taken too late in the day can cause insomnia.
What are the possible side effects of phentermine?
emt If you experience any of the following serious side effects, stop taking phentermine and seek emergency medical attention:

* an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
* an irregular heartbeat or very high blood pressure (severe headache, blurred vision); or
* hallucinations, abnormal behavior, or confusion.

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Other, less serious side effects may be more likely to occur. Continue to take phentermine and talk to your doctor if you experience

* restlessness or tremor,
* nervousness or anxiety,
* headache or dizziness,
* insomnia,
* dry mouth or an unpleasant taste in your mouth,
* diarrhea or constipation, or
* impotence or changes in your sex drive.

habit Phentermine is habit forming. You can become physically and psychologically dependent on this medication, and withdrawal effects may occur if you stop taking it suddenly after several weeks of continuous use. Talk to your doctor about stopping this medication gradually.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect phentermine?

You cannot take phentermine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil) in the last 14 days.

Changes in insulin and other diabetes drug therapies may be necessary during treatment with phentermine.

Phentermine may reduce the effects of guanethidine (Ismelin). This could lead to an increase in blood pressure. Tell your doctor if you are taking guanethidine.

Before taking this medication, tell your doctor if you are taking a tricyclic antidepressant such as amitriptyline (Elavil), amoxapine (Asendin), doxepin (Sinequan), nortriptyline (Pamelor), imipramine (Tofranil), clomipramine (Anafranil), protriptyline (Vivactil), or desipramine (Norpramin). These drugs may decrease the effects of phentermine.

Drugs other than those listed here may also interact with phentermine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.
Where can I get more information?

Your pharmacist has more information about phentermine written for health professionals that you may read.
What does my medication look like?

Phentermine is available with a prescription under the brand names Adipex and Fastin. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

* Adipex-P 37.5 mg–white, oblong, scored tablets with blue speckles
* Adipex-P 37.5 mg–light-blue-and-white capsules with two blue bands
* Fastin 30 mg–blue-and-clear capsules with blue and white beads

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