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One way to protect yourself. Your doctor may direct you to stop taking this medication. How can we help.

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Please see QsymiaEngage. 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 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. 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. 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. 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.

Mood changes and trouble sleeping. Qsymia may cause depression or mood problems, and trouble sleeping. First, dry your hands before handling the tablet. Place your dose on top of the tongue until it dissolves, then swallow it with or without water. The dosage and length of treatment are based on your medical condition and response to treatment. Your doctor will adjust the dose to find the best dose for you. To get the most benefit, take this medication regularly, exactly as prescribed, and for as long as directed by your doctor.

To help you remember, take it at the same time s each day. If you suddenly stop using this medication, you may have withdrawal symptoms such as depression, severe tiredness. To help prevent withdrawal, your doctor may lower your dose slowly. Tell your doctor or pharmacist right away if you have withdrawal. Though it helps many people, this medication may sometimes cause addiction. Do not increase your dose, take it more often, or use it for a longer time than prescribed.

While the definition of a PGD is straightforward, local interpretation has allowed them to be used creatively in a wide range of circumstances. It is important that all podiatrists and their employers, understand the scope and limitations of PGDs as well as the wider context into which they fit when designing safe, effective services for their patients. In summary, PGDs are most suitable when the use of medicines follows a predictable pattern and is not tailored for individuals with complicated conditions. They are generally most appropriate to manage a single treatment episode or series of episodes of the same condition. Nevertheless, an appropriate person should be identified within any healthcare organization to ensure that only fully competent, qualified and trained health care professionals are allowed to use PGDs.

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