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Phentermine for weight loss
===========================

by Gal Trieu
July 13th 2008

Obesity is a chronic disease that affects many people and often
requires medical treatment to promote and sustain weight loss.
Phentermine, a prescription medication, can be used to assist with the
battle of obesity. While most side effects of Phentermine are mild,
serious complications involving Phentermine have been reported.
Phentermine should only be used by patients who are at increased
medical risk because of their obesity. Phentermine should not be used
for "cosmetic" weight loss.

Phentermine is a tablet that is used in the short-term management of
obesity. It comes in various colours, in tablet or capsule form and in
strengths of 15, 30 and 37.5 milligram.

Phentermine works by suppressing appetite via a central mechanism in
the brain. Use of Phentermine in combination with other appetite
suppressant medicine is generally not recommended.

Phentermine is an effective form of therapy for obese patients who
need to lose weight to decrease diseases associated with obesity. The
magnitude of the weight loss through using Phentermine will depend on
the degree of caloric restriction and the use of a graded exercise
program.

Phentermine should be used as a short term drug to help patients to
start losing weight while the patient is undergoing permanent long
term changes in their attitude towards food and exercise. The body
starts to build up a resistance to the effects of Phentermine after a
few weeks of treatment, by which time the patient should be well on
their way to a new lifestyle and ready to stop taking Phentermine
while continuing to maintain a healthy weight on their own. Taking
Phentermine is not a substitute for proper diet. For maximum effect,
Phentermine must be used in conjunction with a diet and exercise
program.

Phentermine is the generic name of the drug. It is distributed under
different brand names including ADIPEX-P and IONAMIN. There are many
popular brand names of Phentermine. In terms of fighting obesity, they
are all considered clinically equivalent in producing weight loss.
Phentermine comes in immediate release or time-release formulas.
Immediate release Phentermine pills enter the blood stream as soon as
they are taken and time-release Phentermine capsules release their
medication into the body over an extended period of time, generally 8
or 12 hours.

Phentermine does have some reported side effects. These include:

Mild

Blurred vision, dry mouth, sleeplessness, irritability, stomach upset
or constipation may occur the first few days as your body adjusts to
the medication. Other adverse events include central nervous system
effects, gastrointestinal disturbances, and changes in libido. Alcohol
can increase unwanted side effects of dizziness.

Moderate

Chest pain, pounding heart, difficulty urinating, breathing
difficulties or swelling while taking this medication

Severe

Primary pulmonary hypertension (PPH) and cardiac valvular disease have
been reported in patients receiving a combination of Phentermine and
Fenfluramine (Phen-fen) or dexfenfluramine. The possibility of an
association between PPH and the use of Phentermine alone cannot be
ruled out.

Since Phentermine has a similar chemical structure to amphetamines,
taking Phentermine may cause a positive result in urine screening
tests for amphetamines.

After a patient ceases taking Phentermine, their body may need time to
adjust. The length of time this takes depends on the amount of
Phentermine they were using and how long they were using Phentermine.

Phentermine may be appropriate for carefully selected patients who are
at significant medical risk because of their obesity. Phentermine is
not recommended for use by people who are only mildly overweight
unless they have health problems that are made worse by their weight.
Phentermine should not be used only to improve appearance. For most
severely obese people, achieving an "ideal body weight" is both
unrealistic and unnecessary to improve their health and reduce their
risk for disease. Most patients should not expect to reach an ideal
body weight using the currently available medications. A modest weight
loss of 5 to 10 percent of the patient’s starting body weight can
improve their health and reduce their risk factors for disease. Use of
Phentermine for cosmetic purposes is not appropriate.

It is important to remember the use of Phentermine alone cannot treat
obesity. Phentermine should be combined with a healthy lifestyle
including physical activity and improved diet to lose and maintain
weight successfully over the long term. For short term use,
Phentermine has been widely successful in achieving weight loss and
reducing the risks of medical problems associated with obesity.

 

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