Qsymia Weight Loss Medication Price, Review, and Results

Qsymia diet pill
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Qsymia (phentermine and topiramate) is one of several weight loss medications that is approved by the FDA to help you slim down. Qsymia diet pills may help you lose weight. But they are not the best choice for everyone.

Before you run to your doctor's office to get a prescription, find out more about the total Qsymia price and Qsymia results in published clinical studies. Learning key facts about the medication will help you make the best decision for your health and your pocketbook.

How Does Qsymia Work?

Qsymia is a combination of two medications: phentermine and topiramate. Phentermine was part of the popular phen-fen drug combination that was used years ago before it was removed from the market over concerns about the safety of fenfluramine. Topiramate is a drug that is used for the treatment of epilepsy and migraines. The two drugs work together to suppress appetite and reduce your food intake.

Qsymia can be prescribed for adults who have a body mass index (BMI) over 30 or who have a BMI of 27 and higher, but who also have a weight-related condition such as type 2 diabetes or high blood pressure. Patients who take this diet medication should also follow a healthy eating and exercise program. 

Qsymia Results

In published clinical trials, patients who took a lower dose of the weight loss medication (3.75 mg phentermine/23 mg topiramate) lost an average of 6.7 percent of their weight. On the higher, recommended dose (7.5 mg phentermine/46 mg topiramate), patients lost an average of 8.9 percent of their total body weight. Higher doses of the diet medication, up to 15 mg phentermine/92 mg topiramate, are also available.

If you are thinking about taking Qsymia, you might estimate your potential weight loss in terms of a range. For example, based on clinical results, a patient who weighs 250 pounds could reasonably expect to lose 17 to 22 pounds of their original weight. But remember that while you are taking Qsymia, you should also follow a healthy program of diet and exercise. Your success on the medication may depend on whether or not you stick to those lifestyle modifications.

Physicians monitors patients who take Qsymia. If they don't lose at least three percent of their weight in the first twelve weeks, they may choose to discontinue the drug or take a higher dose. If, after moving to a higher dose, the patient does not lose at least five percent of their weight, it's recommended that they discontinue taking the pill gradually, as it's not likely that they'll be able to lose a significant amount of weight.

Qsymia Side Effects

Patients who get pregnant while taking Qsymia have a “small yet increased risk of cleft lip or palate,” according to Craig Primack, MD, FAAP. Primack, the medical director of Scottsdale Weight Loss Center, explained the FDA recommendation that women of childbearing age take a monthly pregnancy test while on Qsymia. He says that, since the lip and cleft form at weeks 6-8 of pregnancy, women need to know immediately if they become pregnant. This allows them to stop taking the drug before a birth defect occurs.

Other possible side effects of weight loss medication include increased heart rate, depression, mood problems, trouble sleeping, eye problems, and concentration or speech difficulties. The drug maker also recommends that patients receive regular heart-rate monitoring, and does not recommend the use of Qsymia in patients with recent or unstable cardiac issues or cerebrovascular disease since its use in these patients has not been studied. If you decide to take Qsymia, your pharmacist or physician will provide you with complete drug information including side effects.

Qsymia Price and Total Cost

The total Qsymia price will depend on the pharmacy and a few other factors. Several pharmacies sell a month’s supply of Qsymia at prices ranging from $180-$220, but your actual cost may depend on the dose that your physician prescribes. Taking the lower dose of medication is less expensive. The wholesale price is reportedly $120 per month, according to several sources. 

However, not all pharmacies can provide Qsymia. The well-recognized pharmacies like Kroger, CVS, and Walgreens that sell both the lower dose and the higher dose prescription medication report Qsymia costs in the $185-210 range per month.

The makers of Qsymia also offer coupons to help you manage the cost of the diet pill. With the coupon, you can get a 2-week supply of the medication for free. In the months following your free trial, your Qsymia cost will be about $141/month, according to the drug manufacturer. 

Your insurance company may pay for the medication, but since plans vary, check with the provider to see if it is covered for you. sIn addition, if you're a woman who can get pregnant, be sure to factor in the cost of a monthly pregnancy test as well.

If you choose to invest in the medication, be aware that only certain pharmacies may dispense the drug. As part of an agreement with the FDA, drugmaker Vivus agreed to sell the medication only through pharmacies that take part in an educational program that ensures patients get risk reduction information along with their medication.

Should I Take Qsymia to Lose Weight?

Qsymia should not be taken by people who only have a few pounds to lose. But if you're significantly overweight and have tried other methods of weight loss without success, Qsymia may be able to help you slim down to improve your health. According to The New England Journal of Medicine, some patients who took the diet pill were able to improve their blood pressure and cholesterol levels in addition to losing weight.

But there are significant side effects and costs to consider as well, especially if you're a woman who's still planning to have children. You could choose to go off the medication to have a family, but without the medication, it's likely that your appetite will increase without the suppressant medication, and it's possible to regain the weight.

A Word From Verywell

As with any medical decision, talk to your healthcare provider before making a decision. Talk with your doctor about the potential health benefits of losing weight and about which side effects may impact you based on your specific medical history. And remember that no pill can take the place of a healthy diet and consistent physical activity. Qysmia and other FDA approved weight loss medications, recommend that patients taking the medication to participate in a regular program of diet and exercise.

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Article Sources

Verywell Fit uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial policy to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  • Centers for Disease Control. Healthy Weight - it's not a diet; it's a lifestyle! http://www.cdc.gov/healthyweight/losing_weight/index.html

  • Craig Primack MD, FAAP. Interview. February 18, 2013.

  • Eric Colman, M.D., Julie Golden, M.D., Mary Roberts, M.D., Amy Egan, M.D., M.P.H., Joyce Weaver, Pharm.D., and Curtis Rosebraugh, M.D., M.P.H. "The FDA's Assessment of Two Drugs for Chronic Weight Management." New England Journal of Medicine October 25, 2012.

  • Food and Drug Administration. Medications Target Long-Term Weight Control. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm312380.htm

  • Food and Drug Administration "Qsymia Medication Guide." February 23, 2013.Qsymia QysRes