Lomaira

Lomaira is a controlled prescription medication used to enhance weight loss in adults. Lomaira belongs to a group of drugs called anorectics, which may help with appetite suppression.

This medication comes in tablet form and one tablet is taken three times a day, one-half hour before meals.

Common side effects of Lomaira include dry mouth, increased blood pressure, and insomnia. Lomaira can also cause dizziness. Do not drive or operate heavy machinery until you know how Lomaira affects you.

Lomaira is a controlled prescription medication used to enhance weight loss in adults. It is used in combination with exercise and a reduced-calorie diet to achieve weight reduction.

This medication is approved for adults with a body mass index (BMI) of 30 or more which is considered obese and a BMI of 27 or more which is considered overweight with at least one condition that is related to weight. These conditions include high blood pressure, high cholesterol, and diabetes. 

This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

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Serious side effects have been reported with Lomaira. See the "Drug Precautions" section.

Common side effects of phentermine include the following:

• dry mouth or unpleasant taste
• diarrhea
• constipation
• insomnia
• increased blood pressure
• dizziness
• restlessness

This is not a complete list of Lomaira's side effects. Ask your doctor or pharmacist for more information.

Tell your doctor if you have any side effect that bothers you or that does not go away.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take:

• monoamine oxidase inhibitors
• medications for weight loss
• insulin and medications used to treat diabetes (A reduction in insulin or oral hypoglycemic medications in patients with diabetes mellitus may be required)
• adrenergic neuron blocking drugs
• alcohol

This is not a complete list of Lomaira drug interactions. Ask your doctor or pharmacist for more information.

Serious side effects have been reported with Lomaira, including the following:

• Primary pulmonary hypertension. This is a condition when there is high blood pressure in the arteries to your lungs. Your doctor may stop treatment with phentermine if you develop this complication. Symptoms include
  • shortness of breath during routine activity, such as climbing two flights of stairs
  • tiredness
  • chest pain
  • a racing heartbeat
  • pain on the upper right side of the abdomen
  • decreased appetite
• Development of Tolerance. Phentermine is a controlled substance. There is a potential for developing tolerance. Tolerance to the anorectic effect usually develops within a few weeks. When tolerance to the phentermine develops, the recommended dose should not be exceeded in an attempt to increase the effect. Instead, phentermine should be discontinued.

• Effect on the Ability to Engage in Potentially Hazardous Tasks.  Phentermine may impair the ability of the patient to drive or operate heavy machinery. Do not drive or operate heavy machinery until you know how phentermine affects you.

• Risk of Abuse and Dependence. Phentermine should not be stopped all of a sudden especially if phentermine dose is high. This can lead to serious problems.

• Valvular heart disease and high blood pressure. 

Lomaira can also interact with other medications. Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.

Drinking alcohol while on Lomaira may result in an adverse drug reaction.

Lomaira can also cause dizziness. Do not drive or operate heavy machinery until you know how Lomaira affects you.

Do not take Lomaira if you:

• are allergic to Lomaira or to any of its ingredients
• have a history of cardiovascular disease such as coronary artery disease, stroke, arrhythmias, congestive heart failure, and uncontrolled hypertension
• are taking monoamine oxidase inhibitors or have taken an monoamine oxidase inhibitor in the past 14 days
• Hyperthyroidism
• Glaucoma
• Agitated states
• History of drug abuse
• Pregnancy
• Nursing 

Medications can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of Lomaira, there are no specific foods that you must exclude from your diet when receiving this medication.

Before taking Lomaira, tell your doctor about all of your medical conditions. Especially tell your doctor if you:

• are allergic to Lomaira or to any of its ingredients
• have a history of drug abuse
• drink alcohol
• have high blood pressure
• have heart problems or have a history of heart problems such as coronary artery disease, stroke, arrhythmias, congestive heart failure
• have hyperthyroidism
• have glaucoma
• take monoamine oxidase inhibitors or have taken monoamine oxidase inhibitors in the last 14 days
• have impaired renal function
• are pregnant or plan to become pregnant
• are breastfeeding or plan to breastfeed

Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.

Tell your doctor if you are pregnant or plan to become pregnant.

The FDA categorizes medications based on safety for use during pregnancy. Five categories - A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.

Lomaira falls into category X. This medication is contraindicated during pregnancy because weight loss is not recommended during pregnancy and may result in fetal harm. 

Tell your doctor if you are breastfeeding or plan to breastfeed.

It is not known if Lomaira is excreted in human breast milk. Because of the possibility for adverse reactions in nursing infants from Lomaira, a choice should be made whether to stop nursing or to stop use of this medication. The importance of the drug to the mother should be considered.

Take Lomaira exactly as prescribed.

This medication comes in tablet form and is typically taken three times a day. It is recommended to be taken one-half hour before meals.

Avoid taking this medication late in the evening as it may cause one to have difficulty falling asleep. 

This medication is only to be taken for a short period of time (a few weeks). 

If you miss a dose, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. Do not take two doses of Lomaira at the same time.

Take this medication exactly as prescribed by your doctor. Follow the directions on your prescription label carefully. The dose your doctor recommends may be based on the following:

• the condition being treated
• other medical conditions you have
• other medications you are taking
• how you respond to this medication
• your weight
• your age
• your kidney function

The recommended dose of Lomaira for weight loss is one 8mg tablet three times a day. 

The dose will be individualized for each person. 

If you take too much Lomaira, call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away.

Store Lomaira at room temperature.

Keep this and all medicines out of the reach of children.

This medication is a controlled substance. Make sure to keep this medication in a safe place to prevent theft, accidental overdose, misuse or abuse. Selling or giving away phentermine may harm others and is against the law.