QSYMIA FDA MedWatch Direct Reports Summary

These tables and charts are created from 241 voluntary U.S. reports for QSYMIA (PHENTERMINE HYDROCHLORIDE\TOPIRAMATE) reported by individuals to the FDA via the MedWatch Reporting System from 2004 through April 28, 2026.

For a summary of adverse events including mandatory reports submitted by pharmaceutical companies (all countries and all reporter types) to the FAERS database, View FDA FAERS QSYMIA Report.

Top Adverse Effects Associated with QSYMIA (from U.S. FDA Medwatch Reports)

	Side Effect	# of FDA Reports
1	PINS AND NEEDLES	18
2	DIZZINESS	17
3	VISION BLURRED	17
4	HEADACHE	14
5	HAIR LOSS	13
6	DRUG INEFFECTIVE	13
7	DEPRESSION	12
8	NAUSEA	11
9	PALPITATIONS	11
10	THERAPY CESSATION	10
11	FATIGUE	9
12	HEART RATE INCREASED	9
13	KIDNEY STONES	9
14	PREGNANCY	9
15	ANGLE CLOSURE GLAUCOMA	8
16	MEMORY IMPAIRMENT	8
17	SUICIDAL IDEATION	8
18	DISTURBANCE IN ATTENTION	7
19	INSOMNIA	7
20	ABDOMINAL PAIN	6
21	AMNESIA	6
22	CHEST PAIN	6
23	CONFUSIONAL STATE	6
24	DIARRHEA	6
25	METALLIC OR ALTERED TASTE	6

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QSYMIA Total Medwatch Safety Reports by Patient Sex

Male	Female	Unknown	Total
32	186	23	241

Medwatch Reporter Type	Count
Consumer	103
Physician	20
Pharmacist	36
Other Health Professional	22

Top Indications

Product used for unknown indication
Weight decreased
Obesity
Migraine

Type of Outcome Reported
Serious: 154
Not Serious: 87
Note: A serious outcome means the adverse event resulted in death, a life threatening condition, hospitalization, disability, congenital anomaly, or other serious condition.

Suspected Role
Primary Suspect: 241
Concomitant Drugs: 99
Note: A single MedWatch report can list more than one drug. This summary includes QSYMIA identified as the suspect drug or as a concomitantly taken drug.

FDA Safety-Related Labeling Changes

QSYMIA (PHENTERMINE HYDROCHLORIDE; TOPIRAMATE) Rx Drug:
REMS

FDA Risk Evaluation and Mitigation Strategy REMS

QSYMIA (PHENTERMINE HYDROCHLORIDE; TOPIRAMATE) Rx Drug:
FDA Safety-related Labeling Changes

Have experience (good or bad) with QSYMIA? Rate QSYMIA at Ask a Patient.

For serious adverse events, report them to the FDA by contacting the drug manufacturer or report directly through the MedWatch voluntary reporting form.

NOTES

This report, created by AskaPatient.com, is derived from U.S. drug-related adverse event cases that were reported directly to the FDA using the voluntary MedWatch online or paper reporting system. MedWatch is the voluntary FDA system for consumers, physicians, and others to directly report adverse reactions. The Medwatch initiative was launched in 1993 as a voluntary reporting program for consumers, physicians and other healthcare practitioners.

After processing the received forms, the FDA adds the MedWatch reports to the FDA Adverse Events Reporting System(or FAERS database.) Click here for the complete FAERS report summary, which includes mandatory reports submitted by pharmaceutical companies (worldwide) combined with the MedWatch reports. MedWatch Reports only represent about 5% of the FAERS database. For more, read "Does the FDA's Rapidly Growing Database of Adverse Events Improve Drug Safety?"

The data in this report was obtained from Open FDA. Data was last updated to include reports through January 27, 2026. The reactions, side effects, or "adverse events," represent up to the 20 most frequently occuring events in the database for a drug related to the event.

Open FDA states that it only includes the most recent version of a case report. It also adds the disclaimer: "Do not rely on Open FDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated."

FDA uses the "MedDRA" classification system to describe reported adverse reactions. MedDRA is a standardized medical terminology that facilitates sharing of regulatory information internationally. In some cases, "patient friendly" terms for the layman designated by MedDRA have been substituted for medical jargon. Please contact us with questions about this report.