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If you're feeling fatigued or lacking in energy while taking phentermine and the problem persists, you should consult your doctor as it may be that you have an undiagnosed medical condition. If your symptoms or health problems do not get better or if they become worse, call your doctor. The topamax made me tired so I take the phentermine in the am and topamax later on or around after dinner which is when I get cravings. I also take blood pressure meds. For example, phentermine can increase blood pressure and heart rate, which can be dangerous for individuals with hypertension or heart disease. Just keep an eye on your blood pressure and keep your doc posted if it gets worse. It carries a black box warning because it may cause. Abrupt cessation following prolonged dosing may cause a withdrawal effect (symptoms include extreme fatigue and depression).

Some drugs may have another patient information leaflet. Adipex can also help increase energy levels, which can make it easier to stick to a diet and exercise regimen. By increasing levels of norepinephrine, Adipex can help reduce appetite and increase energy levels.

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