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You should always consult with your healthcare provider before
introducing any changes to your diet or level of physical activity.

Living Well : Physical Activity

Walking Your Way to Fitness

There are plenty of ways to turn an everyday walk into a stimulating experience. Here are just a few

Make walking fun

Walking can be fun if you turn it into something you enjoy. Remember, regular physical activity can be key to managing your weight. The more fun you have, the more you will walk; the more you walk, the more successful you can be at adhering to your physical activity program. Here are some ways that can make walking enjoyable:

  • Be an observer. There’s something to see wherever you may walk. You can look at the style of the houses you pass or what your neighbors plant in their yards. What kind of cars go by? What types of people do you see? This can be a good way to notice what’s out there in the world
  • Don’t overdo it. Don’t set yourself up for failure by doing too much too soon. This will leave you sore, frustrated, and discouraged
  • Take a gradual approach. Discuss with your healthcare provider and start at a level that feels comfortable, you could work your way up from there. Don’t increase your physical activity too fast, even though you may be enjoying yourself
  • Walk with a partner. It can be more fun to walk with a friend and it can help keep you motivated. Knowing that someone counts on you as a walking partner can help you get up and walk when you’d just as soon sit on the couch

Places to walk

You can walk almost anywhere! If you live near a shopping area, try walking there for simple errands such as picking up the paper, magazines, or a quart of milk. Parks can be a great place to watch both wildlife and people. Many high schools let the public use their tracks at certain hours of the day; some people like a track where they can count off the laps as they go! Try planning a walk through a town’s historic district to look at the older buildings or take a walk through a neighborhood known for its gardens or holiday light displays. Some cities have bridges with pedestrian walkways that offer beautiful views and cool breezes in hot weather. You can walk in shopping malls no matter what the weather is like outside. In many parts of the country, mall walkers go early in the morning and walk alone or in groups.

If you travel, walking can be a great way to get to know a new place. Many cities offer walking tours. Hotel staff can often recommend a scenic walking route and Web sites like walkjogrun can suggest local walks wherever you are.

Whether you are walking near your home, job, or in a new place, be sure to choose a route that is safe. Be aware of traffic and pick routes with good lighting where there are other people around.

It can be fun to go on special walks in new places. For everyday walks, try to pick convenient routes near your home or job; it is usually easier to fit in walks that you can do nearby.

Dressing for walking

Wear comfortable clothes when you go walking or perform other physical activity as part of the program you developed with your healthcare provider. Some fabrics absorb sweat, while others can pull sweat away from your skin. Some synthetic fabrics breathe and keep you dry by “wicking” away the sweat, allowing it to evaporate quickly so you don’t feel uncomfortable during physical activity. Cotton absorbs sweat and can feel heavy and wet as you increase your level of physical activity. Try not to wear clothes made from rubber- or plastic-based materials; these materials prevent sweat from evaporating and keep you too warm.

Shoes can be important; a good pair of shoes is usually well worth the money. You could go to a sporting goods store, try on several brands, and pick a pair that feels the best. Good shoes support your feet, keep you from tiring, and reduce the risk of injury. Socks with good cushioning can also keep your feet comfortable.

Weather can be tricky. If the weather is too hot (above 90 degrees) or too cold (below zero), you may want to take your activity indoors—though, some dedicated walkers walk in nearly any weather. Consult with your healthcare provider.

Try to wear layers in cold weather and remove layers if you feel hot. Also try to wear a hat, as much of the body’s heat is lost through the head. If your hands get too cold, you can wear mittens; they will keep your hands warmer than gloves.

In hot weather, watch out for heat-related injuries. You can walk in the morning or evening to avoid the hottest parts of the day and wear light clothing. Trapping body heat in hot weather can be dangerous. Be sure to drink plenty of water before, during, and after physical activity.

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INDICATION

Qsymia® should be used together with a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of:

  • 30 kg/m2 or greater (obese) or
  • 27 kg/m2 or greater (overweight) in the presence of at least one weight-related medical condition such as high blood pressure, type 2 diabetes, or high cholesterol

Limitations of Use:

  • It is not known if Qsymia changes your risk of heart problems or stroke or of death due to heart problems or stroke
  • It is not known if Qsymia is safe and effective when taken with other prescription, over-the-counter, or herbal weight loss products

It is not known if Qsymia is safe and effective in children under 18 years old

IMPORTANT SAFETY INFORMATION

Do not take Qsymia if you are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment; have glaucoma; have thyroid problems (hyperthyroidism); are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days; are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia. See the end of the Medication Guide for a complete list of ingredients in Qsymia.

Qsymia can cause serious side effects, including:

Birth defects (cleft lip/cleft palate). If you take Qsymia during pregnancy, your baby has a higher risk for birth defects called cleft lip and cleft palate. These defects can begin early in pregnancy, even before you know you are pregnant. Women who are pregnant must not take Qsymia. Women who can become pregnant should have a negative pregnancy test before taking Qsymia and every month while taking Qsymia and use effective birth control (contraception) consistently while taking Qsymia. Talk to your healthcare provider about how to prevent pregnancy. If you become pregnant while taking Qsymia, stop taking Qsymia immediately, and tell your healthcare provider right away. Healthcare providers and patients should report all cases of pregnancy to FDA MedWatch at 1-800-FDA-1088, and the Qsymia Pregnancy Surveillance Program at 1-888-998-4887.

Increases in heart rate. Qsymia can increase your heart rate at rest. Your healthcare provider should check your heart rate while you take Qsymia. Tell your healthcare provider if you experience, while at rest, a racing or pounding feeling in your chest lasting several minutes when taking Qsymia.

Suicidal thoughts or actions. Topiramate, an ingredient in Qsymia, may cause you to have suicidal thoughts or actions. Call your healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you: thoughts about suicide or dying; attempts to commit suicide; new or worse depression; new or worse anxiety; feeling agitated or restless; panic attacks; trouble sleeping (insomnia); new or worse irritability; acting aggressive, being angry, or violent; acting on dangerous impulses; an extreme increase in activity or talking (mania); other unusual changes in behavior or mood.

Serious eye problems, which include any sudden decrease in vision, with or without eye pain and redness or a blockage of fluid in the eye causing increased pressure in the eye (secondary angle closure glaucoma). These problems can lead to permanent vision loss if not treated. Tell your healthcare provider right away if you have any new eye symptoms.

Possible side effects of Qsymia include:

Mood changes and trouble sleeping. Qsymia may cause depression or mood problems, and trouble sleeping. Tell your healthcare provider if symptoms occur.

Concentration, memory, and speech difficulties. Qsymia may affect how you think and cause confusion, problems with concentration, attention, memory or speech. Tell your healthcare provider if symptoms occur.

Increases of acid in bloodstream (metabolic acidosis). If left untreated, metabolic acidosis can cause brittle or soft bones (osteoporosis, osteomalacia, osteopenia), kidney stones, can slow the rate of growth in children, and may possibly harm your baby if you are pregnant. Metabolic acidosis can happen with or without symptoms. Sometimes people with metabolic acidosis will: feel tired, not feel hungry (loss of appetite), feel changes in heartbeat, or have trouble thinking clearly. Your healthcare provider should do a blood test to measure the level of acid in your blood before and during your treatment with Qsymia.

Low blood sugar (hypoglycemia) in people with type 2 diabetes mellitus who also take medicines used to treat type 2 diabetes mellitus. Weight loss can cause low blood sugar in people with type 2 diabetes mellitus who also take medicines used to treat type 2 diabetes mellitus (such as insulin or sulfonylureas). You should check your blood sugar before you start taking Qsymia and while you take Qsymia.

High blood pressure medicines. If you are taking medicines for your blood pressure, your doctor may need to adjust these medicines while taking Qsymia.

Central Nervous System (CNS) side effects. The use of prescription sleep aids, anxiety medicines, or drinking alcohol with Qsymia may cause an increase in CNS symptoms such as dizziness and light-headedness. Do not drink alcohol with Qsymia.

Possible seizures if you stop taking Qsymia too fast. Seizures may happen in people who may or may not have had seizures in the past if you stop Qsymia too fast. Your healthcare provider will tell you how to stop taking Qsymia slowly.

Kidney stones. Drink plenty of fluids when taking Qsymia to help decrease your chances of getting kidney stones. If you get severe side or back pain, and/or blood in your urine, call your healthcare provider.

Decreased sweating and increased body temperature (fever). People should be watched for signs of decreased sweating and fever, especially in hot temperatures. Some people may need to be hospitalized for this condition.

Common side effects of Qsymia include:

Numbness or tingling in the hands, arms, feet, or face (paraesthesia); dizziness; changes in the way foods taste or loss of taste (dysgeusia); trouble sleeping (insomnia); constipation; and dry mouth.

Tell your healthcare provider if you have any side effect that bothers you or does not go away. These are not all of the possible side effects of Qsymia. For more information, ask your healthcare provider or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to VIVUS, Inc. at 1-888-998-4887 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please read the Qsymia Medication Guide and Full Prescribing Information.

The Q and Me Patient Resources and Education site is based on the LEARN® Program provided under copyright license (September 15, 2010). All rights reserved.

IMPORTANT SAFETY INFORMATION

Do not take Qsymia if you are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment; have glaucoma; have thyroid problems (hyperthyroidism); are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days; are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia. See the end of the Medication Guide for a complete list of ingredients in Qsymia.

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