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Phentermine/Topiramate, sold under the brand name Qsymia, is a combination of phentermine and topiramate used to treat obesity. It is used together with dietary changes and exercise. If less than 3% weight loss is seen after 3 months it is recommended the medication be stopped. The weight loss is modest. Effects on heart related health problems or death is unclear. Common side effects include tingling, dizziness, trouble sleeping, and constipation.