Lomaira is a prescription weight‑loss medicine that contains phentermine hydrochloride. It’s a stimulant that helps suppress appetite and is intended to be used short term, usually as part of a broader obesity-management plan (diet, exercise, behavior changes).
Key points
- What it is: Lomaira = phentermine HCl 8 mg capsules.
- How it works: It’s a central nervous system stimulant that increases norepinephrine in the brain to reduce appetite.
- Who it’s for: Adults with obesity (BMI ≥30) or overweight (BMI ≥27) with weight-related health risks, used as part of a comprehensive weight‑loss program. Typically prescribed for a short period (often up to 12 weeks); not a stand-alone solution.
- Schedule: It is a Schedule IV controlled substance due to potential for misuse.
Dosing and administration
- Typical dosing: 8 mg taken by mouth before breakfast. Some regimens allow taking 1–3 capsules per day (before meals), but the total dose should not exceed 24 mg/day. Do not take it late in the day to avoid insomnia.
- How long: Usually prescribed for short term use (e.g., several weeks up to about 12 weeks); follow your clinician’s plan.
- Special instructions: Take with water; do not crush or chew capsules unless your doctor says otherwise.
Contraindications and cautions
- Do not use if you have: uncontrolled high blood pressure, heart problems, overactive thyroid, glaucoma, a history of heart disease or stroke, a history of drug abuse, or pregnancy/bert… (see next line).
- Pregnancy and breastfeeding: Not recommended; avoid if you’re pregnant or planning pregnancy. Do not use while breastfeeding.
- MAO inhibitors: Do not use within 14 days of stopping an MAOI antidepressant.
- Other cautions: Use with caution in people with anxiety, insomnia, high cholesterol, diabetes, or a history of stimulant use; can raise blood pressure and heart rate.
Common side effects
- Insomnia, dry mouth, upset stomach, constipation
- Increased heart rate, elevated blood pressure, anxiety, trembling
- Headache, dizziness
- Changes in taste, feeling jittery
Serious but less common risks (seek care if you notice these)
- Severe chest pain, shortness of breath, fainting
- Severe or worsening anxiety, confusion, aggression
- Changes in vision, severe headache, signs of allergy or swelling
Drug interactions to know
- Other stimulants or caffeine-containing products (can raise heart rate and blood pressure)
- MAO inhibitors (risk of dangerous interactions)
- Antihypertensives and other cardiovascular meds (may affect blood pressure/heart rate)
- Diabetes meds (monitor for changes in blood sugar)
- Serotonergic drugs (risk of added side effects)
- Always tell your prescriber about all medicines and supplements you’re taking.
What to do if you miss a dose or overdose
- Missed dose: If it’s still early in the day, you may take it as prescribed. If it’s close to your next dose time, skip the missed dose and resume your regular schedule. Do not double up.
- Overdose: Seek urgent medical help or call poison control.
Storage and safety
- Store at room temperature, away from moisture and heat.
- Keep out of reach of children and others who might misuse it.
If you’d like, I can tailor this to your situation (e.g., dosing specifics, interactions with a particular medication, or guidance on talking with your doctor). And if you’re currently taking Lomaira or considering it, please consult your prescriber for dosing and safety in your case.