{"id":5401,"date":"2024-10-16T20:31:30","date_gmt":"2024-12-10T03:28:19","guid":{"rendered":"https:\/\/healthmedicinet.com\/review\/?p=5401"},"modified":"2024-12-10T03:28:19","modified_gmt":"2024-12-10T03:28:19","slug":"managing-constipation-from-phentermine-causes-and-remedies","status":"publish","type":"post","link":"https:\/\/healthmedicinet.com\/review\/managing-constipation-from-phentermine-causes-and-remedies\/","title":{"rendered":"Managing constipation from phentermine: Causes and remedies"},"content":{"rendered":"<p><\/p>\n<div id=\"main-content\">\n<div id=\"post-intro\">\n<div id=\"takeaways\">\n<h2>Key takeaways<\/h2>\n<ul>\n<li>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Phentermine is an appetite suppressant that\u2019s often prescribed as a short-term treatment of obesity for people with a high body mass index (BMI).<\/span><\/li>\n<\/ul>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">Eating more fiber, staying hydrated, exercising regularly, and trying over-the-counter laxatives can all help treat constipation from phentermine. <\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">If you have severe stomach pain, blood in your stool, vomiting, fever, an inability to pass gas, or constipation that doesn\u2019t go away, talk to a healthcare professional. <\/span><\/p>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<section class=\"table-of-contents\">\n<div class=\"anchorLinks\">\n<div class=\"mobile-only\">\n<div class=\"dropdownLists\">\n<div class=\"dropdownBtn\"><span class=\"listsIcon\"><br \/>\n\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/themes\/singlecare\/images\/union.svg\" width=\"14\" height=\"20\"\/><\/span><br \/>\n\t\t\t\t\t\t\t<label>In this article<\/label><br \/>\n\t\t\t\t\t\t\t<span class=\"downArrow\"><br \/>\n\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/themes\/singlecare\/images\/dropDownArrow.svg\" width=\"24\" height=\"24\"\/><br \/>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p><span style=\"font-weight: 400;\">Just under <\/span><a href=\"https:\/\/www.cdc.gov\/nchs\/products\/databriefs\/db313.htm\"><span style=\"font-weight: 400;\">half of U.S. adults attempt to lose weight<\/span><\/a><span style=\"font-weight: 400;\"> in any given year, according to the CDC. Sometimes it\u2019s with diet and exercise. Other times, with prescription medicine. And among all the weight loss drugs on the market, <\/span><a href=\"https:\/\/www.sciencedirect.com\/topics\/medicine-and-dentistry\/phentermine\"><span style=\"font-weight: 400;\">phentermine has been the most widely used<\/span><\/a><span style=\"font-weight: 400;\"> since its FDA approval in 1956. From a class of medications called anorectics, it can help suppress the appetite to assist weight loss. This drug may have helped millions of Americans shed unwanted pounds, but it also comes with the risk of common side effects, including constipation.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It doesn\u2019t happen to everyone, but it\u2019s possible if you take <\/span><span style=\"font-weight: 400;\">phentermine for weight loss<\/span><span style=\"font-weight: 400;\">. How does it cause constipation? How can you manage it? When should you see a healthcare provider? Read on for all the health information you need.\u00a0<\/span><\/p>\n<h2 id=\"does-phentermine-cause-constipation\"><span style=\"font-weight: 400;\">Does phentermine cause constipation?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Yes, constipation is one of the most common side effects of <\/span><span style=\"font-weight: 400;\">phentermine<\/span><span style=\"font-weight: 400;\">. According to <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8295716\/\"><span style=\"font-weight: 400;\">a study from 2021<\/span><\/a><span style=\"font-weight: 400;\">, 3.5% of patients who took 15 mg for six months reported it, along with 4.1% of patients who took 30 mg.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Phentermine is often combined with an anticonvulsant called topiramate. The duo works well together to reduce appetite, but may also cause constipation, along with other potential side effects. In <\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2022\/022580s021lbl.pdf\"><span style=\"font-weight: 400;\">clinical trials<\/span><\/a><span style=\"font-weight: 400;\"> for a combination of phentermine and topiramate called Qsymia, 16% of patients taking 15 mg phentermine\/92 mg topiramate, 15% of patients taking 7.5 mg phentermine\/46 mg topiramate, and 8% of patients taking 3.75 mg phentermine\/23 mg topiramate reported constipation\u2014compared to 6% of patients in the placebo group.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, some people experience the opposite, since diarrhea is also one of phentermine\u2019s potential adverse effects. It depends on the specific person and their body\u2019s reaction to the drug.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Not all weight loss pills and appetite-suppressant drugs cause constipation, but because they often affect the digestive tract, many of these <\/span><span style=\"font-weight: 400;\">medications can cause constipation<\/span><span style=\"font-weight: 400;\"> or other gastrointestinal side effects like nausea or stomach cramps. It\u2019s also one of the most prevalent adverse reactions for GLP-1 medications like Zepbound, Wegovy, and Saxenda, as well as other weight-loss medications like Contrave.\u00a0<\/span><\/p>\n<h2 id=\"relationship-between-phentermine-and-constipation\"><span style=\"font-weight: 400;\">Relationship between phentermine and constipation<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Phentermine can cause constipation because of the way it works within the body. According to <\/span><a href=\"https:\/\/www.medicalofficesofmanhattan.com\/our-team\/pratima-dibba-md\/\"><span style=\"font-weight: 400;\">Dr. Pratima Dibba, MD<\/span><\/a><span style=\"font-weight: 400;\">, board-certified gastroenterologist with Medical Offices of Manhattan and contributor to <\/span><a href=\"https:\/\/www.labfinder.com\"><span style=\"font-weight: 400;\">https:\/\/www.labfinder.com<\/span><\/a><span style=\"font-weight: 400;\">: \u201cPhentermine works on a certain part of the nervous system and increases a chemical messenger, also known as a neurotransmitter, called norepinephrine, which can impact the gastrointestinal tract, slowing motility and gastric secretion.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Essentially, the drug activates the nervous system\u2019s \u201cfight or flight\u201d response, which diverts energy away from digestion in favor of what it presumes to be more urgent functions. As part of this process, it slows down peristalsis\u2014the series of muscle contractions that push food through the digestive tract. This slowed digestion helps with weight management, but it also might delay bowel movements.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIt can also cause dry mouth, which makes it easier for your body to lose water. It also speeds up your metabolism, which can make you sweat more, especially if you\u2019re active,\u201d says <\/span><a href=\"https:\/\/www.linkedin.com\/in\/david-nazarian-m-d-2aa55236\"><span style=\"font-weight: 400;\">Dr. David Nazarian, MD<\/span><\/a><span style=\"font-weight: 400;\">, founder of <\/span><a href=\"https:\/\/www.myconciergemd.com\"><span style=\"font-weight: 400;\">My Concierge MD<\/span><\/a><span style=\"font-weight: 400;\">. \u201cAnother thing is that phentermine can sometimes make it harder for your body to tell when you\u2019re thirsty. This can make you less likely to drink enough water, especially when you\u2019re sweating or losing fluids in other ways. When your body doesn\u2019t have enough fluids, it can affect your digestive system and cause constipation.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">How long phentermine constipation lasts can depend on the person. However, the medication is generally only for short-term use. The Food and Drug Administration has only approved it for treatments of <\/span><a href=\"https:\/\/www.mayoclinic.org\/healthy-lifestyle\/weight-loss\/expert-answers\/phentermine\/faq-20057940\"><span style=\"font-weight: 400;\">up to 12 weeks<\/span><\/a><span style=\"font-weight: 400;\"> and typically <\/span><span style=\"font-weight: 400;\">stays in your system for four days<\/span><span style=\"font-weight: 400;\"> after you stop taking it.\u00a0<\/span><\/p>\n<h2 id=\"management-and-treatment-of-phentermine-induced-constipation\"><span style=\"font-weight: 400;\">Management and treatment of phentermine-induced constipation<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It\u2019s not ideal to get constipation from phentermine treatment, but the good news is that you\u2019ve got ways to deal with it. Here are a few of the most effective.\u00a0<\/span><b\/><\/p>\n<ul>\n<li aria-level=\"1\"><b>Eat fiber: <\/b><span style=\"font-weight: 400;\">As we mentioned, fiber is a crucial component of the digestive process (and can help regulate blood sugar), so make sure you\u2019re eating enough\u2014<\/span><a href=\"https:\/\/ask.usda.gov\/s\/article\/How-much-dietary-fiber-should-I-eat\"><span style=\"font-weight: 400;\">the USDA recommends<\/span><\/a><span style=\"font-weight: 400;\"> 28 grams per day for most people. Good sources of fiber include fruits, vegetables, legumes, whole grains, and nuts. Dietary supplements may also help, if you find it hard to hit the recommended amount.\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>Drink plenty of fluids: <\/b><span style=\"font-weight: 400;\">This is good advice for everyone, but especially anyone taking phentermine, since dehydrated stool is harder to pass. According to the <\/span><a href=\"https:\/\/www.nationalacademies.org\/news\/2004\/02\/report-sets-dietary-intake-levels-for-water-salt-and-potassium-to-maintain-health-and-reduce-chronic-disease-risk\"><span style=\"font-weight: 400;\">U.S. National Academies of Sciences, Engineering, and Medicine<\/span><\/a><span style=\"font-weight: 400;\">, men typically need at least 15.5 cups of fluids per day, and women need at least 11.5. However, this also depends on your weight, activity level, environment, and age.\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>Avoid certain foods: <\/b><span style=\"font-weight: 400;\">Processed foods, fried foods, dairy, eggs, meat, and alcoholic beverages can all exacerbate constipation, so consuming them in moderation may help.\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>Exercise regularly: <\/b><span style=\"font-weight: 400;\">Physical activity can help stimulate the digestive system and move food more quickly through the large intestine, and <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30843436\/\"><span style=\"font-weight: 400;\">studies have shown<\/span><\/a><span style=\"font-weight: 400;\"> that it\u2019s an effective treatment for constipation.\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>Try bowel training: <\/b><span style=\"font-weight: 400;\">This means trying to have a bowel movement at the same time every day, which can get your body into a routine. Choose a convenient time to sit on the toilet each day, and be patient, since it <\/span><a href=\"https:\/\/www.mountsinai.org\/health-library\/selfcare-instructions\/daily-bowel-care-program\"><span style=\"font-weight: 400;\">may take 15\u201345 minutes<\/span><\/a><span style=\"font-weight: 400;\">. Sometimes, a gentle abdominal massage can help.\u00a0<\/span><\/li>\n<\/ul>\n<h2 id=\"what-medications-can-i-take-for-constipation\"><span style=\"font-weight: 400;\">What medications can I take for constipation?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Dietary and lifestyle changes are great for constipation (and your overall health), but sometimes, your gut needs a little more encouragement. That\u2019s where medications can help. Here are some <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/treatments\/25121-laxatives\"><span style=\"font-weight: 400;\">laxative options<\/span><\/a><span style=\"font-weight: 400;\"> that might help.\u00a0<\/span><b\/><\/p>\n<ul>\n<li aria-level=\"1\"><b>Bulk-forming laxatives: <\/b><span style=\"font-weight: 400;\">Drugs like Metamucil or Citrucel add soluble fiber to your stool, which helps it pull in water, making it bigger and easier to pass. These often pose the smallest risk of serious side effects, so they\u2019re commonly the first ones health care providers might recommend.\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>Osmotic agents: <\/b><span style=\"font-weight: 400;\">These medicines take water from different parts of the body and direct it to the colon, where it softens the stool. Examples of these medications include Miralax and Milk of Magnesia.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>Emollient laxatives: <\/b><span style=\"font-weight: 400;\">Commonly called stool softeners, drugs like Colace help the stool collect and hold more moisture, making it easier to pass.\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>Lubricant laxatives: <\/b><span style=\"font-weight: 400;\">As the name suggests, these laxatives lubricate the colon, making it easier for stool to pass through (an example is mineral oil).\u00a0<\/span><\/li>\n<li aria-level=\"1\"><b>Stimulant laxatives: <\/b><span style=\"font-weight: 400;\">Drugs like Dulcolax trigger muscle contractions around the intestinal walls, which helps push the stool along. However, they\u2019re typically only recommended if other laxatives have failed, since some individuals who take them start relying on them for every bowel movement, leading to long-term use.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The best option for constipation from phentermine depends on you and your specific circumstances. It\u2019s best to ask a doctor for their medical advice since they\u2019re familiar with your medical history, other medicines, and overall health. Sometimes, physicians suggest prescription drugs like lactulose or Linzess, but that\u2019s usually in cases of chronic constipation\u2014not temporary constipation that comes as a side effect.\u00a0<\/span><\/p>\n<h2 id=\"when-to-see-your-healthcare-provider\"><span style=\"font-weight: 400;\">When to see your healthcare provider<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Most of the time, the biggest risk of constipation from phentermine is physical discomfort. It can make you feel full, bloated, nauseous, and frustrated. Aside from that, it\u2019s usually nothing to be alarmed about.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But in rare cases, constipation may indicate a more serious condition, or require medical attention. For example, \u201cit is important to speak to a physician when symptoms are refractory to a high fiber diet,\u201d Dr. Dibba says. So if you\u2019ve loaded up on fiber and your constipation persists, call a doctor.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, according to Dr. Nazarian, \u201cIf constipation is severe, lasts for a long time, or is accompanied by other symptoms like blood in your stool, pain, nausea, or vomiting, it\u2019s important to consult with a doctor so we can help determine the cause and recommend the best treatment.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">One of phentermine\u2019s other risk factors is that it can cause high blood pressure and worsen heart disease. 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Eating more fiber, staying hydrated, exercising regularly, and trying over-the-counter laxatives can all help treat constipation from phentermine. If you have severe stomach pain, blood in your stool, vomiting, fever, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5401","post","type-post","status-publish","format-standard","hentry","category-health-news"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts\/5401","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/comments?post=5401"}],"version-history":[{"count":1,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts\/5401\/revisions"}],"predecessor-version":[{"id":5674,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/posts\/5401\/revisions\/5674"}],"wp:attachment":[{"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/media?parent=5401"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/categories?post=5401"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthmedicinet.com\/review\/wp-json\/wp\/v2\/tags?post=5401"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}