Using Tenuate and Phentermine for appetite supression & blood pressure effects

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Yes I consulted a bariatric doctor who is fully aware of all my problems. At first he would not prescribe Tenuate, but then he changed his mind. Dr. Grim seems to feel that taking this drug (a type of amphetamine) puts one at risk of getting a brain aneurysm. I wonder if he feels the same way about phentermine.

I just tried my first 1/2 dose 12.5 mg instead of 25 mg. of Tenuate today, and it did decrease my appetite for a while, but wore off and I was very hungry. Now I have a splitting headache, and yes it did increase my blood pressure.

I am aware of diethylpropion's addictive potential and do not like that, nor the up and down feeling from amphetamine like drugs. I have used Provigil without those types of side effects, but it does not supress appetite. There is a new drug that is supposed to come out soon called Rimonabant.

Can you ask your bariatric doctor for his opinion of Tenuate?

Can you ask him if he has heard of Rimonabant?

You can read about Rimonabant at:

http://www.drugdevelopment-technology.com/projects/rimonabant/

I had tried phentermine a number of years ago, and did not like the nervous feeling it gave me.

If you have any other info or feedback on what works for weight loss and weight loss maintenance, please feel free to write back.

Thanks.

leslie@... wrote:

Hi, I hope you don't mind me replying off-line as this is starting to stray from the PA topic, but I wanted to share my experience. I haven't used Tenuate, but I do take phentermine for appetite suppression. Assuming you are asking about Tenuate because you want to lose weight, I would see if you can find a bariatric doctor in your area (a doctor that specializes in treating obesity). Certainly, if you only have 10 - 20 pounds to lose, your best choice is probably the standard diet and exersize routine. If you have more weight to lose, especially if you have other health conditions that are aggrevated by the weight, then I would seek another opinion.My nephrologist was outright against me taking phentermine because of the potential for increased BP. I spoke with a bariatric doctor who explained that specialists in other areas have treating the disease process related to their field as their sole focus. Dr's who regularly work with other medications know how to better assess their appropriateness for you. My doctor prescribed phentermine with the expectation that I would regularly check my BP and discontinue it if my BP rose. Surprisingly, within three days my BP lowered. No one can explain this and most medical professionals won't believe it, but I believe it is the direct result of consuming less food (therefore, less sodium) while on the medication. Whatever you decide, I would do it under close supervision of a Dr. who knows and understands your medical history.As an aside, I noticed that tenuate can become habit forming. You can develop a tolerance to phentermine, so my doctor had me take it for three weeks then skip a week, etc. You might want to find out if a similar pattern would reduce the chances of problems with tenuate.Sincerely,

Date: Fri, 02 Jun 2006 08:59:59 +0000From: airlinerg <airlinerg@...>Subject: Dr. Grim: Do you have an opinion about usingTenuate for appretite supression?hyperaldosteronism Dr. Grim:Do you have an opinion about using Tenuate (diethylpropion) forappretite supression?Is it contraindicated for patients with hyperaldosteronism because ofthe possibility that his medication could increase blood pressure?Please reply.