Table 3.
Drug | Trade Name (s) | Recommended Dose | DEA schedule | Comments |
---|---|---|---|---|
Phentermine | Adipex-P | 18.75–37.5 mgQDa | IV | Recommended TID dosing is 30–60 min before meals. QD dosing is in the morning. Avoid dosing close to bedtime. |
Fasti n | 30 mg QD | |||
Suprenza | 15–30 mg QD | |||
Lomaira | 8 mgTID | |||
Diethylpropion | Tenuate | 25 mgTID | IV | As above |
Tenuate Dospan | 75 mg QD | |||
Phendimetrazine | Bontril | 35 mgTID | III | As above |
Prelu-2 | 105 mg QD | |||
Benzphetamine | Didrex | 25–50 mgTID | III | Recommended TID dosing is 30–60 min before meals. |
Orlistat | Xenical | 120 mgTID | None | Recommended to take at mealtime. Dosing is same for adults and adolescents. |
Alii | 60 mgTID | |||
Phentermine/Topiramate | Qsymia | 7.5/46 mg QD 15/92 mg QD | IV | Start at 3.75/23 mg QD. Increase to 7.5/46 mg after 2 weeks. If weight loss is <3% after 3 months, discontinue or increase dose to 15/92 mg QD. Consider using a transition dosing of 11.25/69 mg while moving to 15/92 mg. Discontinue if weight loss is <5% after 3 months on the 15/92 mg dose. |
Lorcaserin | Belviq | 10 mg BID | IV | Discontinue if weight loss is <5% after 3 months. |
Belviq XR | 20 mg QD | |||
Naltrexone/Bupropion | Contrave | 16/180 mg BID | None | Available as 8/90 mg tablets only. Start 1 tablet every morning. Increase to 1 tablet BID during second week. Increase to 2 in the morning and 1 in the evening during third week. From Week 4, dose 2 tablets BID. |
Liraglutide 3.0 mg | Saxenda | 3 mg QD | None | Available as a pre-filled, multi-dose injector pen that delivers solution in selected doses. Start 0.6 mg QD. At weekly intervals, increase the dose by 0.6 mg until 3.0 mg QD dose is reached. Inject subcutaneously in the abdomen, thigh or upper arm. Discontinue if weight loss is <4% after 4 months. |
QD, once daily; BID, two times daily; TID, three times daily.