Weight problems is growing worldwide and predominant in Western nations, which might be characterised as life type illness. Invention of recent strategies to make our every day life straightforward, these days individuals are much less accustomed to do common on a regular basis works which 10-15 years again individuals used to do. A extra snug life-style leaving a scope for much less exhausting work, correct calorie burn and accumulation of fats within the physique which results in weight problems. Qysmia -a new drug by Vivus, second drug of its sort, obtained approval by FDA on 17 th July 2012. One other anti-obesity drug, Belviq obtained FDA’s approval one month again. The approval of Belviq and the Qysmia opens a brand new horizon of therapy for the overweight individuals in USA selecting the choice of weight reduction by treatment. Though initially it’s promising in addition to daring step from FDA as approval of Qysmia was pending for very long time contemplating the protection points. Two years again the producer firm Vivas Inc. filed an utility to FDA of the identical drug named as Qnexa which was not permitted by FDA because the drug precipitated elevated coronary heart charge (which can even result in coronary heart assault or stroke), psychiatric issues and beginning defects. Vivus then got here up with further security information and resubmitted the applying. Qysmia is a drug, permitted to be used in adults with a physique mass index (BMI) of 30 or higher (overweight) or adults with a BMI of 27 or higher (chubby) who’ve not less than one weight-related situation resembling hypertension (hypertension), sort 2 diabetes, or excessive ldl cholesterol (dyslipidemia). Qsymia is an prolonged launch formulation of mixture of two earlier FDA permitted drug topiramate (a seizure treatment that has an impact on urge for food) and phentermine (an urge for food suppressant used for brief intervals). The advisable every day dose of Qsymia accommodates 7.5 milligrams of phentermine and 46 mg of topiramate extended-release. Qsymia can also be out there at a better dose containing 15 mg phentermine and 92 mg of topiramate extended-release for choose sufferers. After one yr of therapy with the advisable and highest every day dose of Qsymia, sufferers from two totally different medical trials had a mean weight lack of 6.7 p.c and eight.9 p.c, respectively, over therapy with placebo. Roughly 62 p.c and 69 p.c of sufferers misplaced not less than 5 p.c of their physique weight with the advisable dose and highest dose of Qsymia, respectively, in contrast with about 20 p.c of sufferers handled with placebo. Sufferers who didn’t lose not less than three p.c of their physique weight by week 12 of therapy with Qsymia had been unlikely to attain and maintain weight reduction with continued therapy at this dose. The commonest unwanted side effects in clue tingling of palms and toes (paresthesia), dizziness, altered style sensation, insomnia, constipation, and dry mouth. Some necessary tips from FDA for the optimum use of this drug – Qsymia shouldn’t be used throughout being pregnant as a result of it will probably trigger hurt to a fetus. Qsymia should not be utilized in sufferers with glaucoma or hyperthyroidism. Qsymia can improve coronary heart charge, subsequently this drug shouldn’t be advisable to be used in sufferers with latest (inside the final six months) or unstable coronary heart illness or stroke shouldn’t be advisable. Despite the fact that Qysmia obtained approval from FDA however nonetheless the producer are in a obligation to conduct put up advertising and marketing surveillance on ten requirement specified by FDA. Long run impact of this drug on cardiovascular system with respect to the danger of coronary heart assault and stroke needs to be collected. Approval of Qysmia by FDA is unquestionably a brand new daring step as nicely an necessary sign from FDA to combat the battle towards obesity- a serious well being downside in USA .However the person has to concentrate on the aspect impact and potential danger of coronary heart associated downside and beginning defect that could be attributable to the medication. An extended debate for a lot of that train vs. use of treatment for weight reduction, which one is the higher? A serious alternative is clear train and life type adjustments with correct wholesome meals habits however for overweight individuals, now a alternative is obtainable to decide on an alternate path for weight reduction. At this second we might not be capable of remark if this drug can be very helpful and potent to fight weight problems – solely time can say the ultimate end result relating to the impact of this drug on overweight individuals. Until then we’ve to attend !