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Does phentermine affect baby?

Understanding the Effects of Phentermine on Pregnancy
Phentermine, a prescription medication primarily used for short-term weight loss, raises significant concerns when it comes to its use during pregnancy. While it is generally considered safe and effective for weight management in non-pregnant individuals, the implications for pregnant women and their babies are less clear.
Limited Research and Safety Concerns
The research surrounding phentermine’s effects during pregnancy is notably limited. According to available literature, there is a lack of comprehensive studies specifically examining the drug’s impact on fetal development. This absence of data makes it challenging to draw definitive conclusions about its safety for pregnant individuals and their babies.
However, some related studies suggest potential risks. For instance, phentermine has been associated with serious complications such as ischemic and hemorrhagic strokes in adults, but its effects on a developing fetus remain poorly understood. This uncertainty is compounded by the fact that birth defects can occur for various reasons, with about 3% of babies born each year affected by some form of birth defect.
Risks of Birth Defects
One of the more concerning findings relates to the combination of phentermine with another medication, topiramate. This combination has been linked to an increased risk of birth defects, particularly cleft lip and cleft palate, which can develop very early in pregnancy, often before a woman even realizes she is pregnant. Furthermore, the use of phentermine during the first and second trimesters has raised alarms about potential fetal strokes, indicating that the drug may pose serious risks during critical periods of fetal development.
Recommendations for Pregnant Individuals
Given the potential risks associated with phentermine, medical professionals generally advise against its use during pregnancy. The consensus is that deliberate weight loss is not typically safe during this time, as the health of both the mother and the developing baby should take precedence. Pregnant individuals are encouraged to consult with their healthcare providers for safer alternatives to manage weight and ensure a healthy pregnancy.
Conclusion
In summary, while phentermine is effective for weight loss in non-pregnant individuals, its safety during pregnancy is questionable due to limited research and potential risks of serious complications and birth defects. Pregnant individuals should prioritize their health and that of their baby by avoiding this medication and seeking guidance from healthcare professionals.

How does phentermine affect birth control?

Birth control pills (containing estrogen) may not work properly if you take them while you are taking this medicine. Unplanned pregnancies may occur. You should use a different or additional means of birth control while you are using this medicine.

Does phentermine affect the fetus?

It may increase the chances of an infant being larger than average for its gestational age. A 2021 review found that more infants were at least 4,000 grams (8.8 pounds) larger for their gestational age when their parent used any anti-obesity drug during pregnancy.

What does phentermine do to your hormones?

Because phentermine doesn’t directly affect hormone levels, it doesn’t likely affect menopause. In fact, your provider may recommend it to help you lose weight gained during menopause.

Does phentermine affect female fertility?

While not directly linked to hair loss, significant weight loss from phentermine can influence hormonal fluctuations affecting the menstrual cycle and fertility. Pregnant and breastfeeding women should not take phentermine due to potential harm to the fetus or infant.

How quickly does phentermine leave your system?

Phentermine Half-Life
This means it takes about 20 hours for the body to eliminate half of the dose from the bloodstream. Complete elimination typically requires around 5-6 half-lives. This suggests that phentermine can stay in the system for about 4-6 days, depending on individual metabolic factors.

What weight loss pills are safe while breastfeeding?

This means there is no safe appetite suppressant to take while breastfeeding; instead focus on eating a well-balanced diet. The metabolites of certain forms of oral weight loss medications have been shown to pass into breast milk and shouldn’t be taken while breastfeeding.

Should I stop taking phentermine if I think I’m pregnant?

Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using this medicine, tell your doctor right away. This medicine may be habit-forming.

How long before phentermine is out of your system?

The half-life of a drug refers to the time it takes for the concentration of the drug in the bloodstream to reduce by half. Based on the half-life of phentermine, the drug can take around 4 to 6 days to be completely cleared from the body.

Can I take weight loss pills while trying to conceive?

If you find yourself struggling with fertility and believe your excess weight might be part of the cause, talk to your doctor about weight loss options — including the new weight-loss drugs. However, you should not be trying to conceive while on these medications.

Has anyone taken phentermine while breastfeeding?

Studies have not been done on the use of phentermine while breastfeeding. The product labels for phentermine and the combination of phentermine and topiramate recommend people who are breastfeeding not use these medications. The benefit of using phentermine may outweigh possible risks.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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