Lomaira Review - Lose Weight With This Appetite Suppressant?

By Derek Lakin
HighYa Staff Published on: Nov 30, 2018

Approved by the FDA in September 2016, Lomaira (phentermine hydrochloride USP 8 mg tablets) is a prescription medication that can act as a short-term appetite suppressant to help you lose more weight than with diet and exercise alone.

The website indicates that unlike other phentermine medications, which are typically taken in a single dose, its 8 mg butterfly-shaped tablets can be taken up to three times daily, 30 minutes before each meal. Patients can even score each tablet if their doctor recommends taking half doses.

Together, we’re told Lomaira can better suppress appetite throughout the course of the day, although you should still use the medication in conjunction with regular exercise and a reduced-calorie diet.

If you experience difficulty suppressing your appetite throughout the day, especially in the afternoon and before dinner, should you talk to your doctor about possibly adding Lomaira to your weight loss regimen? We’ll focus on answering this central question over the course of the next several minutes.

Does the Phentermine in Lomaira Work Better?

Phentermine Basics

According to the Lomaira website, phentermine “has been prescribed by doctors for almost 60 years and over eight million prescriptions for phentermine were written in 2016. To date, over 127,000 healthcare professionals have prescribed phentermine, including obesity-medicine specialists, family practitioners, endocrinologists, internists, and cardiologists."

Specifically, Lomaira works by releasing norepinephrine and epinephrine (also known as adrenaline) into the brain. How does this relate to potential weight loss?

Bustle’s JR Thorpe explains, “Norepinephrine's appetite-killing nature has been known for a while. It's one of the brain's signals of satiety, or "fullness," and also seems to help keep metabolisms ticking over at healthy high rates.”

Similarly, Harvard Health points out, “Epinephrine helps trigger the body's fight-or-flight response, a revved-up physiological state that temporarily puts eating on hold.”

As such, it makes sense that releasing more of these neurotransmitters into your system could help suppress appetite and reduce the impulse to overeat. Combined with a reduced calorie diet and regular exercise, it’s reasonable to assume it could help you lose more weight than diet and exercise alone.

Lomaira vs. Generic Phentermine

Generic phentermine prescription drugs are usually available in single doses of 15mg, 30mg, or 37.5mg.

Comparatively, the manufacturer indicates that Lomaira’s 8 mg dosage allows patients to take it up to three times per day for no more than 12 weeks. Since the active ingredient typically peaks after four hours, they say this provides the ability to manage appetite over the course of the day better.

In fact, the website boasts that Lomaira is “the lowest strength of phentermine monotherapy and is the only formulation of phentermine that is FDA-approved to be used up to three times a day before meals.”

Patients can take Lomaira’s butterfly-shaped tablets up to three times per day, which can also be scored for those requiring half doses.

Is there clinical proof that its thrice-daily routine necessarily works better than once-per-day options, though? Here’s what we’re told on the Lomaira website:

“In relatively short-term clinical trials, adults with obesity who were treated with appetite suppressants and continued with a diet regime, lost more weight on the average than those treated with placebo and diet.”

You’ll notice there’s no mention of Lomaira specifically, or even of phentermine in general. The site also doesn’t cite any sources for the claim, and we didn’t encounter any relevant results for the term on the National Institutes of Health’s PubMed clinical research database.

ClinicalTrials.gov listed an ongoing study involving 200 patients, which started in December 2017 and will finish in December 2020, and focuses on comparing common prescription weight loss medications like Lomaira, Qsymia, Saxenda, Adipex-P, and Contrave. No results were posted as of this writing.

Another potentially meaningful difference is that Lomaira comes with a free app. How might it maximize your results?

Taking a Closer Look at Lomaira’s Daily Dose Tracker App

Designed for both iOS and Android smartphones, the Lomaira Daily Dose Tracker app promises to help you remember “when to take each tablet as prescribed by your healthcare provider to match your unique eating pattern.”

In it, you can set an alert to go off 30 minutes before each meal, record each time you take a tablet, enter your weight, and track your progress over the course of days, weeks, and months. You’ll also receive refill reminders when the time comes.

The process works over the following steps:

  1. Allow notifications on your phone.
  2. Enter the number of tablets your doctor prescribed per day.
  3. Enter your typical breakfast, lunch, and dinner times.
  4. Click on the “weight” link and enter details.
  5. Click the “Progress” icon to log “the number of tablets, date and time, and meal type for your daily dose,” and then save.

Lomaira Daily Dose Tracker App ScreenshotsThe free Lomaira iOS and Android apps allow patients to receive alerts when to take their medication, log weight, and track progress over days, weeks, and months. Credit: KVK Tech, Inc.

Could Lomaira Cause Side Effects?

In general, Drugs.com reports that phentermine can cause side effects (incidence not known) like chest pain, increased blood pressure, dizziness, insomnia, headache, trouble breathing, weakness, dry mouth, skin redness, and unpleasant taste, to name just a few. However, the Lomaira website points out that its lower dosage may result in reduced side effects.

The manufacturer specifically points out that you shouldn’t take Lomaira if you have a history of cardiovascular disease, have taken an MAOI medication in the past 14 days, are pregnant or nursing, or “have overactive thyroid, glaucoma (increased pressure in the eyes), agitation, or a history of drug abuse.”

And phentermine, in general, isn't recommended for those 16 and under, and shouldn’t be taken during the late evening to avoid problems sleeping.

As with any prescription, you'll also want to tell your doctor about other medications you're taking, including vitamins and supplements.

Related: Do You Need to Take Vitamins or Dietary Supplements?

How Much Does Lomaira Cost?

GoodRx listed a one-month supply (90 tablets) of Lomaira at an average retail price of $54.66. Some of their prices were as low as $26.

KVK Tech offers a Lo-Cost Access Program, where you can pay less than 50 cents per tablet. All you have to do is enter your first and last names and email address on their website, and you’ll instantly receive a savings voucher.

Outside of this, precisely what you'll pay for your Lomaira prescription could come down to your health insurance provider, along with your specific plan.

The manufacturer emphasizes, “Coverage of prescription weight-loss drugs varies widely. Lomaira is reasonably priced to ensure that price does not create a hurdle. Due to Lomaira’s low cost, some private insurers provide coverage as a Tier 1 generic co-pay.”

If you have additional questions, you can reach a company representative at 844-LOMAIRA (566-2472).

The Details About Lomaira’s Online Patient Reviews

Between more than 570 combined patient reviews on Drugs.com and EverydayHealth.com, phentermine (which includes Lomaira) had an average rating of about four stars.

Compliments typically cited effective appetite suppression and weight loss results, while common complaints referenced less weight loss than expected, alongside effects like dry mouth, nausea, and dizziness.

Are There Other Prescription Weight Loss Medications Like Lomaira?

In addition to generic phentermine (often branded as Adipex-P, which had an average retail price of $34.52 at the time of our research), there is only one other popular prescription medication competing directly with Lomaira: Qsymia

This version contains a mixture of phentermine and topiramate, although it also comes with a meaningfully higher average retail price of almost $235.

The manufacturer provides clinical support for Qsymia, indicating that among more than 3,700 study participants, it helped them lose weight three times faster than diet and exercise alone. And after 56 weeks, patients lost an average of 24 to 32 pounds and 4” to 5” off their waist.

If you recall the ongoing study listed on ClinicalTrials.gov mentioned earlier, another popular weight loss prescription medication is Contrave, a blend of bupropion and naltrexone ($68.83 for a 30-day supply). Saxenda, an injectable version of liraglutide, costs an eye-watering $1,464.87.

But, the reality is that if it helps you lose a meaningful amount of weight, these medications might be worth their weight in gold. How can you decide if it’s worth paying more, or if Lomaira is a viable option for your journey? Let’s wrap everything up.

Bottom Line: How Much Weight Can You Expect to Lose With Lomaira?

KVK Tech emphasizes that the amount of weight you can expect to lose using Lomaira will vary depending on the individual patient.

But, according to what we learned from sites like Drugs.com and EverydayHealth.com, most people who take a phentermine-based prescription medication seem pleased with their results. On top of this, Lomaira appears reasonably priced compared to the competition.

However, it’s important to balance these positives by pointing out that you’ll pay meaningfully more for Lomaira than for single-dose phentermine options like Adipex-P. As such, make sure you bring up the topic of budget with your doctor, and ask if they think it’s higher price might deliver more value, based on your specific diagnosis.

>> Read next: A Beginner’s Guide to Losing Weight and Getting in Shape

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