time to get started - qsymia.com · medication containing 2 ingredients that can help you lose...
TRANSCRIPT
The first once-daily, FDA-approved weight-loss medication containing 2 ingredients that can help
you lose weight and keep it o�. 2,3
START FOR FREE TODAY!
EVERY DAY SOMEONE STARTS A DIET THAT WILL NOT WORK1
QSYMIA® HAS 2 REASONS WHY THAT COULD CHANGE2
IndicationQsymia should be used together with a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of 30 kg/m2 or greater (obese) or 27 kg/m2 or greater (overweight) in the presence of at least one weight-related medical condition such as high blood pressure, type 2 diabetes, or high cholesterol.
It is not known if Qsymia changes your risk of heart problems or stroke or of death due to heart problems or stroke. It is not known if Qsymia is safe and eective when taken with other prescription, over-the-counter, or herbal weight loss products. It is not known if Qsymia is safe and eective in children under 18 years old.
Please see Qsymia Important Safety Information on pages 6–9 and read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
TIME TO GET STARTED
Talk to your doctor today.
© 2014 VIVUS, Inc. All rights reserved. 100011.04-USP
Imagine the feeling• Take one Qsymia 3.75 mg/23 mg capsule (Figure A)
once each morning for the first 14 days2
• After taking Qsymia 3.75 mg/23 mg capsule for 14 days, then take one Qsymia 7.5 mg/46 mg capsule (Figure B) once each morning2
• You should talk to your doctor after taking Qsymia for 12 weeks2
You will know your doctor has prescribed you Qsymia if2:• You only need to take 1 capsule a day; and the pills
look like one of those pictured above
TITRATION2
11.25 mg/69 mg
3.75 mg/23 mg
STARTING2 (Figure A)
7.5 mg/46 mg
RECOMMENDED2 (Figure B)
15 mg/92 mg
TOP2
Please see Qsymia Important Safety Information on pages 6–9 and read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
WHERE DO YOU STAND ON THE BMI SCALE?4
To help determine if Qsymia® (phentermine and topiramate extended-release) capsules CIV could be right for you, your doctor may need to measure your body mass index (BMI). BMI is a measure of body fat based on your weight and height.2
4
Please see Qsymia Important Safety Information on pages 6–9 and read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
HE
IGH
T (
IN F
EE
T)
Overweight Normal Obese
19 20 21 22 23 24 25 26 27 28 29 30 31
4'10"
BMI
4'11"
5'
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'
6'1"
6'2"
6'3"
6'4"
32 33 34 35 36 37 38 39 40 41 42 43 44 45
100 105 110 11591
104 109 114 11994
107 112 118 12397
111 116 122 127100
115 120 126 131104
118 124 130 135107
122 128 134 140110
126 132 138 144114
130 136 142 148118
134 140 146 153121
138 144 151 158125
142 149 155 162128
146 153 160 167132
150 157 165 172136
154 162 169 177140
159 166 174 182144
163 171 179 186148
168 176 184 192152
96
99
102
106
109
113
116
120
124
127
131
135
139
143
147
151
155
160
164 172 180 189 197156
148 153 158 162 167143
153 158 163 168 173148
158 163 168 174 179153
164 169 174 180 185158
169 175 180 186 191164
175 180 186 191 197169
180 186 192 197 204174
186 192 198 204 210180
192 198 204 210 216186
198 204 211 217 223191
203 210 216 223 230197
209 216 223 230 236203
216 222 229 236 243209
222 229 236 243 250215
228 235 242 250 258221
235 242 250 257 265227
241 249 256 264 272233
248 256 264 272 279240
254 263 271 279 287246
177 181 186172
183 188 193178
189 194 199184
195 201 206190
202 207 213196
208 214 220203
215 221 227209
222 228 234216
229 235 241223
236 242 249230
243 249 256236
250 257 263243
257 264 271250
265 272 279257
272 279 287265
280 288 295272
287 295 303280
295 303 311287
304 312 320295
196 201 205 210 215191
203 208 212 217 222198
209 215 220 225 230204
217 222 227 232 238211
224 229 235 240 246218
231 237 242 248 254225
238 244 250 256 262232
246 252 258 264 270240
253 260 266 272 278247
261 268 274 280 287255
269 276 282 289 295262
277 284 291 297 304270
285 292 299 306 313278
293 301 308 315 322286
302 309 316 324 331294
310 318 325 333 340302
319 326 334 342 350311
327 335 343 351 359319
336 344 353 361 369328
124 129 134 138119
128 133 138 143124
133 138 143 148128
137 143 148 153132
142 147 153 158136
146 152 158 163141
151 157 163 169145
156 162 168 174150
161 167 173 179155
166 172 178 185159
171 177 184 190164
176 182 189 196169
181 188 195 202174
186 193 200 208179
191 199 206 213184
197 204 212 219189
202 210 218 225194
208 216 224 232200
213 221 230 238205
WEIGHT (IN POUNDS)
Important Safety InformationDo not take Qsymia if you are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment; have glaucoma; have thyroid problems (hyperthyroidism); are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days; are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia. See the end of the Medication Guide for a complete list of ingredients in Qsymia.
Talk to your doctor to see if Qsymia® is right for you.
• Qsymia provides flexible dosing, so your doctor can find the right dose for you2
• Qsymia is uniquely formulated and not available as a generic2
Losing a significant amount of weight is no simple task. If you have tried dieting and exercising alone, and have not been successful, this may be your opportunity to make a change.
Qsymia® (phentermine and topiramate extended release) capsules CIV is the first once-daily, FDA-approved weight-loss medicine that contains 2 ingredients that can help you lose weight and keep it o�.2,3
Qsymia is for adults with a BMI* of 30 or more† and should be used with a reduced-calorie diet and increased physical activity.2
2 IN 1 WEIGHT LOSS
Qsymia is a federally controlled substance (CIV) because it contains phentermine and can be abused or lead to drug dependence.2
STEP UP AND MAKE A CHANGE TODAY
2
Please see Qsymia Important Safety Information on pages 6–9 and read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
The precise mechanism of action of the 2 ingredients on chronic weight management is unknown.2
One ingredient likely reduces appetite
and decreases food consumption2
The other ingredient may make you feel full throughout the day2
BMI (body mass index) measures the amount of fat in the body based on height and weight. Or a BMI of 27 or more with one weight-related medical condition.
*
†
Important Safety InformationDo not take Qsymia if you are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment; have glaucoma; have thyroid problems (hyperthyroidism); are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days; are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia. See the end of the Medication Guide for a complete list of ingredients in Qsymia.
Talk to your doctor to see if Qsymia® is right for you.
• Qsymia provides flexible dosing, so your doctor can find the right dose for you2
• Qsymia is uniquely formulated and not available as a generic2
Losing a significant amount of weight is no simple task. If you have tried dieting and exercising alone, and have not been successful, this may be your opportunity to make a change.
Qsymia® (phentermine and topiramate extended release) capsules CIV is the first once-daily, FDA-approved weight-loss medicine that contains 2 ingredients that can help you lose weight and keep it o�.2,3
Qsymia is for adults with a BMI* of 30 or more† and should be used with a reduced-calorie diet and increased physical activity.2
2 IN 1 WEIGHT LOSS
Qsymia is a federally controlled substance (CIV) because it contains phentermine and can be abused or lead to drug dependence.2
STEP UP AND MAKE A CHANGE TODAY
2
Please see Qsymia Important Safety Information on pages 6–9 and read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
The precise mechanism of action of the 2 ingredients on chronic weight management is unknown.2
One ingredient likely reduces appetite
and decreases food consumption2
The other ingredient may make you feel full throughout the day2
BMI (body mass index) measures the amount of fat in the body based on height and weight. Or a BMI of 27 or more with one weight-related medical condition.
*
†
HOW TO START
12
Your doctor should start you on a diet and exercise program when you start taking Qsymia. Stay on this program while you are taking Qsymia.2
Your doctor will tell you how much Qsymia to take and when to take it.2
• Do not change your dose without talking to your doctor
• Take Qsymia 1 time a day in the morning
• Qsymia can be taken with or without food
• If you miss a dose of Qsymia, wait until the next morning to take your usual dose of Qsymia. Do not double your dose
If you and your doctor decide that Qsymia® (phentermine and topiramate extended-release) capsules CIV is right for you, you should take it exactly as your doctor tells you to take it.2
Qsymia is a unique combination of two medications in a once-a-day extended-release formulation. If you receive anything other than Qsymia, it is not the same and may not be approved by the FDA for chronic weight management. There is no generic equivalent.2,3
Important Safety Information
Qsymia can cause serious side e�ects, including:
• Birth defects (cleft lip/cleft palate)• Increases in heart rate• Suicidal thoughts or actions• Serious eye problems
If your BMI is 30 or more, or is 27 or more with a weight-related medical condition (such as high blood pressure, type 2 diabetes, or high cholesterol), ask your doctor if Qsymia® could help you achieve your weight-loss goals, together with diet and exercise. Learn your approximate BMI by finding where your height and weight meet on the chart below.2
WHAT’S YOUR GOAL?
When trying to achieve significant weight loss, it’s good to set realistic goals. For example,
a BMI range of 19–24 is normal. Start by filling out the information below, then give it to your doctor.*
HE
IGH
T (
IN F
EE
T)
Overweight Normal Obese
19 20 21 22 23 24 25 26 27 28 29 30 31
4'10"
BMI
4'11"
5'
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'
6'1"
6'2"
6'3"
6'4"
32 33 34 35 36 37 38 39 40 41 42 43 44 45
100 105 110 11591
104 109 114 11994
107 112 118 12397
111 116 122 127100
115 120 126 131104
118 124 130 135107
122 128 134 140110
126 132 138 144114
130 136 142 148118
134 140 146 153121
138 144 151 158125
142 149 155 162128
146 153 160 167132
150 157 165 172136
154 162 169 177140
159 166 174 182144
163 171 179 186148
168 176 184 192152
96
99
102
106
109
113
116
120
124
127
131
135
139
143
147
151
155
160
164 172 180 189 197156
148 153 158 162 167143
153 158 163 168 173148
158 163 168 174 179153
164 169 174 180 185158
169 175 180 186 191164
175 180 186 191 197169
180 186 192 197 204174
186 192 198 204 210180
192 198 204 210 216186
198 204 211 217 223191
203 210 216 223 230197
209 216 223 230 236203
216 222 229 236 243209
222 229 236 243 250215
228 235 242 250 258221
235 242 250 257 265227
241 249 256 264 272233
248 256 264 272 279240
254 263 271 279 287246
177 181 186172
183 188 193178
189 194 199184
195 201 206190
202 207 213196
208 214 220203
215 221 227209
222 228 234216
229 235 241223
236 242 249230
243 249 256236
250 257 263243
257 264 271250
265 272 279257
272 279 287265
280 288 295272
287 295 303280
295 303 311287
304 312 320295
196 201 205 210 215191
203 208 212 217 222198
209 215 220 225 230204
217 222 227 232 238211
224 229 235 240 246218
231 237 242 248 254225
238 244 250 256 262232
246 252 258 264 270240
253 260 266 272 278247
261 268 274 280 287255
269 276 282 289 295262
277 284 291 297 304270
285 292 299 306 313278
293 301 308 315 322286
302 309 316 324 331294
310 318 325 333 340302
319 326 334 342 350311
327 335 343 351 359319
336 344 353 361 369328
124 129 134 138119
128 133 138 143124
133 138 143 148128
137 143 148 153132
142 147 153 158136
146 152 158 163141
151 157 163 169145
156 162 168 174150
161 167 173 179155
166 172 178 185159
171 177 184 190164
176 182 189 196169
181 188 195 202174
186 193 200 208179
191 199 206 213184
197 204 212 219189
202 210 218 225194
208 216 224 232200
213 221 230 238205
WEIGHT (IN POUNDS)
Source: US Department of Health and Human Services. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. Washington, DC: US Department of Health and Human Services; 1998. NIH Publication No. 98-4083. http://www.nhlbi.nih.gov/guidelines/obesity/bmi_tbl.pdf. Accessed May 19, 2014.
*
Current BMI:
Goal BMI:
Time frame:
� 6 months � 12 months
The first once-daily, FDA-approved weight-loss medication containing 2 ingredients that can help
you lose weight and keep it o�. 2,3
START FOR FREE TODAY!
EVERY DAY SOMEONE STARTS A DIET THAT WILL NOT WORK1
QSYMIA® HAS 2 REASONS WHY THAT COULD CHANGE2
IndicationQsymia should be used together with a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of 30 kg/m2 or greater (obese) or 27 kg/m2 or greater (overweight) in the presence of at least one weight-related medical condition such as high blood pressure, type 2 diabetes, or high cholesterol.
It is not known if Qsymia changes your risk of heart problems or stroke or of death due to heart problems or stroke. It is not known if Qsymia is safe and eective when taken with other prescription, over-the-counter, or herbal weight loss products. It is not known if Qsymia is safe and eective in children under 18 years old.
Please see Qsymia Important Safety Information on pages 6–9 and read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
TIME TO GET STARTED
Talk to your doctor today.
© 2014 VIVUS, Inc. All rights reserved. 100011.04-USP
Imagine the feeling• Take one Qsymia 3.75 mg/23 mg capsule (Figure A)
once each morning for the first 14 days2
• After taking Qsymia 3.75 mg/23 mg capsule for 14 days, then take one Qsymia 7.5 mg/46 mg capsule (Figure B) once each morning2
• You should talk to your doctor after taking Qsymia for 12 weeks2
You will know your doctor has prescribed you Qsymia if2:• You only need to take 1 capsule a day; and the pills
look like one of those pictured above
TITRATION2
11.25 mg/69 mg
3.75 mg/23 mg
STARTING2 (Figure A)
7.5 mg/46 mg
RECOMMENDED2 (Figure B)
15 mg/92 mg
TOP2
Please see Qsymia Important Safety Information on pages 6–9 and read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
WHERE DO YOU STAND ON THE BMI SCALE?4
To help determine if Qsymia® (phentermine and topiramate extended-release) capsules CIV could be right for you, your doctor may need to measure your body mass index (BMI). BMI is a measure of body fat based on your weight and height.2
4
Please see Qsymia Important Safety Information on pages 6–9 and read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
HE
IGH
T (
IN F
EE
T)
Overweight Normal Obese
19 20 21 22 23 24 25 26 27 28 29 30 31
4'10"
BMI
4'11"
5'
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'
6'1"
6'2"
6'3"
6'4"
32 33 34 35 36 37 38 39 40 41 42 43 44 45
100 105 110 11591
104 109 114 11994
107 112 118 12397
111 116 122 127100
115 120 126 131104
118 124 130 135107
122 128 134 140110
126 132 138 144114
130 136 142 148118
134 140 146 153121
138 144 151 158125
142 149 155 162128
146 153 160 167132
150 157 165 172136
154 162 169 177140
159 166 174 182144
163 171 179 186148
168 176 184 192152
96
99
102
106
109
113
116
120
124
127
131
135
139
143
147
151
155
160
164 172 180 189 197156
148 153 158 162 167143
153 158 163 168 173148
158 163 168 174 179153
164 169 174 180 185158
169 175 180 186 191164
175 180 186 191 197169
180 186 192 197 204174
186 192 198 204 210180
192 198 204 210 216186
198 204 211 217 223191
203 210 216 223 230197
209 216 223 230 236203
216 222 229 236 243209
222 229 236 243 250215
228 235 242 250 258221
235 242 250 257 265227
241 249 256 264 272233
248 256 264 272 279240
254 263 271 279 287246
177 181 186172
183 188 193178
189 194 199184
195 201 206190
202 207 213196
208 214 220203
215 221 227209
222 228 234216
229 235 241223
236 242 249230
243 249 256236
250 257 263243
257 264 271250
265 272 279257
272 279 287265
280 288 295272
287 295 303280
295 303 311287
304 312 320295
196 201 205 210 215191
203 208 212 217 222198
209 215 220 225 230204
217 222 227 232 238211
224 229 235 240 246218
231 237 242 248 254225
238 244 250 256 262232
246 252 258 264 270240
253 260 266 272 278247
261 268 274 280 287255
269 276 282 289 295262
277 284 291 297 304270
285 292 299 306 313278
293 301 308 315 322286
302 309 316 324 331294
310 318 325 333 340302
319 326 334 342 350311
327 335 343 351 359319
336 344 353 361 369328
124 129 134 138119
128 133 138 143124
133 138 143 148128
137 143 148 153132
142 147 153 158136
146 152 158 163141
151 157 163 169145
156 162 168 174150
161 167 173 179155
166 172 178 185159
171 177 184 190164
176 182 189 196169
181 188 195 202174
186 193 200 208179
191 199 206 213184
197 204 212 219189
202 210 218 225194
208 216 224 232200
213 221 230 238205
WEIGHT (IN POUNDS)
HOW TO START
12
Your doctor should start you on a diet and exercise program when you start taking Qsymia. Stay on this program while you are taking Qsymia.2
Your doctor will tell you how much Qsymia to take and when to take it.2
• Do not change your dose without talking to your doctor
• Take Qsymia 1 time a day in the morning
• Qsymia can be taken with or without food
• If you miss a dose of Qsymia, wait until the next morning to take your usual dose of Qsymia. Do not double your dose
If you and your doctor decide that Qsymia® (phentermine and topiramate extended-release) capsules CIV is right for you, you should take it exactly as your doctor tells you to take it.2
Qsymia is a unique combination of two medications in a once-a-day extended-release formulation. If you receive anything other than Qsymia, it is not the same and may not be approved by the FDA for chronic weight management. There is no generic equivalent.2,3
Important Safety Information
Qsymia can cause serious side e�ects, including:
• Birth defects (cleft lip/cleft palate)• Increases in heart rate• Suicidal thoughts or actions• Serious eye problems
If your BMI is 30 or more, or is 27 or more with a weight-related medical condition (such as high blood pressure, type 2 diabetes, or high cholesterol), ask your doctor if Qsymia® could help you achieve your weight-loss goals, together with diet and exercise. Learn your approximate BMI by finding where your height and weight meet on the chart below.2
WHAT’S YOUR GOAL?
When trying to achieve significant weight loss, it’s good to set realistic goals. For example,
a BMI range of 19–24 is normal. Start by filling out the information below, then give it to your doctor.*
HE
IGH
T (
IN F
EE
T)
Overweight Normal Obese
19 20 21 22 23 24 25 26 27 28 29 30 31
4'10"
BMI
4'11"
5'
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'
6'1"
6'2"
6'3"
6'4"
32 33 34 35 36 37 38 39 40 41 42 43 44 45
100 105 110 11591
104 109 114 11994
107 112 118 12397
111 116 122 127100
115 120 126 131104
118 124 130 135107
122 128 134 140110
126 132 138 144114
130 136 142 148118
134 140 146 153121
138 144 151 158125
142 149 155 162128
146 153 160 167132
150 157 165 172136
154 162 169 177140
159 166 174 182144
163 171 179 186148
168 176 184 192152
96
99
102
106
109
113
116
120
124
127
131
135
139
143
147
151
155
160
164 172 180 189 197156
148 153 158 162 167143
153 158 163 168 173148
158 163 168 174 179153
164 169 174 180 185158
169 175 180 186 191164
175 180 186 191 197169
180 186 192 197 204174
186 192 198 204 210180
192 198 204 210 216186
198 204 211 217 223191
203 210 216 223 230197
209 216 223 230 236203
216 222 229 236 243209
222 229 236 243 250215
228 235 242 250 258221
235 242 250 257 265227
241 249 256 264 272233
248 256 264 272 279240
254 263 271 279 287246
177 181 186172
183 188 193178
189 194 199184
195 201 206190
202 207 213196
208 214 220203
215 221 227209
222 228 234216
229 235 241223
236 242 249230
243 249 256236
250 257 263243
257 264 271250
265 272 279257
272 279 287265
280 288 295272
287 295 303280
295 303 311287
304 312 320295
196 201 205 210 215191
203 208 212 217 222198
209 215 220 225 230204
217 222 227 232 238211
224 229 235 240 246218
231 237 242 248 254225
238 244 250 256 262232
246 252 258 264 270240
253 260 266 272 278247
261 268 274 280 287255
269 276 282 289 295262
277 284 291 297 304270
285 292 299 306 313278
293 301 308 315 322286
302 309 316 324 331294
310 318 325 333 340302
319 326 334 342 350311
327 335 343 351 359319
336 344 353 361 369328
124 129 134 138119
128 133 138 143124
133 138 143 148128
137 143 148 153132
142 147 153 158136
146 152 158 163141
151 157 163 169145
156 162 168 174150
161 167 173 179155
166 172 178 185159
171 177 184 190164
176 182 189 196169
181 188 195 202174
186 193 200 208179
191 199 206 213184
197 204 212 219189
202 210 218 225194
208 216 224 232200
213 221 230 238205
WEIGHT (IN POUNDS)
Source: US Department of Health and Human Services. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. Washington, DC: US Department of Health and Human Services; 1998. NIH Publication No. 98-4083. http://www.nhlbi.nih.gov/guidelines/obesity/bmi_tbl.pdf. Accessed May 19, 2014.
*
Current BMI:
Goal BMI:
Time frame:
� 6 months � 12 months
Increases in heart rate. Qsymia® can increase your heart rate at rest. Your healthcare provider should check your heart rate while you take Qsymia. Tell your healthcare provider if you experience, while at rest, a racing or pounding feeling in your chest lasting several minutes when taking Qsymia.
Suicidal thoughts or actions. Topiramate, an ingredient in Qsymia, may cause you to have suicidal thoughts or actions.
Call your healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you:
• Thoughts about suicide or dying• Attempts to commit suicide• New or worse depression• New or worse anxiety• Feeling agitated or restless• Panic attacks• Trouble sleeping (insomnia)• New or worse irritability• Acting aggressive, being angry, or violent• Acting on dangerous impulses• An extreme increase in activity and talking (mania)• Other unusual changes in behavior or mood
Serious eye problems which include:
• Any sudden decrease in vision, with or without eye pain and redness
• A blockage of fluid in the eye causing increased pressure in the eye (secondary angle closure glaucoma)
These problems can lead to permanent vision loss if not treated. Tell your healthcare provider right away if you have any new eye symptoms.
Please see additional Important Safety Information on pages 8-9.
Questions? Visit www.Qsymia.com, or call VIVUS Medical Information at 1-888-998-4887 (1-888-99VIVUS)
FREE to StartEligible patients can receive 14 days of the Qsymia® (phentermine and topiramate extended-release) capsules CIV starting dose (3.75 mg/23 mg) for FREE.
Save up to $75 Every MonthEligible patients can save on any strength for up to 12 months.
Ask your doctor about money-saving coupons or visit Qsymia.com to learn more and find a pharmacy near you.
Both o�ers are available for a limited time only. Restrictions apply.
Scan for SavingsScan the QR code to see how you can start for FREE and save up to $75 every month. Or go to Qsymia.com for more information.
2 WAYS TO SAVE
10
Who should not use this medicine?
Do not take Qsymia® (phentermine and topiramate extended-release) capsules CIV if you:
• Are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment
• Have glaucoma
• Have thyroid problems (hyperthyroidism)
• Are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days
• Are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia. See the end of the Qsymia Medication Guide for a complete list of ingredients in Qsymia
Important Safety InformationQsymia can cause serious side e�ects, including:
Birth defects (cleft lip/cleft palate). If you take Qsymia during pregnancy, your baby has a higher risk for birth defects called cleft lip and cleft palate. These defects can begin early in pregnancy, even before you know you are pregnant.
Women who are pregnant must not take Qsymia.
Women who can become pregnant should:
1. Have a negative pregnancy test before taking Qsymia and every month while taking Qsymia.
2. Use e�ective birth control (contraception) consistently while taking Qsymia. Talk to your healthcare provider about how to prevent pregnancy.
If you become pregnant while taking Qsymia, stop taking Qsymia immediately, and tell your healthcare provider right away. Healthcare providers and patients should report all cases of pregnancy to:
• FDA MedWatch at 1-800-FDA-1088, and
• The Qsymia Pregnancy Surveillance Program at 1-888-998-4887
6
ASK YOUR DOCTOR
ABOUT MONEY- SAVING COUPONS
OR VISIT QSYMIA.COM.
SUPPORT FOR EVERY STEP OF THE WAY
Join for free at qandmesupport.com
Your Next StepThe Q and Me™ Patient Support Program is a no-cost online program specially designed to help you achieve small victories that may ultimately add up to lasting weight loss. This program includes helpful tools and resources to help you stay on track.
6
Who should not use this medicine?
Do not take Qsymia® (phentermine and topiramate extended-release) capsules CIV if you:
• Are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment
• Have glaucoma
• Have thyroid problems (hyperthyroidism)
• Are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days
• Are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia. See the end of the Qsymia Medication Guide for a complete list of ingredients in Qsymia
Important Safety InformationQsymia can cause serious side e�ects, including:
Birth defects (cleft lip/cleft palate). If you take Qsymia during pregnancy, your baby has a higher risk for birth defects called cleft lip and cleft palate. These defects can begin early in pregnancy, even before you know you are pregnant.
Women who are pregnant must not take Qsymia.
Women who can become pregnant should:
1. Have a negative pregnancy test before taking Qsymia and every month while taking Qsymia.
2. Use e�ective birth control (contraception) consistently while taking Qsymia. Talk to your healthcare provider about how to prevent pregnancy.
If you become pregnant while taking Qsymia, stop taking Qsymia immediately, and tell your healthcare provider right away. Healthcare providers and patients should report all cases of pregnancy to:
• FDA MedWatch at 1-800-FDA-1088, and
• The Qsymia Pregnancy Surveillance Program at 1-888-998-4887
6
ASK YOUR DOCTOR
ABOUT MONEY- SAVING COUPONS
OR VISIT QSYMIA.COM.
SUPPORT FOR EVERY STEP OF THE WAY
Join for free at qandmesupport.com
Your Next StepThe Q and Me™ Patient Support Program is a no-cost online program specially designed to help you achieve small victories that may ultimately add up to lasting weight loss. This program includes helpful tools and resources to help you stay on track.
Important Safety Information (continued)
Possible side e�ects of Qsymia® (phentermine and topiramate extended-release) capsules CIV include:
Mood changes and trouble sleeping. Qsymia may cause depression or mood problems, and trouble sleeping. Tell your healthcare provider if symptoms occur.
Concentration, memory, and speech di�culties. Qsymia may a�ect how you think and cause confusion, problems with concentration, attention, memory or speech. Tell your healthcare provider if symptoms occur.
Increases of acid in bloodstream (metabolic acidosis). If left untreated, metabolic acidosis can cause brittle or soft bones (osteoporosis, osteomalacia, osteopenia), kidney stones, can slow the rate of growth in children, and may possibly harm your baby if you are pregnant. Metabolic acidosis can happen with or without symptoms. Sometimes people with metabolic acidosis will:• Feel tired• Not feel hungry (loss of appetite)• Feel changes in heartbeat• Have trouble thinking clearly
Your healthcare provider should do a blood test to measure the level of acid in your blood before and during your treatment with Qsymia.
Low blood sugar (hypoglycemia) in people with type 2 diabetes mellitus who also take medicines used to treat type 2 diabetes mellitus. Weight loss can cause low blood sugar in people with type 2 diabetes mellitus who also take medicines used to treat type 2 diabetes mellitus (such as insulin or sulfonylureas). You should check your blood sugar before you start taking Qsymia and while you take Qsymia.
High blood pressure medicines. If you are taking medicines for your blood pressure, your doctor may need to adjust these medicines while taking Qsymia.
Central nervous system (CNS) side e�ects. The use of prescription sleep aids, anxiety medicines, or drinking alcohol with Qsymia® may cause an increase in CNS symptoms such as dizziness and light-headedness. Do not drink alcohol with Qsymia.
8
Please read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
Possible seizures if you stop taking Qsymia too fast. Seizures may happen in people who may or may not have had seizures in the past if you stop Qsymia too fast. Your healthcare provider will tell you how to stop taking Qsymia slowly.
Kidney stones. Drinking plenty of fluids when taking Qsymia to help decrease your chances of getting kidney stones. If you get severe side or back pain, and/or blood in your urine, call your healthcare provider.
Decreased sweating and increased body temperature (fever). People should be watched for signs of decreased sweating and fever, especially in hot temperatures. Some people may need to be hospitalized for this condition.
Common side e�ects of Qsymia include:
• Numbness or tingling in the hands, arms, feet, or face (paraesthesia)
• Dizziness• Change in the way foods taste or loss of taste (dysgeusia)• Trouble sleeping (insomnia)• Constipation• Dry mouth
Tell your healthcare provider if you have any side e�ect that bothers you or does not go away.
These are not all of the possible side e�ects of Qsymia. For more information, ask your healthcare provider or pharmacist.
Questions? Visit www.Qsymia.com, or call VIVUS Medical Information at 1-888-998-4887 (1-888-99VIVUS)
References:1. Kraschnewski JL, Boan J, Esposito J, et al. Long-term weight loss maintenance in the United States. Int J Obes. 2010;34(11):1644-1654. 2. Qsymia [package insert]. Mountain View, CA: VIVUS, Inc; 2013. 3. US Food and Drug Administration. FDA Consumer Health Information Web page. Medications target long-term weight control. http://www.fda.gov/forconsumers/consumerupdates/ucm312380.htm. Revised July 2012. Accessed May 19, 2014. 4. US Department of Health and Human Services. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. Washington, DC: US Department of Health and Human Services; 1998. NIH Publication No. 98-4083. http://www.nhlbi.nih.gov/guidelines/obesity/bmi_tbl.pdf. Accessed May 19, 2014.
Increases in heart rate. Qsymia® can increase your heart rate at rest. Your healthcare provider should check your heart rate while you take Qsymia. Tell your healthcare provider if you experience, while at rest, a racing or pounding feeling in your chest lasting several minutes when taking Qsymia.
Suicidal thoughts or actions. Topiramate, an ingredient in Qsymia, may cause you to have suicidal thoughts or actions.
Call your healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you:
• Thoughts about suicide or dying• Attempts to commit suicide• New or worse depression• New or worse anxiety• Feeling agitated or restless• Panic attacks• Trouble sleeping (insomnia)• New or worse irritability• Acting aggressive, being angry, or violent• Acting on dangerous impulses• An extreme increase in activity and talking (mania)• Other unusual changes in behavior or mood
Serious eye problems which include:
• Any sudden decrease in vision, with or without eye pain and redness
• A blockage of fluid in the eye causing increased pressure in the eye (secondary angle closure glaucoma)
These problems can lead to permanent vision loss if not treated. Tell your healthcare provider right away if you have any new eye symptoms.
Please see additional Important Safety Information on pages 8-9.
Questions? Visit www.Qsymia.com, or call VIVUS Medical Information at 1-888-998-4887 (1-888-99VIVUS)
FREE to StartEligible patients can receive 14 days of the Qsymia® (phentermine and topiramate extended-release) capsules CIV starting dose (3.75 mg/23 mg) for FREE.
Save up to $75 Every MonthEligible patients can save on any strength for up to 12 months.
Ask your doctor about money-saving coupons or visit Qsymia.com to learn more and find a pharmacy near you.
Both o�ers are available for a limited time only. Restrictions apply.
Scan for SavingsScan the QR code to see how you can start for FREE and save up to $75 every month. Or go to Qsymia.com for more information.
2 WAYS TO SAVE
10
Who should not use this medicine?
Do not take Qsymia® (phentermine and topiramate extended-release) capsules CIV if you:
• Are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment
• Have glaucoma
• Have thyroid problems (hyperthyroidism)
• Are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days
• Are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia. See the end of the Qsymia Medication Guide for a complete list of ingredients in Qsymia
Important Safety InformationQsymia can cause serious side e�ects, including:
Birth defects (cleft lip/cleft palate). If you take Qsymia during pregnancy, your baby has a higher risk for birth defects called cleft lip and cleft palate. These defects can begin early in pregnancy, even before you know you are pregnant.
Women who are pregnant must not take Qsymia.
Women who can become pregnant should:
1. Have a negative pregnancy test before taking Qsymia and every month while taking Qsymia.
2. Use e�ective birth control (contraception) consistently while taking Qsymia. Talk to your healthcare provider about how to prevent pregnancy.
If you become pregnant while taking Qsymia, stop taking Qsymia immediately, and tell your healthcare provider right away. Healthcare providers and patients should report all cases of pregnancy to:
• FDA MedWatch at 1-800-FDA-1088, and
• The Qsymia Pregnancy Surveillance Program at 1-888-998-4887
6
ASK YOUR DOCTOR
ABOUT MONEY- SAVING COUPONS
OR VISIT QSYMIA.COM.
SUPPORT FOR EVERY STEP OF THE WAY
Join for free at qandmesupport.com
Your Next StepThe Q and Me™ Patient Support Program is a no-cost online program specially designed to help you achieve small victories that may ultimately add up to lasting weight loss. This program includes helpful tools and resources to help you stay on track.
HOW TO START
12
Your doctor should start you on a diet and exercise program when you start taking Qsymia. Stay on this program while you are taking Qsymia.2
Your doctor will tell you how much Qsymia to take and when to take it.2
• Do not change your dose without talking to your doctor
• Take Qsymia 1 time a day in the morning
• Qsymia can be taken with or without food
• If you miss a dose of Qsymia, wait until the next morning to take your usual dose of Qsymia. Do not double your dose
If you and your doctor decide that Qsymia® (phentermine and topiramate extended-release) capsules CIV is right for you, you should take it exactly as your doctor tells you to take it.2
Qsymia is a unique combination of two medications in a once-a-day extended-release formulation. If you receive anything other than Qsymia, it is not the same and may not be approved by the FDA for chronic weight management. There is no generic equivalent.2,3
Important Safety Information
Qsymia can cause serious side e�ects, including:
• Birth defects (cleft lip/cleft palate)• Increases in heart rate• Suicidal thoughts or actions• Serious eye problems
If your BMI is 30 or more, or is 27 or more with a weight-related medical condition (such as high blood pressure, type 2 diabetes, or high cholesterol), ask your doctor if Qsymia® could help you achieve your weight-loss goals, together with diet and exercise. Learn your approximate BMI by finding where your height and weight meet on the chart below.2
WHAT’S YOUR GOAL?
When trying to achieve significant weight loss, it’s good to set realistic goals. For example,
a BMI range of 19–24 is normal. Start by filling out the information below, then give it to your doctor.*
HE
IGH
T (
IN F
EE
T)
Overweight Normal Obese
19 20 21 22 23 24 25 26 27 28 29 30 31
4'10"
BMI
4'11"
5'
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'
6'1"
6'2"
6'3"
6'4"
32 33 34 35 36 37 38 39 40 41 42 43 44 45
100 105 110 11591
104 109 114 11994
107 112 118 12397
111 116 122 127100
115 120 126 131104
118 124 130 135107
122 128 134 140110
126 132 138 144114
130 136 142 148118
134 140 146 153121
138 144 151 158125
142 149 155 162128
146 153 160 167132
150 157 165 172136
154 162 169 177140
159 166 174 182144
163 171 179 186148
168 176 184 192152
96
99
102
106
109
113
116
120
124
127
131
135
139
143
147
151
155
160
164 172 180 189 197156
148 153 158 162 167143
153 158 163 168 173148
158 163 168 174 179153
164 169 174 180 185158
169 175 180 186 191164
175 180 186 191 197169
180 186 192 197 204174
186 192 198 204 210180
192 198 204 210 216186
198 204 211 217 223191
203 210 216 223 230197
209 216 223 230 236203
216 222 229 236 243209
222 229 236 243 250215
228 235 242 250 258221
235 242 250 257 265227
241 249 256 264 272233
248 256 264 272 279240
254 263 271 279 287246
177 181 186172
183 188 193178
189 194 199184
195 201 206190
202 207 213196
208 214 220203
215 221 227209
222 228 234216
229 235 241223
236 242 249230
243 249 256236
250 257 263243
257 264 271250
265 272 279257
272 279 287265
280 288 295272
287 295 303280
295 303 311287
304 312 320295
196 201 205 210 215191
203 208 212 217 222198
209 215 220 225 230204
217 222 227 232 238211
224 229 235 240 246218
231 237 242 248 254225
238 244 250 256 262232
246 252 258 264 270240
253 260 266 272 278247
261 268 274 280 287255
269 276 282 289 295262
277 284 291 297 304270
285 292 299 306 313278
293 301 308 315 322286
302 309 316 324 331294
310 318 325 333 340302
319 326 334 342 350311
327 335 343 351 359319
336 344 353 361 369328
124 129 134 138119
128 133 138 143124
133 138 143 148128
137 143 148 153132
142 147 153 158136
146 152 158 163141
151 157 163 169145
156 162 168 174150
161 167 173 179155
166 172 178 185159
171 177 184 190164
176 182 189 196169
181 188 195 202174
186 193 200 208179
191 199 206 213184
197 204 212 219189
202 210 218 225194
208 216 224 232200
213 221 230 238205
WEIGHT (IN POUNDS)
Source: US Department of Health and Human Services. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. Washington, DC: US Department of Health and Human Services; 1998. NIH Publication No. 98-4083. http://www.nhlbi.nih.gov/guidelines/obesity/bmi_tbl.pdf. Accessed May 19, 2014.
*
Current BMI:
Goal BMI:
Time frame:
� 6 months � 12 months
The first once-daily, FDA-approved weight-loss medication containing 2 ingredients that can help
you lose weight and keep it o�. 2,3
START FOR FREE TODAY!
EVERY DAY SOMEONE STARTS A DIET THAT WILL NOT WORK1
QSYMIA® HAS 2 REASONS WHY THAT COULD CHANGE2
IndicationQsymia should be used together with a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of 30 kg/m2 or greater (obese) or 27 kg/m2 or greater (overweight) in the presence of at least one weight-related medical condition such as high blood pressure, type 2 diabetes, or high cholesterol.
It is not known if Qsymia changes your risk of heart problems or stroke or of death due to heart problems or stroke. It is not known if Qsymia is safe and eective when taken with other prescription, over-the-counter, or herbal weight loss products. It is not known if Qsymia is safe and eective in children under 18 years old.
Please see Qsymia Important Safety Information on pages 6–9 and read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
TIME TO GET STARTED
Talk to your doctor today.
© 2014 VIVUS, Inc. All rights reserved. 100011.04-USP
Imagine the feeling• Take one Qsymia 3.75 mg/23 mg capsule (Figure A)
once each morning for the first 14 days2
• After taking Qsymia 3.75 mg/23 mg capsule for 14 days, then take one Qsymia 7.5 mg/46 mg capsule (Figure B) once each morning2
• You should talk to your doctor after taking Qsymia for 12 weeks2
You will know your doctor has prescribed you Qsymia if2:• You only need to take 1 capsule a day; and the pills
look like one of those pictured above
TITRATION2
11.25 mg/69 mg
3.75 mg/23 mg
STARTING2 (Figure A)
7.5 mg/46 mg
RECOMMENDED2 (Figure B)
15 mg/92 mg
TOP2
Please see Qsymia Important Safety Information on pages 6–9 and read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
WHERE DO YOU STAND ON THE BMI SCALE?4
To help determine if Qsymia® (phentermine and topiramate extended-release) capsules CIV could be right for you, your doctor may need to measure your body mass index (BMI). BMI is a measure of body fat based on your weight and height.2
4
Please see Qsymia Important Safety Information on pages 6–9 and read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
HE
IGH
T (
IN F
EE
T)
Overweight Normal Obese
19 20 21 22 23 24 25 26 27 28 29 30 31
4'10"
BMI
4'11"
5'
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'
6'1"
6'2"
6'3"
6'4"
32 33 34 35 36 37 38 39 40 41 42 43 44 45
100 105 110 11591
104 109 114 11994
107 112 118 12397
111 116 122 127100
115 120 126 131104
118 124 130 135107
122 128 134 140110
126 132 138 144114
130 136 142 148118
134 140 146 153121
138 144 151 158125
142 149 155 162128
146 153 160 167132
150 157 165 172136
154 162 169 177140
159 166 174 182144
163 171 179 186148
168 176 184 192152
96
99
102
106
109
113
116
120
124
127
131
135
139
143
147
151
155
160
164 172 180 189 197156
148 153 158 162 167143
153 158 163 168 173148
158 163 168 174 179153
164 169 174 180 185158
169 175 180 186 191164
175 180 186 191 197169
180 186 192 197 204174
186 192 198 204 210180
192 198 204 210 216186
198 204 211 217 223191
203 210 216 223 230197
209 216 223 230 236203
216 222 229 236 243209
222 229 236 243 250215
228 235 242 250 258221
235 242 250 257 265227
241 249 256 264 272233
248 256 264 272 279240
254 263 271 279 287246
177 181 186172
183 188 193178
189 194 199184
195 201 206190
202 207 213196
208 214 220203
215 221 227209
222 228 234216
229 235 241223
236 242 249230
243 249 256236
250 257 263243
257 264 271250
265 272 279257
272 279 287265
280 288 295272
287 295 303280
295 303 311287
304 312 320295
196 201 205 210 215191
203 208 212 217 222198
209 215 220 225 230204
217 222 227 232 238211
224 229 235 240 246218
231 237 242 248 254225
238 244 250 256 262232
246 252 258 264 270240
253 260 266 272 278247
261 268 274 280 287255
269 276 282 289 295262
277 284 291 297 304270
285 292 299 306 313278
293 301 308 315 322286
302 309 316 324 331294
310 318 325 333 340302
319 326 334 342 350311
327 335 343 351 359319
336 344 353 361 369328
124 129 134 138119
128 133 138 143124
133 138 143 148128
137 143 148 153132
142 147 153 158136
146 152 158 163141
151 157 163 169145
156 162 168 174150
161 167 173 179155
166 172 178 185159
171 177 184 190164
176 182 189 196169
181 188 195 202174
186 193 200 208179
191 199 206 213184
197 204 212 219189
202 210 218 225194
208 216 224 232200
213 221 230 238205
WEIGHT (IN POUNDS)
The first once-daily, FDA-approved weight-loss medication containing 2 ingredients that can help
you lose weight and keep it o�. 2,3
START FOR FREE TODAY!
EVERY DAY SOMEONE STARTS A DIET THAT WILL NOT WORK1
QSYMIA® HAS 2 REASONS WHY THAT COULD CHANGE2
IndicationQsymia should be used together with a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of 30 kg/m2 or greater (obese) or 27 kg/m2 or greater (overweight) in the presence of at least one weight-related medical condition such as high blood pressure, type 2 diabetes, or high cholesterol.
It is not known if Qsymia changes your risk of heart problems or stroke or of death due to heart problems or stroke. It is not known if Qsymia is safe and eective when taken with other prescription, over-the-counter, or herbal weight loss products. It is not known if Qsymia is safe and eective in children under 18 years old.
Please see Qsymia Important Safety Information on pages 6–9 and read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
TIME TO GET STARTED
Talk to your doctor today.
© 2014 VIVUS, Inc. All rights reserved. 100011.04-USP
Imagine the feeling• Take one Qsymia 3.75 mg/23 mg capsule (Figure A)
once each morning for the first 14 days2
• After taking Qsymia 3.75 mg/23 mg capsule for 14 days, then take one Qsymia 7.5 mg/46 mg capsule (Figure B) once each morning2
• You should talk to your doctor after taking Qsymia for 12 weeks2
You will know your doctor has prescribed you Qsymia if2:• You only need to take 1 capsule a day; and the pills
look like one of those pictured above
TITRATION2
11.25 mg/69 mg
3.75 mg/23 mg
STARTING2 (Figure A)
7.5 mg/46 mg
RECOMMENDED2 (Figure B)
15 mg/92 mg
TOP2
Please see Qsymia Important Safety Information on pages 6–9 and read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
WHERE DO YOU STAND ON THE BMI SCALE?4
To help determine if Qsymia® (phentermine and topiramate extended-release) capsules CIV could be right for you, your doctor may need to measure your body mass index (BMI). BMI is a measure of body fat based on your weight and height.2
4
Please see Qsymia Important Safety Information on pages 6–9 and read the Qsymia Medication Guide in the enclosed Qsymia Full Prescribing Information.
HE
IGH
T (
IN F
EE
T)
Overweight Normal Obese
19 20 21 22 23 24 25 26 27 28 29 30 31
4'10"
BMI
4'11"
5'
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'
6'1"
6'2"
6'3"
6'4"
32 33 34 35 36 37 38 39 40 41 42 43 44 45
100 105 110 11591
104 109 114 11994
107 112 118 12397
111 116 122 127100
115 120 126 131104
118 124 130 135107
122 128 134 140110
126 132 138 144114
130 136 142 148118
134 140 146 153121
138 144 151 158125
142 149 155 162128
146 153 160 167132
150 157 165 172136
154 162 169 177140
159 166 174 182144
163 171 179 186148
168 176 184 192152
96
99
102
106
109
113
116
120
124
127
131
135
139
143
147
151
155
160
164 172 180 189 197156
148 153 158 162 167143
153 158 163 168 173148
158 163 168 174 179153
164 169 174 180 185158
169 175 180 186 191164
175 180 186 191 197169
180 186 192 197 204174
186 192 198 204 210180
192 198 204 210 216186
198 204 211 217 223191
203 210 216 223 230197
209 216 223 230 236203
216 222 229 236 243209
222 229 236 243 250215
228 235 242 250 258221
235 242 250 257 265227
241 249 256 264 272233
248 256 264 272 279240
254 263 271 279 287246
177 181 186172
183 188 193178
189 194 199184
195 201 206190
202 207 213196
208 214 220203
215 221 227209
222 228 234216
229 235 241223
236 242 249230
243 249 256236
250 257 263243
257 264 271250
265 272 279257
272 279 287265
280 288 295272
287 295 303280
295 303 311287
304 312 320295
196 201 205 210 215191
203 208 212 217 222198
209 215 220 225 230204
217 222 227 232 238211
224 229 235 240 246218
231 237 242 248 254225
238 244 250 256 262232
246 252 258 264 270240
253 260 266 272 278247
261 268 274 280 287255
269 276 282 289 295262
277 284 291 297 304270
285 292 299 306 313278
293 301 308 315 322286
302 309 316 324 331294
310 318 325 333 340302
319 326 334 342 350311
327 335 343 351 359319
336 344 353 361 369328
124 129 134 138119
128 133 138 143124
133 138 143 148128
137 143 148 153132
142 147 153 158136
146 152 158 163141
151 157 163 169145
156 162 168 174150
161 167 173 179155
166 172 178 185159
171 177 184 190164
176 182 189 196169
181 188 195 202174
186 193 200 208179
191 199 206 213184
197 204 212 219189
202 210 218 225194
208 216 224 232200
213 221 230 238205
WEIGHT (IN POUNDS)