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Medicines labeled for the same conditions

Alternatives to phentermine and topiramate

6 other medicines are given the same way (oral) and in the same FDA class as phentermine and topiramate or labeled mainly for the same use (weight management); 3 are in its class, sympathomimetic amine anorectics: diethylpropion, phendimetrazine and benzphetamine; the others include 1 glp-1 receptor agonist, 1 intestinal lipase inhibitor and 1 aminoketone (FDA labels read October 8, 2026). In the same class, the lowest pharmacy cost is $0.132 per phendimetrazine 35 mg tablet (what pharmacies paid in the NADAC survey; strengths differ).

Which medicines are labeled for the same conditions as phentermine and topiramate?

Weight management lists all 12 medicines labeled for it, by any route. Each row shows the conditions both labels name. They are listed as public records, not as substitutes: whether one can replace another depends on the person and is a prescriber's decision.

Medicine and FDA classShared indicationGeneric labelers (oral)Pharmacy costBoxed warningShortage
Phentermine and topiramatesympathomimetic amine anorecticthis medicine2 labelers$3.06 per capsule 7.5-46 mg capsuleNoNo current entry
Diethylpropionsympathomimetic amine anorectic · same classWeight management13 labelers$0.238 per tablet 25 mg tabletNoNo current entry
Phendimetrazinesympathomimetic amine anorectic · same classWeight management11 labelers$0.132 per tablet 35 mg tabletNoNo current entry
Benzphetaminesympathomimetic amine anorectic · same classWeight management6 labelersn/aNoNo current entry
OrforglipronGLP-1 receptor agonistWeight managementnone listed$20.89 per tablet 0.8 mg tabletYesNo current entry
Orlistatintestinal lipase inhibitorWeight managementnone listed$7.00 per capsule 120 mg capsuleNoNo current entry
Bupropion and naltrexoneaminoketoneWeight managementnone listedn/aYesNo current entry

Source: FDA drug labels (indications) via openFDA; FDA NDC Directory; CMS NADAC of October 7, 2026; FDA Drug Shortage Database (FDA files October 8, 2026)

What do pharmacies pay for each?

The headline NADAC price per unit of each medicine's most widely listed form; strengths differ, so compare like with like on each record.

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

What next?

Phentermine and topiramate: the full record
label, generics, price, shortages, recalls