Phentermine-topiramate combination (Qsymia®) for weight loss

Question from a Member: I have a 29-year-old female patient who is diagnosed with Schizoaffective disorder, bipolar type. She is currently on lithium 300 mg at bedtime (a higher dose caused acne; she reported worsening of mood when an attempt was made to switch her to another mood stabilizer). She is also on topiramate 200…