 [ Symptoms ] can metoprolol tartrate raise triglyceride levels how about raising ldl or lowering hdl [ Disease ] headaches is listed as one of the side effects for phentermine but as a pharmacist i do have concerns about what is massive i would like to ask this patient how frequently are they getting these headaches are they keeping a headache diary how long have they been on this medication what is the dose and have they made the physician or healthcare provider aware of this side effect for pharmacist i am probably going to refer them right back to their physician to have them reevaluated because this might be something that they need to be changed and i would also ask the patient if they are using this just as a one time kind of weight loss pill or they continuously taking it because sometimes if you take it for a long time the side effects could get a little worse