hi, Welcome to Health Care Magic, thanks for posting your query. I understand your concern. Menopause is a stage in which the hormonal changes can cause various changes to your body. It is partly the cause for your weight gain , so do not be disheartened if you are not getting adequate results with weight reducing pills. Two months is a pretty less time duration to show any results in your weight, if you need to see some changes it will take a minimum of 6 months . Qysmia is a good drug , but all weight loss pills have a few side effects and since you are going through menopause the side effects can worsen a bit. During menopause you will be having hot flushes, tachycardia , and night sweats.. Taking of these anti-obesity drugs also have same side effects and therefore you may feel worse. Getting a prescription is not difficult , consult a physician who will evaluate your weight, height and grade your obesity. Depending on that he will prescribe you a suitable dosage of your drug. And the doctors do know about the drug. Taking the drug alone will not make much difference, you need to follow a balanced diet, regular moderate exercise to see effective results. Avoid junk, oily food, drink atleast 4-5 litres of water per day. hope this helps, and answers your query satisfactorily. Take good care. Good luck with your weight loss. regards .