Can I take Mysimbe 2 times 2 tablets from the first week?

No, after starting treatment, the dose of Mysimba should be gradually increased over a period of 4 weeks as described in the leaflet, which provides for one tablet in the morning in the first week of treatment. A different procedure could only be recommended by a doctor, but I do not see any justification for such a procedure. The dosage regimen given in the drug documentation was developed in the course of clinical trials on humans and is to ensure the safety of therapy with this drug. Two tablets in the morning and two tablets in the evening is the maximum recommended daily dose of Mysimba, which should not be reached until week 4 of treatment. I enclose additional information: https://www.gdziepolek.pl/produkty/88259/mysimba-tabletki/apteki/w-warszawie https://www.gdziepolek.pl/artykuly/otylosc-i-nadwaga