A doctor that sees you regularly is in a unique position to assess the pros and cons of a phentermine prescription because he/she is familiar with your medical history, as well as other medications, allergies, and weight trends over time. phentermine, one tablet daily, #30 on September 1, 2013. All rights reserved. ADIPEX-P (phentermine hydrochloride) tablets, for oral use CIV ADIPEX-P (phentermine hydrochloride) capsules, for oral use CIV Initial U.S. Approval: 1959 Phentermine may decrease the hypotensive effect of adrenergic neuron blocking drugs. Phentermine is approved for use for up to 12 weeks. Learn about the most popular weight loss medications. If your dose is different, do not change it unless your doctor tells you to do so. He or she may prescribe the medication him/herself if you are an appropriate candidate, or he/she may choose to refer you to a specialist for further evaluation and follow-up. Serious regurgitant cardiac valvular disease, primarily affecting the mitral, aortic and/or tricuspid valves, has been reported in otherwise healthy persons who had taken a combination of Phentermine with fenfluramine or dexfenfluramine for weight loss. Numerous side effects have been linked to the use of Phentermine. Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. If a patient would like to take other supplements, they should consult their doctor first. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). For more information, the rule package submitted to the Common Sense Initiative (CSI) office for review can be found here:https://med.ohio.gov/LinkClick.aspx?fileticket=Q2JmI7o-3HI%3d&portalid=0, 2023 The Ohio State Medical Association. Many physicians who currently receive the reports have found that the reports help them better understand, and possibly alter, their prescribing practices. It helps patients lose weight by suppressing their appetite and boosting their energy levels, thus leading to a more active lifestyle and greater calorie burn. Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. Phentermine hydrochloride USP is a sympathomimetic amine anorectic. ). Metric conversions are as follows: pounds 2.2 = kg; inches x 0.0254 = meters. information is beneficial, we may combine your email and website usage information with See Drug Abuse and Dependence (9) and Overdosage (10). This content does not have an Arabic version. However, phentermine is not appropriate or safe for everyone. https://med.ohio.gov/LinkClick.aspx?fileticket=Q2JmI7o-3HI%3d&portalid=0. Tablets containing 37.5 mg Phentermine hydrochloride (equivalent to 30 mg Phentermine base). Since Phentermine is a drug that contains chemical compounds, it is important to know about all of the risks that are involved with its use and precautions a person should be aware of before the consumption. Phentermine hydrochloride, an anorectic agent for oral administration, is available as a tablet containing 37.5 mg of Phentermine hydrochloride (equivalent to 30 mg of Phentermine base). Carefully follow your doctor's instructions for a reduced-calorie diet plan and regular exercise. The combined drug is approved for long-term use. Drug classes: Anorexiants, CNS stimulants. Why is phentermine a controlled substance? Other brands of this drug include Suprenza, Phentercot, Acxion, Elvenir, Terflamex, Panbesy, Duromine, Fentermina, Phentermin, PHentermine and Lomaira. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Children 16 years of age and youngerUse is not recommended. While these are the most common side effects of the drug, they are not the only consequences associated with the intake of this medication. Obesity has been linked to many different diseases, including type 2 diabetes and cardiovascular disease. The health information contained here is provided for educational purposes only and is not intended to replace discussions with a healthcare provider. The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. If you are a Mayo Clinic patient, this could There is a problem with Along with Ohio's telehealth law in Sub. It is important to follow these instructions religiously. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. Nationwide Efforts to Combat the Problem Questions To Discuss At the completion of this block of instruction you will be able to answer the following questions: 1. Accessed Oct. 11, 2022. Rx only. Phentermine is one of the substances that have been researched thoroughly, thus its effects have been proven effective and the claims that are made about this drug are backed by scientific evidence. Use caution in prescribing Phentermine for patients with even mild hypertension (risk of increase in blood pressure). Common side effects of phentermine include: Phentermine is one of the most prescribed weight-loss medicines. hb``````>X,K10wdjdZ(`l Ro4' b2h>$:-9.AKL1}c$vEP;-@c=en`Y %YQh` &^ other information we have about you. Some brands use a dissolving tablet that is placed under the tongue, which allows the body to absorb the chemicals in the drug faster. Because pediatric obesity is a chronic condition requiring long-term treatment, the use of this product, approved for short-term therapy, is not recommended. HVMs8WQl eLg*&{dd $_;lm |NggK6,M]gu\.BNB. 1 Some patients experience an increase in sexual interest, while others notice that they have a lower libido. information highlighted below and resubmit the form. However, it caused a chronic condition known as pulmonary hypertension, which led to the death of many patients. To provide you with the most relevant and helpful information, and understand which Trends in Prescribing and Dispensing Patterns . For oral dosage form (disintegrating tablets): Adults and children 17 years of age and olderOne tablet once a day, taken in the morning. The least amount feasible should be prescribed or dispensed at one time in order to minimize the possibility of overdosage. Precaution should be taken if a patient has any existing health concerns as the drug may cause further harm to their body. Phentermine also has many potential drug interactions (e.g., with MAOIs), so the prescribing doctor and pharmacist know about ALL other medications and supplements taken within the last two weeks. Click here for an email preview. The doctor may advise the patient to complete the remaining period of the program or help him/her end the program safely. The overdose symptoms include: The side effects of Phentermine can lead to several symptoms that may impair certain functions in the patients body. hb```e````a`d`@ f(fcfILLvL~. Adults and children 17 years of age and older. Do not double doses. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). With more than 4 million prescriptions written in the United States each year, phentermine is an undeniably popular weight loss medication ( Phen Caps is recommended by over 30,000 people like you who want to lose weight fast and effectively without the drawbacks of prescription medications. The possibility of an association between PPH and the use of Phentermine alone cannot be ruled out; there have been rare cases of PPH in patients who reportedly have taken Phentermine alone. All rights reserved.5115 Parkcenter Avenue Suite 200 Dublin, OH 43017ph: 800.766.6762info@osma.org. Metabolism Phentermine has two metabolic pathways; hydroxylation and oxidation. Since 1997, allnurses is trusted by nurses around the globe. While the drug is considered to be relatively safe for individuals who are older than 16, the recommended age is 18. Do not crush, break, or chew it. Comprehensive review of current and upcoming anti-obesity drugs. Acidification of the urine increases Phentermine excretion. The rate of weight loss is greatest in the first weeks of therapy for both drug and placebo subjects and tends to decrease in succeeding weeks. In addition, Section 4723.431(A), ORC, requires the APRNs collaborating physician to be practicing in Ohio in a specialty that is the same or similar to the nurses nursing specialty.Section 4723.481(B), ORC, prohibits the prescriptive authority of the CTP holder from exceeding the prescriptive authority of the collaborating physician. As a result, they may be more open to the idea of prescribing phentermine. When performing prospective DUR, the pharmacist notices a 30-day gap in treatment. ). It can help weight loss by making you less hungry. The strength and dosage of Phentermine depend on the brand that is prescribed and the patients specific condition. So some health care providers might order it for longer use. Diabetes & Metabolism Journal. At its May 18, 2015 meeting, the Committee on Prescriptive Governance (CPG) determined that three medications approved by the FDA for long-term weight management may be prescribed by APRNs with a CTP (CTP holder) if agreed to by the CTP holder and his/her collaborating physician and stated within the CTP holders standard care arrangement. Ideally, patients should take it on an empty stomach. Treatment should be discontinued in patients who develop new, unexplained symptoms of dyspnea, angina pectoris, syncope or lower extremity edema, and patients should be evaluated for the possible presence of pulmonary hypertension. Mid-Level Practitioners Authorization by State Pursuant to Title 21, Code of Federal Regulations, Section 1300.01(b28), the term mid-level practitioner means an individual Existing health conditions that may act as a problem include diabetes, thyroid disorders, hypertension and kidney disease. (2019, June 20). However in the presence of topiramate, Phentermine Cmax and AUC increase 13% and 42%, respectively. Broad St., 3 rd Floor GUIDANCE DOCUMENT: Physician Assistant Prescriptive Authority Effective 10/15/15 The following information is provided as guidance, and may not reference all statutes and rules Taking too much Phentermine can be harmful to the patients body. %%EOF The CPG determination is specific to Qsymin, Belviq and Contrave only. Use of Phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis. Mayo Clinic does not endorse companies or products. Press Releases. This drug is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. 121 0 obj <>/Filter/FlateDecode/ID[<5D80FCFEE48BF540827EEA7155FB4128>]/Index[104 35]/Info 103 0 R/Length 85/Prev 180155/Root 105 0 R/Size 139/Type/XRef/W[1 2 1]>>stream x8FvuN3il&_t%(af?uE7wRu\BbK. Phentermine is related chemically and pharmacologically to amphetamine (d- and dll-amphetamine) and other related stimulant drugs have been extensively abused. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. If you are allergic to other stimulants, amphetamines, cold medications or diet pills, you have a higher risk of being allergic to these pills too. Weight Loss Prescribing Rules Ohio Administrative Code 4731-11-04 and 4731-11-04.1 The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. If we combine this information with your protected endstream endobj 1531 0 obj <>/Metadata 26 0 R/Pages 1528 0 R/StructTreeRoot 41 0 R/Type/Catalog>> endobj 1532 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/TrimBox[0.0 0.0 630.0 702.0]/Type/Page>> endobj 1533 0 obj <>stream Not only can losing weight harm an unborn baby during pregnancy, but the drug may also cause adverse effects. Generic name: Phentermine hydrochloride Phentermine has not been studied in patients with eGFR less than 15 mL/min/1.73m2, including end-stage renal disease requiring dialysis; avoid use in these populations. The board expressed concerns that removing the prescribing restrictions could lead to misuse of weight loss drugs such as phentermine. In some cases, the side effects were life-threatening and led to the death of a patient. Phentermine.com is a property of: Careworld LLC. Thus, in order to make the most of this drug, patients need make some effort too. Phentermine doctors network. The possibility of an association between PPH and the use of Phentermine alone cannot be ruled out; there have been rare cases of PPH in patients who reportedly have taken Phentermine alone. The dosage varies from 15mg to 37.5mg per day. The FDA in the United States first approved the use of Amphetamine as a drug that can be used to suppress a patients appetite in 1959. They help the body produce a larger amount of energy from fat cells, which further reduces body fat percentage. However, weight loss clinics are not the perfect solution. [Who Prescribed Your Phentermine?]. The patient could have had the prescription for the month of October filled at another pharmacy. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. Copyright 2023 IBM Watson Health. Studies have not been performed with Phentermine to determine the potential for carcinogenesis, mutagenesis or impairment of fertility. If we combine this information with your protected It is contraindicated for patients with current or past: cardiovascular disease (heart problems), hyperthyroidism, glaucoma, agitated states, drug/alcohol abuse, or reactions to sympathomimetic amines. Phentermine also is offered combined with topiramate for weight loss (Qsymia). Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. When mental impairment is present while taking Phentermine, a patient is also advised not to drive to avoid the risk of being involved in an accident. https://www.uptodate.com/contents/search. (2012). 2021; doi:10.1007/s13679-020-00422-w. Phentermine HCl Tablets, USP 37.5 mg This does not only include prescription drugs but also: Common drugs that are known to interact with Phentermine include Dopamine, Venlafaxine, Linezolid, Ephedrine, Isoproterenol, Epinephrine, Norepinephrine and a Phenylephrine injection. The patient brings in a prescription for the same drug on November 1, 2013. To provide you with the most relevant and helpful information, and understand which Get the best fitness, food, and weight loss tips to succeed on your journey! Contraindications History of cardiovascular disease (e.g., coronary artery disease, stroke, arrhythmias, congestive heart failure, uncontrolled hypertension) During or within 14 days following the administration of monoamine oxidase inhibitors Hyperthyroidism Wait, so NPs may prescribe Qsymia, but not phentermine? Experience with hemodialysis or peritoneal dialysis is inadequate to permit recommendations in this regard. The initial symptom of PPH is usually dyspnea. Rule 4731-11-02 | General provisions. NDC 42806-810-01 include protected health information. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ADIPEX-P safely and effectively. Drugs of this class used in obesity are commonly known as anorectics or anorexigenics. It has not been established that the primary action of such drugs in treating obesity is one of appetite suppression since other central nervous system actions, or metabolic effects, may also be involved. Phentermine Hydrochloride Tablets, USP 37.5 mg are white oval shaped bisected tablet with blue specs, debossed with 810 on bisected side. Mayo Clinic does not endorse companies or products. The drug is usually prescribed at the lowest possible dose to new users, which is 15mg per day. It is not known if Phentermine is excreted in human milk; however, other amphetamines are present in human milk. hbbd``b`z$@D`]"@DeX- Bb V ``LA\F*? It is not uncommon for patients to experience a change in their sexual interest. Like other weight-loss medicines ordered by providers, phentermine is meant to be only part of a weight-loss plan. I hold a DEA cert. What You Should Know Before Taking Phentermine, Frequently Asked Questions About Phentermine, refer to our phentermine drug interactions data, Frequently Asked Questions about phentermine, https://www.drugs.com/ingredient/phentermine.html, http://www.rxlist.com/adipex-p-drug/patient-avoid-while-taking.htm, http://www.everydayhealth.com/drugs/phentermine, https://www.ncbi.nlm.nih.gov/pubmed/27664021, https://www.ncbi.nlm.nih.gov/pubmed/26584649, https://www.ncbi.nlm.nih.gov/pubmed/26446094, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4560177/, https://www.ncbi.nlm.nih.gov/pubmed/25911503, Feeling like they are going to faint, often accompanied by chest pain, Fluttering in the patients chest, as well as pounding heartbeats. 5 Also, it may cause certain side effects to become much worse. Any knowledge would be most appreciated. The combined drug is approved for long-term use. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use . The structural formula is as follows: Phentermine hydrochloride is a white, odorless, hygroscopic, crystalline powder which is soluble in water and lower alcohols, slightly soluble in chloroform and insoluble in ether. Click here for an email preview. Typical actions of amphetamines include central nervous system stimulation and elevation of blood pressure. Patients must be informed that Phentermine hydrochloride is a short-term (a few weeks) adjunct in a regimen of weight reduction based on exercise, behavioral modification and caloric restriction in the management of exogenous obesity, and that coadministration of Phentermine with other drugs for weight loss is not recommended [see Indications and Usage (1) and Warnings and Precautions (5.1)]. Learn about the benefits and advantages of Phen Caps! endstream endobj startxref In most cases, the drug is prescribed to users in periods of 12 weeks. %PDF-1.6 % Even after the period that the drug has been prescribed for, the doctor will often recommend to gradually stop using the Phentermine to avoid the withdrawal symptoms. x\8zS wU^TM;J`Kc=@y\} Blf\3K|xL?D$aesY"_(ceD!s!@P,?K&Bd8cKS~zq=7'kiw\dqL:A ?O0O@+}y"z[?Os/Kht;[SN4h9c31{8Eh7dPc\BFE(e&9;!PUqK\aD 7) &\1!j-_Y7jD,Sp)AWc/igg?v{5\%a'd9"D0=gRGEZgpbMQJD *k*;1'w24w, d r d?&8xeEj`\2C6xrhq2@-{P5CbBL(/0m8&8Ltnvf};y852q*+I%l=+rwGUv*:!80|>tb?U?L,zG8%K`n]+:,LCE")Xz\^):{~{=vu=Qg`A\6qT=WCZ TcR%mi,OV_RtK1e&:By~i~!nu This was often referred to as Rainbow Pills as all four drugs were often provided to a patient at the same time. include protected health information. 4 It is advised to stay in strict adherence with the instructions and dosage information a doctor prescribes to the patient in order to avoid dangerous side effects. Unfortunately, patients experienced a variety of side effects, which included severe heart toxicity and hypertension. 0 Your email address will not be published. Phentermine is a Schedule 4 drug. %%EOF A reduction in insulin or oral hypoglycemic medications in patients with diabetes mellitus may be required. The Topamax is added to Phentermine in order to intensify its effects and to help patients lose weight faster. History of cardiovascular disease (e.g., coronary artery disease, stroke, arrhythmias, congestive heart failure, uncontrolled hypertension), During or within 14 days following the administration of monoamine oxidase inhibitors, Known hypersensitivity, or idiosyncrasy to the sympathomimetic amines, Effect on the ability to engage in potentially hazardous tasks [see, Withdrawal effects following prolonged high dosage administration [see, Development of primary pulmonary hypertension [see, Development of serious valvular heart disease [see, Effects on the ability to engage in potentially hazardous tasks [see, The risk of an increase in blood pressure [see, the potential for developing tolerance and actions if they suspect development of tolerance [see, the risk of dependence and the potential consequences of abuse [see. Accessed Oct. 11, 2022. To avoid trouble with sleeping, take the last dose of the day about 4 to 6 hours before bedtime, unless your doctor tells you otherwise. Manifestations of acute overdosage include restlessness, tremor, hyperreflexia, rapid respiration, confusion, assaultiveness, hallucinations, and panic states.
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