Dispense in a tight container as defined in the USP, with a child-resistant closure (as required). Phentermine HCl Tablets, USP 37.5 mg It should melt quickly. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ADIPEX-P safely and effectively. Fatigue and depression usually follow the central stimulation. %%EOF This study guide will help you focus your time on what's most important. endstream endobj startxref Phentermine is contraindicated during pregnancy because weight loss offers no potential benefit to a pregnant woman and may result in fetal harm. The promotion of this brand as a diet pill started in 1990. The drug is usually prescribed at the lowest possible dose to new users, which is 15mg per day. Other brands of this drug include Suprenza, Phentercot, Acxion, Elvenir, Terflamex, Panbesy, Duromine, Fentermina, Phentermin, PHentermine and Lomaira. Click here for an email preview. 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. Advise pregnant women and nursing mothers not to use Phentermine [see Use in Specific Populations (8.1, 8.3)]. Doctors used it to help patients who experience certain health issues caused by obesity to lose weight and improve the symptoms they are experiencing. Some people also receive a phentermine prescription from their gynecologist (OB-GYN). Learn about the benefits and advantages of Phen Caps! A physician is the only person who can prescribe phentermine. 6 You may opt-out of email communications at any time by clicking on In order to use Phentermine, the doctor needs to prescribe the drug for a specific patient. Dosage should be individualized to obtain an adequate response with the lowest effective dose. Metric conversions are as follows: pounds 2.2 = kg; inches x 0.0254 = meters. We comply with the HONcode standard for trustworthy health information. With respect to the care and treatment of patients with obesity, APRNs are required to incorporate the State Medical Board rules applicable to physicians and prescribing practices. Abrupt cessation following prolonged high dosage administration results in extreme fatigue and mental depression; changes are also noted on the sleep EEG. Some patients experience an increase in sexual interest, while others notice that they have a lower libido. The patient could have had the prescription for the month of October filled at another pharmacy. But it isn't a good choice for people with heart disease, high blood pressure, an overactive thyroid gland or glaucoma. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. 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. It is vital to talk with the doctor before using Phentermine with other products. https://www.uptodate.com/contents/search. 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. LZ(6&JQKU5@5_M.~#p = yLgzP"Z90* v~1iu0pV (s:J&Q,. } }& 8}q>u@y)dO|fRmknw huA0@6-%&k-1qI6fSt4#>=sHMk>8fztq9_ nw:>NxHfib Lx.c QEWg\@y@ ~[*+-Dze~Ej+%.E`|IdW#o~#` MM Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. After 12 weeks, the patient needs to take a break from the product as it may lead to physical dependence. Amphetamines and other stimulant drugs have been extensively abused and the possibility of abuse of Phentermine should be kept in mind when evaluating the desirability of including a drug as part of a weight reduction program. ), Cannot find a doctor in your network that prescribes phentermine. Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. In some cases, the doctor may prescribe Phentermine in smaller doses and advise the patient to take it up to three times in a single day. Phentermine.com is a property of: Careworld LLC. (2019, May 03). the current rules place time limitations on prescriptions that, many times, force physicians to stop a medication that is showing positive weight loss results. Phentermine is most commonly prescribed to patients who experience negative health effects to excessive amounts of body weight. Phentermine is for people with obesity or overweight who haven't been able to lose enough weight with diet and exercise alone to improve their health. other information we have about you. In most cases, the drug is prescribed to users in periods of 12 weeks. Phentermine is related chemically and pharmacologically to amphetamine (d- and dll-amphetamine) and other related stimulant drugs have been extensively abused. Phentermine. The first use of Phentermine as a drug to help treat obesity dates back to 1938. It also isn't for people who are pregnant, may become pregnant or are breastfeeding. CIV The magnitude of increased weight loss of drug-treated patients over placebo-treated patients is only a fraction of a pound a week. Some weight loss clinics also insist that patients take additional supplements, such as vitamin B12 shots and 5-HTP, to boost phentermine despite the supplements unproven effectiveness. The combined drug is approved for long-term use. Patients must be instructed on how much Phentermine to take, and when and how to take it [see Dosage and Administration (2)]. Alternatively, 18.75 mg twice daily. 100 TABLETS If you are a good candidate for the medication, but your doctor does not prescribe phentermine, ask for a referral. This brand is manufacturedby Teva Pharmaceuticals (formerly GATE Pharmaceuticals). Create well-written care plans that meets your patient's health goals. The safety and efficacy of combination therapy with Phentermine and any other drug products for weight loss including prescribed drugs, over-the-counter preparations, and herbal products, or serotonergic agents such as selective serotonin reuptake inhibitors (e.g., fluoxetine, sertraline, fluvoxamine, paroxetine), have not been established. Adipex-P (phentermine hydrochloride) capsules label, Greater than 27 kg/m2 + one or more weight-related condition, Vitals (heart rate, blood pressure, etc. = In 1968, three years after its release, Aminorex was withdrawn. All rights reserved. Thus, in order to make the most of this drug, patients need make some effort too. 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. BMI is calculated by taking the patients weight, in kilograms (kg), divided by the patients height, in meters (m), squared. What to offer the 99% of patients with severe obesity who do not undergo bariatric surgery? Unpublished raw data. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. 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. Primary Pulmonary Hypertension (PPH) a rare, frequently fatal disease of the lungs has been reported to occur in patients receiving a combination of Phentermine with fenfluramine or dexfenfluramine. Phentermine has been linked to many complications; knowing these details will help patients minimize their risk of experiencing such unwanted scenarios. Or it can help you feel full longer. The use of Topamax and Phentermine is actually an FDA-approved combination. For more FAQs, please see our full archive of Frequently Asked Questions about phentermine and related prescription appetite suppressants. The weight loss experts who OSMA has consulted with have indicated that misuse of phentermine is unlikely. However, phentermine is not appropriate or safe for everyone. These include, but are not limited to:Whether the care and treatment of obese patients and weight management is new to the APRNs existing practice, and whether this aspect of practice is within the APRNs national certification and patient population specialty, meeting the scope of practice requirements in Section 4723.43, ORC. Here are the results of a recent poll that asked current phentermine patients where they received their phentermine prescription ( , She is passionate about promoting health at any size. 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 Lomaira: One tablet three times a day, taken 30 minutes before meals. 1530 0 obj <> endobj The CPG determination is specific to Qsymin, Belviq and Contrave only. Phentermine also is offered combined with topiramate for weight loss (Qsymia). Overdosage of pharmacologically similar compounds has resulted in fatal poisoning usually terminates in convulsions and coma. The overdose symptoms include: The side effects of Phentermine can lead to several symptoms that may impair certain functions in the patients body. 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 board expressed concerns that removing the prescribing restrictions could lead to misuse of weight loss drugs such as phentermine. privacy practices. Adults and children 17 years of age and older15 to 30 milligrams (mg) once a day, taken at approximately 2 hours after breakfast. The health information contained here is provided for educational purposes only and is not intended to replace discussions with a healthcare provider. Carefully follow your doctor's instructions for a reduced-calorie diet plan and regular exercise. 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. In some cases, the side effects were life-threatening and led to the death of a patient. Not only can losing weight harm an unborn baby during pregnancy, but the drug may also cause adverse effects. (2019). Missed Dose . These are two schedule- IV medications, phentermine/topiramate (Qsymia), and locaserin (Belviq), as well as non-controlled naltrexone hydrochloride/ buproprion hydrochloride (Contrave). Phentermine is a Schedule 4 drug. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Based on the reported excretion of Phentermine in urine, exposure increases can be expected in patients with renal impairment [see ClinicalPharmacology (12.3)]. Read more here: How much does phentermine cost? Patients with a larger body weight may need to take a larger dose, depending on whether they have any health concerns that may be worsened by the usage of a larger dose. %PDF-1.3 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 Therefore, coadministration of Phentermine and these drug products is not recommended. Losing weight during pregnancy can harm both a mother and her baby. privacy practices. One should bear in mind that Phentermine is not only a drug to help reduce the baseline body weight of patients, but it also reduces a patients risk of developing certain health diseases. See Drug Abuse and Dependence (9) and Overdosage (10). Specializes in Cardiology, Research, Family Practice. Phentermine hydrochloride: Usual dosage is 8 mg 3 times daily (given 30 minutes before meals) or 15-37.5 mg once daily (in the morning). Do You Need a Prescription for Phentermine? 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 If you are a Mayo Clinic patient, this could These are all promoted as weight loss pills that assist obese individuals. . Below is a chart of body mass index (BMI) based on various heights and weights. hWmo8+jE'"m{F For oral dosage form (extended-release capsules): Adults and children 16 years of age and olderOne capsule once a day, taken before breakfast or 10 to 14 hours before sleeping. Primary Pulmonary Hypertension (PPH) a rare, frequently fatal disease of the lungs has been reported to occur in patients receiving a combination of Phentermine with fenfluramine or dexfenfluramine. Advertising revenue supports our not-for-profit mission. 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. Tablets containing 37.5 mg Phentermine hydrochloride (equivalent to 30 mg Phentermine base). The medication has been classified as a controlled substance in most countries and is also classified as a schedule IV prescription drug. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. 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. While this drug may sound like a wonder pill, patients should ensure they know are familiar with the precautions, interactions, side effects and other important details before they start taking it. Phentermine, an amphetamine congener, is the most widely used anti-obesity drug in the U.S. %%EOF Mayo Clinic does not endorse companies or products. Today, Phentermine can still be obtained through the doctors prescription in the majority of countries around the world. Implementation of the Ryan Haight Online Pharmacy Consumer Protection Act of 2008. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use . The following adverse reactions are described, or described in greater detail, in other sections: The following adverse reactions to Phentermine have been identified: Primary pulmonary hypertension and/or regurgitant cardiac valvular disease, palpitation, tachycardia, elevation of blood pressure, ischemic events. Press Releases. stream Studies do not permit conclusions as to the relative importance of the drug and non-drug factors on weight loss. Tachyphylaxis and tolerance have been demonstrated with all drugs of this class in which these phenomena have been looked for. Along with Ohio's telehealth law in Sub. As a result, they may be more open to the idea of prescribing phentermine. Clinics specializing in weight loss often employ bariatric specialists who have additional training in obesity management. include protected health information. Package insert / product label 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). If we combine this information with your protected Specializes in Med nurse in med-surg., float, HH, and PDN. Take 1 tablet or capsule once a day before breakfast or 1-2 hours after breakfast. ). W0Qxe {>x??}# cGCSGGC[G(P A@3'i~ (2[n! Should a patient realize he/she has missed a dose within a reasonable timeframe after the doses timing, it is acceptable to take it once they remember it. Mayo Clinic does not endorse companies or products. 0 The Ohio Emergency and Acute Care Facility Opioids and Other Controlled Substances Prescribing Guidelines offer clinical guidance for the acute care environment where there is no established patient-doctor relationship. RPYcn@b[%XYK'Q %[.()GTkJ WCf.-i>n-oIzE*D40f#Gp'LcddmE8;>u?X"tO 1]M={4,ReC8E8Z Q1Lt$-XpFCrTJ They inhibit the activity of an entire enzyme family known as monoamine oxidase. The dosage may be adjusted to the patients need. Avoid use of Phentermine in patients with eGFR less than 15 mL/min/1.73m2 or end-stage renal disease requiring dialysis [see Use in Specific Populations (8.6) and Clinical Pharmacology (12.3)]. The possible role of Phentermine in the etiology of these valvulopathies has not been established and their course in individuals after the drugs are stopped is not known. It has the chemical name of ,,-Dimethylphenethylamine hydrochloride. Due to its status as a controlled substance, the sale, distribution, and possession of this drug is tightly regulated by the DEA and international regulatory authorities ( United Nations Office on Drugs and Crime. The dose of this medicine will be different for different patients. I am looking for information/advice/links to prescribing Phentermine (adipex ) in conjunction with diet and exercise in My private PCP business in the state of Ohio. A physician will usually start with a physical examination to determine if the patients health is in a state that will not be negatively affected when taking this drug. In some cases, especially when the health concern is not too serious, the doctor may prescribe the drug at lower doses spread throughout the day, instead of advising the patient to take one single dose every day. iQJG\If6CuoG^|&qXegM,+vmC [To w{`F@kMxVBrH7.1g B;H _BfHPXK#Q Taking too much Phentermine can be harmful to the patients body. The possibility of abuse of Phentermine should be kept in mind when evaluating the desirability of including a drug as part of a weight reduction program. If not, additional education or an additional certification may be needed. Patients who have been on a Phentermine program should not suddenly stop using the drug. 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. Mayo Clinic Proceedings. United States of America, Drug Enforcement Administration, Federal Register. Children 15 years of age and youngerUse is not recommended. Phentermine is pregnancy category X, so it should never be taken while pregnant or nursing ( Yes, you need a prescription for phentermine. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. If your dose is different, do not change it unless your doctor tells you to do so. Make sure your hands are dry before touching the tablet. Rule 4731-11-04.1 Controlled substances: utilization for chronic weight management. More specifically, this medication is an option for people with a body mass index (BMI): Weight-related conditions that may qualify a lower-BMI patient for phentermine include: type 2 diabetes, high cholesterol (hyperlipidemia), and controlled high blood pressure (hypertension) ( I hold a DEA cert. With more than 4 million prescriptions written in the United States each year, phentermine is an undeniably popular weight loss medication ( Duromine is not funded by Pharmac, so patients pay $160-$200 per month when they present a standard prescription of 30mg daily - in addition to the GP consultation fee. Portions of this document last updated: Feb. 01, 2023. Since it may lead to such symptoms, it also has the potential to cause severe withdrawal symptoms, especially when a patient goes cold turkey. (1/19/2016) Ohio Strenthens Opioid Prescribing Guidlines to Further Prevent Prescription Drug Abuse and Save . Accessed Oct. 11, 2022. x\8zS wU^TM;J`Kc=@y\} Blf\3K|xL?D$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 Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. Do not double doses. OSMA has historically had concerns with the limitations that these rules place on physicians who treat patients with obesity. Current Obesity Reports. Apart from not combining Phentermine with the MAO inhibitors, a patient should also first ensure they are not allergic to Phentermine before they take it. Many patients find that if their doctor gradually lowers their dose, for example from 37.5mg per day down to 15mg per day for the last few days, they experience fewer withdrawal symptoms and are able to keep the weight off later. Instead of simply quitting the program, a patient should rather consult a healthcare provider about quitting. More, these sites also operate pharmacies that are not VIPPS-accredited, so you may also be putting your personal information and or money at-risk ( Review/update the The limited usefulness of agents of this class, including Phentermine, [see Clinical Pharmacology (12.1, 12.2)] should be measured against possible risk factors inherent in their use such as those described below.
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