104 0 obj <> endobj It is freely soluble in water; sparingly soluble in warm alcohol, insoluble in chloroform, acetone, ether and benzene. 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. 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)]. This content does not have an Arabic version. The patient could have had the prescription for the month of October filled at another pharmacy. 4 Some patients experience an increase in sexual interest, while others notice that they have a lower libido. They inhibit the activity of an entire enzyme family known as monoamine oxidase. The possibility of an association between valvular heart disease and the use of Phentermine alone cannot be ruled out; there have been rare cases of valvular heart disease in patients who reportedly have taken Phentermine alone. It is impossible for them to complete the necessary physical evaluation (and follow-up) that is required to ensure that phentermine will not cause you undue harm. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use . "@Hw4`tqCA\+ q [AF]` b L ! Ohio Administrative Code 4731-11-04 and 4731-11-04.1. While these are the most common side effects of the drug, they are not the only consequences associated with the intake of this medication. Some brands use a dissolving tablet that is placed under the tongue, which allows the body to absorb the chemicals in the drug faster. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); This website is a resource which lists doctors and clinics who may offer phentermine or appetite suppressants for patients they deem qualified. % https://med.ohio.gov/LinkClick.aspx?fileticket=Q2JmI7o-3HI%3d&portalid=0. The combined drug is approved for long-term use. , APRNs Prescribing Weight Loss Medications. Last updated on Mar 22, 2022. Click here for an email preview. If not, additional education or an additional certification may be needed. The dosage varies from 15mg to 37.5mg per day. Children 15 years of age and youngerUse is not recommended. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). The CPG determination is specific to Qsymin, Belviq and Contrave only. Phentermine is 17.5% plasma protein-bound, while topiramate is 15 - 41% plasma protein-bound when the blood concentration range is 0.5 to 250 g/mL. Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. Despite the initial draw of saving time and money by completing your consultation online and receiving weight loss pills in the mail, using these online phentermine doctors is not safe. 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. However, if it is almost time for your next dose, skip the missed dose and go back to your . Your email address will not be published. OSMA has historically had concerns with the limitations that these rules place on physicians who treat patients with obesity. Taking too much Phentermine can be harmful to the patients body. This is a label given to drugs that can be misused. Burguera B, et al. The drug is usually prescribed at the lowest possible dose to new users, which is 15mg per day. A doctor is the only person who can determine if phentermine is right for you. Review/update the U.S. Food and Drug Administration. L^%0:T'xHGi,KGyVfZ5WI6&ZU1/VqM4.ct\i2gTAtQV%[$*/tbn"xS8JU$bljsI2)bs_/FouVGwCqX';z{0REZbSX,bXWPS#Bf|il#o'y`?jv{;!bS F#vPGzD"1~5~F%mW9YlGIQVYOS~kojbdQS!>|@Ph The doctor also looks at the patients medical history for any pre-existing medical conditions that the medication should not be taken with. Special Populations Geriatric Patients Select dosage with caution, starting at lower end of dosage range. In addition to its function as an appetite suppressant, Phentermine drugs also act as energy boosters. The usual adult dose is one tablet (37.5 mg) daily, as prescribed by the physician, administered before breakfast or 1 to 2 hours after breakfast. Doctors often prescribe a dose of 5-HTP and vitamin B12 with a Phentermine prescription in order to enhance its effects and to relieve some side effects. Like other weight-loss medicines ordered by providers, phentermine is meant to be only part of a weight-loss plan. The most common brand of Phentermine is a product known as Adipex, but officially called Adipex-P. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Patients who have been on a Phentermine program should not suddenly stop using the drug. Facts & Comparisons eAnswers. JC. 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 ( Phentermine may impair the ability of the patient to engage in potentially hazardous activities such as operating machinery or driving a motor vehicle; the patient should therefore be cautioned accordingly. phentermine, one tablet daily, #30 on September 1, 2013. These are two schedule- IV medications, phentermine/topiramate (Qsymia), and locaserin (Belviq), as well as non-controlled naltrexone hydrochloride/ buproprion hydrochloride (Contrave). After 12 weeks, the patient needs to take a break from the product as it may lead to physical dependence. 0 4 0 obj For oral dosage form (disintegrating tablets): Adults and children 17 years of age and olderOne tablet once a day, taken in the morning. ). endstream endobj startxref We comply with the HONcode standard for trustworthy health information. 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. For some patients, half tablet (18.75 mg) daily may be adequate, while in some cases it may be desirable to give half tablets (18.75 mg) two times a day. As mentioned above, new mothers should avoid using this medication when breastfeeding. She is passionate about promoting health at any size. Late evening medication should be avoided because of the possibility of resulting insomnia. They help the body produce a larger amount of energy from fat cells, which further reduces body fat percentage. This medication has been linked to physical dependence, which means a patient may become addicted to it. In order to help patients reduce their risk of developing these diseases when they are obese, doctors usually prescribe Phentermine. Phentermine is most commonly prescribed to patients who experience negative health effects to excessive amounts of body weight. information highlighted below and resubmit the form. Six years after the approval, a similar drug, called Aminorex, were released in Europe with the same purpose of helping obese individuals. When tolerance to the anorectant effect develops, the recommended dose should not be exceeded in an attempt to increase the effect; rather, the drug should be discontinued. Use caution in prescribing Phentermine for patients with even mild hypertension (risk of increase in blood pressure). 5 Fatigue and depression usually follow the central stimulation. https://www.uptodate.com/contents/search. The dosage may be adjusted to the patients need. the unsubscribe link in the e-mail. See Drug Abuse and Dependence (9) and Overdosage (10). 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. You may opt-out of email communications at any time by clicking on I wonder whose pockets got lined with that one. allnurses is a Nursing Career & Support site for Nurses and Students. Yes, you need a prescription for phentermine. Search: PHENTERMINE BMI GUIDELINES OSMA is actively following this issue and we are hopeful that the medical board will make changes to Ohios rules that will enable physicians to utilize their training and professional judgment, instead of restrictive time limits, when treating some of Ohios most vulnerable patients. 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. Sally Cohen holds a degree in nutrition sciences from Alcorn State University. Drug information provided by: IBM Micromedex. 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 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. Experience with hemodialysis or peritoneal dialysis is inadequate to permit recommendations in this regard. Along with Ohio's telehealth law in Sub. Find out everything you need to know about weight loss drugs in our prescription weight loss pill guide. Abuse of amphetamines and related drugs may be associated with intense psychological dependence and severe social dysfunction. 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). Take 1 tablet or capsule once a day before breakfast or 1-2 hours after breakfast. 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. Perreault L. Obesity in adults: Drug therapy. 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. How Is Phentermine Dosed? Doctors often combined the use of Phentermine with diuretics, thyroid hormone medicines and digitalis. In some cases, the use of this drug in combination with other pills may cause the effects of other drugs to increase. Existing health conditions that may act as a problem include diabetes, thyroid disorders, hypertension and kidney disease. Phentermine Hydrochloride Tablets, USP 37.5 mg are white oval shaped bisected tablet with blue specs, debossed with 810 on bisected side. The Formulary can be accessed on the Board of Nursing website: www.nursing. United States of America, Drug Enforcement Administration, Federal Register. Prescribing phentermine - Medical Protection Any knowledge would be most appreciated. As a result, they may be more open to the idea of prescribing phentermine. ]^Ng8\!HqX 'nR l# w! {A6.q=0G: S:nR-`\ |%Tx F5z :^EU\)|\eyt0F This study guide will help you focus your time on what's most important. Adults and children 17 years of age and older. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Some patients need to take the drug an hour before they eat breakfast, while others are advised to take it approximately one to two hours after breakfast. Required fields are marked *. The CPG determination is specific to Qsymin, Belviq and Contrave only. Phentermine has pharmacologic activity similar to amphetamine (d- and dll-amphetamine) [see Clinical Pharmacology (12.1)]. Sign-up for our weekly newsletter! This content does not have an Arabic version. If the doctor finds that the patient is a good candidate for Phentermine, they may prescribe a certain dose and provide specific details on dosage and lifestyle choices that should accompany the use of this medicine. Le81g Of Rdb-YR!bLEbfYo9(e The medication has been classified as a controlled substance in most countries and is also classified as a schedule IV prescription drug. Today, Phentermine can still be obtained through the doctors prescription in the majority of countries around the world. Phentermine is not a miracle drug taken daily and the body simply starts losing weight all by itself. Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. information and will only use or disclose that information as set forth in our notice of Children 16 years of age and youngerUse is not recommended. Common side effects of phentermine include: Phentermine is one of the most prescribed weight-loss medicines. 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 Unpublished raw data. health information, we will treat all of that information as protected health Abrupt cessation following prolonged high dosage administration results in extreme fatigue and mental depression; changes are also noted on the sleep EEG. The use of Topamax and Phentermine is actually an FDA-approved combination. ), Cannot find a doctor in your network that prescribes phentermine. Phentermine Hydrochloride Tablets are indicated only as short-term (a few weeks) monotherapy for the management of exogenous obesity. A reduction in insulin or oral hypoglycemic medications in patients with diabetes mellitus may be required. Initial U.S. Approval: 1959 -----INDICATIONS AND USAGE----- Suprenza is a sympathomimetic amine anorectic indicated as a short-term adjunct (a few weeks) in a regimen of . You may opt-out of email communications at any time by clicking on The first use of Phentermine as a drug to help treat obesity dates back to 1938. Tachyphylaxis and tolerance have been demonstrated with all drugs of this class in which these phenomena have been looked for. Tell patients to keep Phentermine in a safe place to prevent theft, accidental overdose, misuse or abuse. Phentermine HCl Tablets, USP 37.5 mg In a single-dose study comparing the exposures after oral administration of a combination capsule of 15 mg Phentermine and 92 mg topiramate to the exposures after oral administration of a 15 mg Phentermine capsule or a 92 mg topiramate capsule, there is no significant topiramate exposure change in the presence of Phentermine. Phentermine is a Schedule 4 drug. Trends in Prescribing and Dispensing Patterns . If you are a good candidate for the medication, but your doctor does not prescribe phentermine, ask for a referral. This site complies with the HONcode standard for trustworthy health information: verify here. This medicine is available in four forms: capsules, disintegrating tablets, extended-release capsules, and tablets. Some of the studies that have linked Phentermine to positive results in humans include: The main active ingredient is known as Phentermine Hydrochloride. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. 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 possible origins of the increased weight loss due to the various drug effects are not established. 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. The most common side effects that patients experience include tremors, headaches, dizziness, dry mouth, diarrhea, constipation, upset stomach, feeling restless and being hyperactive. Yes, phentermine is a federally controlled substance because it may be abused or lead to Phentermine is pregnancy category X, so it should never be taken while pregnant or nursing ( Won Son J, et al. Unfortunately, the answer is no in most cases. Phentermine hydrochloride (phentermine HCL) is the active ingredient in phentermine weight loss pills. However, weight loss clinics are not the perfect solution. They are usually real doctors who prescribe real phentermine without the now-mandatory face-to-face consultation. Obesity pillars roundtable: Phentermine - Past, present, and future Doctors used it to help patients who experience certain health issues caused by obesity to lose weight and improve the symptoms they are experiencing. Rule 4731-11-02 | General provisions. Comprehensive review of current and upcoming anti-obesity drugs. Columbus, Ohio 43215 Phone: (614) 466-3934 Web: www.med.ohio.gov State Medical Board of Ohio 30 E . Cardiovascular effects include arrhythmia, hypertension or hypotension, and circulatory collapse. However, the medication does have a considerable street value. Get the best fitness, food, and weight loss tips to succeed on your journey! Some of the most common withdrawal symptoms include weight gain, fatigue, insomnia and a bad mood. 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. Requirements may be altered [see Warnings and Precautions (5.9)]. National Association of Boards of Pharmacy. The following information includes only the average doses of this medicine. A weight loss doctor will be more familiar with the research on phentermine for weight loss and, in many cases, more likely to prescribe it. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. Safety and effectiveness in pediatric patients have not been established. ). Children 16 years of age and youngerUse is not recommended. OSMA has historically had concerns with the limitations that these rules place on physicians who treat patients with obesity. Ask your healthcare professional how you should dispose of any medicine you do not use. Concomitant use of alcohol with Phentermine may result in an adverse drug reaction. 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. Use of Phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis. Phentermine hydrochloride USP is a sympathomimetic amine anorectic. Following the administration of Phentermine, Phentermine reaches peak concentrations (Cmax) after 3 to 4.4 hours. To provide you with the most relevant and helpful information, and understand which It is important to follow these instructions religiously. It's designed to help prevent opioid dependence for Ohio's injured workers through its three primary goals. These are both major barriers to optimal medical care. x8FvuN3il&_t%(af?uE7wRu\BbK. The FDA has categorized this drug as X for pregnancy, which means it should not be used during pregnancy under any circumstances. More specifically, this medication is an option for people with a body mass index (BMI): Greater than 30 kg/m2 Greater than 27 kg/m2 + one or more weight-related condition N;d0)zQ|,]8EtXy(En"GX omjU3Y3>kfkYHYi]-zhm{= o`i$G1BK%?9Z+(dm`mKt,?;6K@Q 7}}*Tw>7BkKsJ;E|Viexb T-3j%5QB%wI5'$5oB :h*C"Q7yjTzLO%6QS/u>HX 4DGz*A!1*p"7$-joX2YF8ht@\l[&LS$FU=udM&y.l_ [Who Prescribed Your Phentermine?]. United Nations Office on Drugs and Crime. Phentermine also is offered combined with topiramate for weight loss (Qsymia). Current Obesity Reports. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother. The drug is classified under a certain chemical class known as amphetamine as it has a similar pharmacology value to other drugs classified in the class. There are reports of patients who have increased the dosage of these drugs to many times than recommended. Below is a chart of body mass index (BMI) based on various heights and weights. PDF ADI-40091 Adipex-P PI v2 information is beneficial, we may combine your email and website usage information with Your doctor may prescribe both of these drugs separately, or choose to prescribe Qsymia, which is another medication that combines Phentermine and Topamax. This content does not have an English version. Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. Specializes in Med nurse in med-surg., float, HH, and PDN. other information we have about you. What could be the cause? 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)]. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. https://fco.factsandcomparisons.com/. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Take this medicine only as directed by your doctor. - 7 Do You Need a Prescription for Phentermine? CTP holders continue to be prohibited from prescribing all other anorexiants including, but not limited to phentermine (Adipex). \ Detailed Phentermine dosage information Related/similar drugs Adipex-P: Package Insert / Prescribing Information - Drugs.com Swallow the tablet whole. privacy practices. Rule 4731-11-04.1 Controlled substances: utilization for chronic weight management. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Phentermine. All rights reserved. The natural history of obesity is measured over several years, whereas the studies cited are restricted to a few weeks duration; thus, the total impact of drug-induced weight loss over that of diet alone must be considered clinically limited. Rule 4731-11-03 | Utilization of anabolic steroids, schedule II controlled substance cocaine hydrochloride, and schedule II controlled substance stimulants. Phentermine is a popular prescription drug that is often used to treat obesity. (1981, February 4). Losing weight during pregnancy can harm both a mother and her baby. How to Get a Prescription for Phentermine - Phentermine.com Phentermine is a popular prescription drug that is often used to treat obesity. 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. 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.