As phentermine is similar to amphetamine, it is a controlled drug (class C5) and has the potential for abuse. National Association of Boards of Pharmacy. 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. Our members represent more than 60 professional nursing specialties. Members of Losing Weight with Phentermine Support Group on Facebook. The Formulary can be accessed on the Board of Nursing website: www.nursing. 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. All rights reserved. The magnitude of increased weight loss of drug-treated patients over placebo-treated patients is only a fraction of a pound a week. Each tablet contains the following inactive ingredients: starch, lactose anhydrous, microcrystalline cellulose, colloidal silicon dioxide, stearic acid, magnesium stearate and blue sugar spheres. Each capsule, for oral administration, contains 105 mg Phendimetrazine tartrate manufactured in a special base designed for prolonged release. 1 Ohio Administrative Code 4731-11-04 and 4731-11-04.1. 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. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ADIPEX-P safely and effectively. The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. Specializes in Med nurse in med-surg., float, HH, and PDN. Accessed Oct. 11, 2022. eG)mW`Bq:qq_W#!]WD w">=qtP"&Lb1=D.$MaK'5c'c84@i6j8H:{V6K}sTL N[v})xukk\+3+A{g$q5|zX99{c]Y7l3.dD6[\ U,r ,!,'\N "(%7M$7M_@3&riT~H!IJx$"SC4DiivT69SjH$2 oQ+#?G2 %Jj\ongTRQr$$Ym&" %e"[6X)X\R phIl;ZL#ac Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Patients are advised to report any symptoms or diseases they may have before the doctor prescribes the drug this may include high blood pressure and kidney problems, as well as any type of diabetes and thyroid disorders. the unsubscribe link in the e-mail. Take 1 tablet or capsule once a day before breakfast or 1-2 hours after breakfast. If the drug is taken too late in the day, it may also cause insomnia. ), Cannot find a doctor in your network that prescribes phentermine. Click here for an email preview. 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. The dosage may be adjusted to the patients need. Won Son J, et al. 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. See full prescribing information for ADIPEX-P. Phentermine was later provided to patients in combination with dexfenfluramine and fenfluramine as a more powerful appetite suppressant that could also act as a fat burner. IBM Micromedex. Late evening medication should be avoided because of the possibility of resulting insomnia. other information we have about you. endstream endobj startxref It is important not to perform activities that require a patient to be alert while experiencing mental impairment as an adverse effect. When performing prospective DUR, the pharmacist notices a 30-day gap in treatment. Phentermine Hydrochloride Tablets are indicated only as short-term (a few weeks) monotherapy for the management of exogenous obesity. 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. Bariatric doctors are doctors that specialize in weight management. (1/19/2016) Ohio Strenthens Opioid Prescribing Guidlines to Further Prevent Prescription Drug Abuse and Save . Other brands of this drug include Suprenza, Phentercot, Acxion, Elvenir, Terflamex, Panbesy, Duromine, Fentermina, Phentermin, PHentermine and Lomaira. information is beneficial, we may combine your email and website usage information with Phentermine is approved for use for up to 12 . %PDF-1.6 % The amount of weight loss associated with the use of an anorectic drug varies from trial to trial, and the increased weight loss appears to be related in part to variables other than the drugs prescribed, such as the physician-investigator, the population treated and the diet prescribed. In order to use Phentermine, the doctor needs to prescribe the drug for a specific patient. Some patients experience an increase in sexual interest, while others notice that they have a lower libido. information is beneficial, we may combine your email and website usage information with Your email address will not be published. Place the tablet on the top of your tongue right after removing it from the bottle. FULL PRESCRIBING of the risk of hypertensive crisis. You may opt-out of email communications at any time by clicking on Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. It is often prescribed to be taken in the morning, before or after breakfast. While the drug is considered to be relatively safe for individuals who are older than 16, the recommended age is 18. However, weight loss clinics are not the perfect solution. 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. Your doctor may prescribe both of these drugs separately, or choose to prescribe Qsymia, which is another medication that combines Phentermine and Topamax. However, it caused a chronic condition known as pulmonary hypertension, which led to the death of many patients. Diabetes & Metabolism Journal. For example, it can be be used with healthy eating, physical activity and behavior change. include protected health information. It is both dangerous and potentially illegal to use an online phentermine doctor. All trademarks are the property of their respective owners. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Use caution when administering Phentermine to patients with renal impairment. 1 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. Phentermine Hydrochloride Tablets are indicated as 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 for patients with an initial body mass index 30 kg/m 2, or 27 kg/m 2 in the presence of other risk factors (e.g., Mayo Clinic does not endorse companies or products. For a more comprehensive list of drug and nutraceuticals which interact with phentermine hydrochloride, refer to our phentermine drug interactions data. Intravenous phentolamine (Regitine, CIBA) has been suggested on pharmacologic grounds for possible acute, severe hypertension, if this complicates overdosage. Later on, between 1940 and 1960, Phentermine was combined with other medications to improve its effectiveness. Phentermine is a Schedule 4 drug. Advertising revenue supports our not-for-profit mission. . Thus, in order to make the most of this drug, patients need make some effort too. Not only can losing weight harm an unborn baby during pregnancy, but the drug may also cause adverse effects. Your email address will not be published. There is a problem with A physician is the only person who can prescribe phentermine. 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. But it isn't a good choice for people with heart disease, high blood pressure, an overactive thyroid gland or glaucoma. 5 Advertising revenue supports our not-for-profit mission. include protected health information. See DrugAbuse and Dependence (9.3). Accessed Oct. 11, 2022. These are all promoted as weight loss pills that assist obese individuals. hYr ~{L(QdK4^bdsO_d;a BXO--p,!4!,WhfM/@c There are reports of patients who have increased the dosage of these drugs to many times than recommended. Requirements may be altered [see Warnings and Precautions (5.9)]. 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. In 1968, three years after its release, Aminorex was withdrawn. It can help weight loss by making you less hungry. 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. Unpublished raw data. 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 ). Phentermine is contraindicated during pregnancy because weight loss offers no potential benefit to a pregnant woman and may result in fetal harm. Tablets: 37.5 mg phentermine hydrochloride, USP (equivalent to 30 mg phentermine base). Available for Android and iOS devices. Some preparations of the formula, however, have been classified as schedule II drugs. Each brand has its own way of manufacturing the drug and, in some cases, combines it with other chemicals to make it more effective or to add additional features to its use. In some cases, the side effects were life-threatening and led to the death of a patient. Phentermine has been linked to many complications; knowing these details will help patients minimize their risk of experiencing such unwanted scenarios. In patients with severe renal impairment (eGFR 15 to 29 mL/min/1.73m2), limit the dosage of Phentermine to 15 mg daily [see Dosage and Administration (2.2)]. This is a label given to drugs that can be misused. Do not keep outdated medicine or medicine no longer needed. LiverTox National Institutes of Health. It is an appetite suppressant with the added ability to help the body produce more energy from fat cells. The plasma protein binding decreases as blood topiramate increases. Below is a chart of body mass index (BMI) based on various heights and weights. Take this medicine only as directed by your doctor. But weight management can take time. Before taking phentermine, tell your doctor and pharmacist if you are allergic to phentermine, any other medications, or any of the ingredients in phentermine tablets. other information we have about you. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Biliopancreatic diversion with duodenal switch (BPD/DS), Endoscopic Sleeve Gastroplasty (Gastric Sleeve), Biliopancreatic diversion with duodenal switch. W0Qxe {>x??}# cGCSGGC[G(P A@3'i~ (2[n! Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. U.S. Food and Drug Administration. Advise pregnant women and nursing mothers not to use Phentermine [see Use in Specific Populations (8.1, 8.3)]. She is passionate about promoting health at any size. It isnt prescribed on request, but rather when a healthcare provider notices it may be beneficial for a specific patient to lose weight in order to improve their overall health or to decrease the risk of certain health concerns. Wait, so NPs may prescribe Qsymia, but not phentermine? ohio.gov under the Practice APRN link.Although the Formulary allows CTP holders to prescribe these three drugs under the circumstances documented by their respective standard care arrangement, there are other factors that must be considered by the CTP holder prior to initiating Qsymin, Belviq or Contrave prescriptions for patients. Any knowledge would be most appreciated. the current rules place time limitations on prescriptions that, many times, force physicians to stop a medication that is showing positive weight loss results. It is a class IV controlled substance because of its serious side effects and addiction potential. (2019). The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. 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. If we combine this information with your protected If obesity is impacting your fertility or reproductive health, or if you have a specific condition that affects weight (such as PCOS), your gynecologist may consider prescribing phentermine as a short-term weight management strategy. 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. It also isn't for people who are pregnant, may become pregnant or are breastfeeding. 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 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. However, if it is almost time for your next dose, skip the missed dose and go back to your . The health information contained here is provided for educational purposes only and is not intended to replace discussions with a healthcare provider. Doctors used it to help patients who experience certain health issues caused by obesity to lose weight and improve the symptoms they are experiencing. After the tablet has melted, swallow or take a sip of water. %%EOF hWmo8+jE'"m{F 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. This includes Chapter 4731-11, OAC, Controlled Substances pertaining to the prescribing of schedule II, III, and IV medications for purposes of weight loss. The drug is also available in regular capsules that are taken orally with a glass of water. This site complies with the HONcode standard for trustworthy health information: verify here. Some people also receive a phentermine prescription from their gynecologist (OB-GYN). 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. ). 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 . Concomitant use of alcohol with phentermine may result in an adverse drug reaction. Generic name: Phentermine hydrochloride The combined drug is approved for long-term use. In fact, one study conducted at the Duke University School of Medicine found that apart from the Phentermines ability to effectively reduce body weight, it can also help improve a patients health-related quality of life. 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. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. 4 0 obj Drug information provided by: IBM Micromedex. Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. Experience with hemodialysis or peritoneal dialysis is inadequate to permit recommendations in this regard. 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_ If a patient would like to take other supplements, they should consult their doctor first. Click here for an email preview. Phentermine, an amphetamine congener, is the most widely used anti-obesity drug in the U.S. Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. Tablets are packaged in bottles of 100 (NDC 42806-810-01); and 1000 (NDC 42806-810-10). It is obvious that these symptoms can make the entire program useless. Phentermine Hydrochloride Tablets are indicated as 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 for patients with an initial body mass index 30 kg/m2, or 27 kg/m2 in the presence of other risk factors (e.g., controlled hypertension, diabetes, hyperlipidemia). ]^Ng8\!HqX 'nR l# w! {A6.q=0G: S:nR-`\ |%Tx F5z :^EU\)|\eyt0F Learn about the most popular weight loss medications. Rx only. Rule 4731-11-04 | Controlled substances: Utilization of short term anorexiants for weight reduction. It has the chemical name of ,,-Dimethylphenethylamine hydrochloride. You may opt-out of email communications at any time by clicking on Phentermine is a schedule IV drug that requires a consultation with the doctor and a prescription. Children 16 years of age and youngerUse is not recommended. Mayo Clinic does not endorse companies or products. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127 (614) 466-3934 med.ohio.gov 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. As a result, they may be more open to the idea of prescribing phentermine. https://med.ohio.gov/LinkClick.aspx?fileticket=Q2JmI7o-3HI%3d&portalid=0. Unfortunately, patients experienced a variety of side effects, which included severe heart toxicity and hypertension. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. 100 TABLETS They help the body produce a larger amount of energy from fat cells, which further reduces body fat percentage. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. They inhibit the activity of an entire enzyme family known as monoamine oxidase. The amount of medicine that you take depends on the strength of the medicine. Missed Dose . Take the disintegrating tablet with or without food. Please consult with your physician before you make any decisions regarding your health. Succeed on your weight loss journey with our curated resources! The CPG determination is specific to Qsymin, Belviq and Contrave only. Encourage prescribers to incorporate best clinical practices when prescribing opioids for treating Ohio . 1591 0 obj <>stream 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 As mentioned above, new mothers should avoid using this medication when breastfeeding. A minimum weight gain, and no weight loss, is currently recommended for all pregnant women, including those who are already overweight or obese, due to obligatory weight gain that occurs in maternal tissues during pregnancy. Phentermine is approved for use for up to 12 weeks. APRNs Prescribing Weight Loss Medications. Phentermine also is offered combined with topiramate for weight loss (Qsymia). Review/update the 1-612-816-8773. Rule 4731-11-01 | Definitions. 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. 2019; doi:10.1016/j.mayocp.2018.11.020. It is freely soluble in water; sparingly soluble in warm alcohol, insoluble in chloroform, acetone, ether and benzene. 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)]. Phentermine is pregnancy category X, so it should never be taken while pregnant or nursing ( 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. Tell patients to keep Phentermine in a safe place to prevent theft, accidental overdose, misuse or abuse. Phentermine doctors network. With more than 4 million prescriptions written in the United States each year, phentermine is an undeniably popular weight loss medication ( Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. The drug has two primary functions in the human body, which is the reason why it is always accompanied by these lifestyle changes. Metric conversions are as follows: pounds 2.2 = kg; inches x 0.0254 = meters. The strength and dosage of Phentermine depend on the brand that is prescribed and the patients specific condition. The prescribing designation for anorexiants can be located on page 15 of The Formulary Developed by the Committee on Prescriptive Governance (The Formulary). Instead, wait until you can go to a local doctor or consider other, over-the-counter weight loss options. Also, it may cause certain side effects to become much worse. A link to Chapter 4731-11, OAC, is also provided on page 15 of the Formulary.The nursing law and rules are available for review on the Boards website www.nursing.ohio.gov under the Law and Rules link.The website for State Medical Board of Ohio is: www.med.ohio.gov.