Phendimetrazine tartrate is a white, odorless crystalline powder. privacy practices. ]^Ng8\!HqX 'nR l# w! {A6.q=0G: S:nR-`\ |%Tx F5z :^EU\)|\eyt0F National Association of Boards of Pharmacy. It is not uncommon for patients to experience a change in their sexual interest. information submitted for this request. Precaution should be taken if a patient has any existing health concerns as the drug may cause further harm to their body. BMI is calculated by taking the patients weight, in kilograms (kg), divided by the patients height, in meters (m), squared. Rule 4731-11-04.1 Controlled substances: utilization for chronic weight management. Phentermine is a schedule IV drug that requires a consultation with the doctor and a prescription. Before starting with consumption of this medication, patients should get informed about potential adverse effects to be able to determine whether a newly-developed symptom is a sign of a health issue or just a side effect associated with Phentermine. In relatively short-term clinical trials, adult obese subjects instructed in dietary management and treated with anorectic drugs lost more weight on the average than those treated with placebo and diet. This is a label given to drugs that can be misused. Plus, the doctors are not familiar with your overall health status, instead relying entirely on self-reported information, which is often incomplete or inaccurate. Some preparations of the formula, however, have been classified as schedule II drugs. This brand is manufacturedby Teva Pharmaceuticals (formerly GATE Pharmaceuticals). 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)]. 1 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 https://www.micromedexsolutions.com. Intravenous phentolamine (Regitine, CIBA) has been suggested on pharmacologic grounds for possible acute, severe hypertension, if this complicates overdosage. Generic name: Phentermine hydrochloride Patients must be informed about the risks of use of Phentermine (including the risks discussed in Warnings and Precautions), about the symptoms of potential adverse reactions and when to contact a physician and/or take other action. It is obvious that these symptoms can make the entire program useless. Rx only. Overdosage of pharmacologically similar compounds has resulted in fatal poisoning usually terminates in convulsions and coma. If we combine this information with your protected ADIPEX-P (phentermine hydrochloride) tablets, for oral use CIV ADIPEX-P (phentermine hydrochloride) capsules, for oral use CIV Initial U.S. Approval: 1959 Management of acute Phentermine hydrochloride intoxication is largely symptomatic and includes lavage and sedation with a barbiturate. Phentermine doctors network. 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 In 1968, three years after its release, Aminorex was withdrawn. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient. phentermine, one tablet daily, #30 on September 1, 2013. 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. APRNs Prescribing Weight Loss Medications. 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 Today, Phentermine can still be obtained through the doctors prescription in the majority of countries around the world. This medication has been linked to physical dependence, which means a patient may become addicted to it. 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). Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. Adults and children 17 years of age and older. Tak YJ, et al. 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. Mayo Clinic does not endorse companies or products. Won Son J, et al. ). In order to use Phentermine, the doctor needs to prescribe the drug for a specific patient. It is both dangerous and potentially illegal to use an online phentermine doctor. Phentermine may decrease the hypotensive effect of adrenergic neuron blocking drugs. It is a class IV controlled substance because of its serious side effects and addiction potential. 2020; doi:10.4093/dmj.2020.0258. United Nations Office on Drugs and Crime. Phentermine is related chemically and pharmacologically to amphetamine (d- and dll-amphetamine) and other related stimulant drugs have been extensively abused. Take 1 tablet or capsule once a day before breakfast or 1-2 hours after breakfast. 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). By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. All rights reserved. Y$iqzZz\vlt1a;svw&aBS8Z(HGCkr&_Qxt97t,GWceTL^QqX(%8_A2'"%tD'DNz"G*"Tc. %PDF-1.3 See Drug Abuse and Dependence (9) and Overdosage (10). There is a problem with 2019; doi:10.1016/j.mayocp.2018.11.020. While the drug is considered to be relatively safe for individuals who are older than 16, the recommended age is 18. Another important fact to consider before taking Phentermine is that it should never be used by women who are pregnant or who are currently breastfeeding. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. State Medical Board of Ohio On Wednesday, February 8, the board voted to adopt new telehealth rules. Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. Do not keep outdated medicine or medicine no longer needed. Wait, so NPs may prescribe Qsymia, but not phentermine? Phentermine also is offered combined with topiramate for weight loss (Qsymia). Long-term efficacy and safety of anti-obesity treatment: Where do we stand? I am finding limited information. Last updated on Mar 22, 2022. 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. Phentermine HCl Tablets, USP 37.5 mg Our members represent more than 60 professional nursing specialties. 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 ( However, phentermine is not appropriate or safe for everyone. Other brands of this drug include Suprenza, Phentercot, Acxion, Elvenir, Terflamex, Panbesy, Duromine, Fentermina, Phentermin, PHentermine and Lomaira. Dosage should be individualized to obtain an adequate response with the lowest effective dose. It can help weight loss by making you less hungry. 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. 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. "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. In most cases, the drug is prescribed to users in periods of 12 weeks. Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. They are usually real doctors who prescribe real phentermine without the now-mandatory face-to-face consultation. 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. 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. A physician is the only person who can prescribe phentermine. The most common side effects that patients experience include tremors, headaches, dizziness, dry mouth, diarrhea, constipation, upset stomach, feeling restless and being hyperactive. 100 TABLETS Comprehensive review of current and upcoming anti-obesity drugs. Tablets: 37.5 mg phentermine hydrochloride, USP (equivalent to 30 mg phentermine base). Phentermine also is offered combined with topiramate for weight loss (Qsymia). Find out everything you need to know about weight loss drugs in our prescription weight loss pill guide. This combination of ingredients was branded as Fen-Phen. The CPG determination is specific to Qsymin, Belviq and Contrave only. This site complies with the HONcode standard for trustworthy health information: verify here. The combined drug is approved for long-term use. health information, we will treat all of that information as protected health All rights reserved. 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. privacy practices. Rule 4731-11-03 | Utilization of anabolic steroids, schedule II controlled substance cocaine hydrochloride, and schedule II controlled substance stimulants. The goal of the drug is to help patients lose weight and increase energy since the withdrawal symptoms of include fatigue and weight gain through an increase in appetite, the product is rendered a waste of the patients time and money. Specializes in Med nurse in med-surg., float, HH, and PDN. Phentermine hydrochloride USP is a sympathomimetic amine anorectic. The recommended maximum dosage of Phentermine is 15 mg daily for patients with severe renal impairment (eGFR 15 to 29 mL/min/1.73m2). 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. It is important to follow these instructions religiously. A doctor is the only person who can determine if phentermine is right for you. information is beneficial, we may combine your email and website usage information with The weight loss experts who OSMA has consulted with have indicated that misuse of phentermine is unlikely. All rights reserved. The initial symptom of PPH is usually dyspnea. Safety and effectiveness in pediatric patients have not been established. %%EOF endstream endobj 108 0 obj <>stream Cardiovascular effects include arrhythmia, hypertension or hypotension, and circulatory collapse. Gastrointestinal symptoms include nausea, vomiting, diarrhea and abdominal cramps. Patients should be advised to report immediately any deterioration in exercise tolerance. A single copy of these materials may be reprinted for noncommercial personal use only. 1-612-816-8773. It is freely soluble in water; sparingly soluble in warm alcohol, insoluble in chloroform, acetone, ether and benzene. 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., 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. Rule 4731-11-04 | Controlled substances: Utilization of short term anorexiants for weight reduction. 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. Acidification of the urine increases Phentermine excretion. See full prescribing information for ADIPEX-P. ), Cannot find a doctor in your network that prescribes phentermine. Phentermine is not recommended for use in pediatric patients 16 years of age. (5) A treatment plan based upon the clinical information obtained, to include all of the following components: (a) Diagnosis; (b) Objective goals for treatment; (c) Rationale for the medication choice and dosage; and (d) Planned duration of treatment and steps for further assessment and follow-up. If the drug is taken too late in the day, it may also cause insomnia. information and will only use or disclose that information as set forth in our notice of This website is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Specializes in Cardiology, Research, Family Practice. The doctor also looks at the patients medical history for any pre-existing medical conditions that the medication should not be taken with. Unfortunately, patients experienced a variety of side effects, which included severe heart toxicity and hypertension. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function. %%EOF In addition to its function as an appetite suppressant, Phentermine drugs also act as energy boosters. Since 1997, allnurses is trusted by nurses around the globe. Phentermine is related chemically and pharmacologically to the amphetamines. Instead of simply quitting the program, a patient should rather consult a healthcare provider about quitting. The risks include, but are not limited to: See also, for example, Adverse Reactions (6) and Use in SpecificPopulations (8). Phentermine has been linked to many complications; knowing these details will help patients minimize their risk of experiencing such unwanted scenarios. But it isn't a good choice for people with heart disease, high blood pressure, an overactive thyroid gland or glaucoma. Phentermine Hydrochloride Tablets, USP 37.5 mg are white oval shaped bisected tablet with blue specs, debossed with 810 on bisected side. 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. \ Detailed Phentermine dosage information Related/similar drugs Implementation of the Ryan Haight Online Pharmacy Consumer Protection Act of 2008. Click here for an email preview. Members of Losing Weight with Phentermine Support Group on Facebook. 138 0 obj <>stream Follow your doctor's orders or the directions on the label. (1/19/2016) Ohio Strenthens Opioid Prescribing Guidlines to Further Prevent Prescription Drug Abuse and Save . Thus, in order to make the most of this drug, patients need make some effort too. Many physicians who currently receive the reports have found that the reports help them better understand, and possibly alter, their prescribing practices. 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. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. Phentermine. In some cases, the use of this drug in combination with other pills may cause the effects of other drugs to increase. 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. Any knowledge would be most appreciated. Burguera B, et al. 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. 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. Ask your healthcare professional how you should dispose of any medicine you do not use. Phentermine is not a miracle drug taken daily and the body simply starts losing weight all by itself. 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)]. 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. All rights reserved. The possible origins of the increased weight loss due to the various drug effects are not established. The MAO inhibitors (Monoamine Oxidase Inhibitors) are used to treat depression, especially a specific type called atypical depression. At January's meeting, the board discussed the rules and elected to investigate what other states are doing to regulate weight loss medication. 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. If you are a Mayo Clinic patient, this could Phentermine is approved for use for up to 12 weeks. We comply with the HONcode standard for trustworthy health information. Below we explain how to get phentermine, including why you need a prescription, who can take this medication, and how to get your doctor to prescribe phentermine. potentially hazardous activities such as operating machinery or driving FULL PRESCRIBING INFORMATION in the presence of other risk factors (e.g., controlled hypertension, 333-33-100411 Tasks 35 Clinics specializing in weight loss often employ bariatric specialists who have additional training in obesity management. The combined drug is approved for long-term use. 5 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). hYr ~{L(QdK4^bdsO_d;a BXO--p,!4!,WhfM/@c Accessed Oct. 11, 2022. If you miss a dose of this medicine, take it as soon as possible. Please consult with your physician before you make any decisions regarding your health. The dosage may be adjusted to the patients need. 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. It is illegal and unsafe to buy phentermine without a prescription. Advise pregnant women and nursing mothers not to use Phentermine [see Use in Specific Populations (8.1, 8.3)]. Studies have not been performed with Phentermine to determine the potential for carcinogenesis, mutagenesis or impairment of fertility. the current rules place time limitations on prescriptions that, many times, force physicians to stop a medication that is showing positive weight loss results. Overstimulation, restlessness, dizziness, insomnia, euphoria, dysphoria, tremor, headache, psychosis. All trademarks are the property of their respective owners. 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. Medically reviewed by Drugs.com. (phentermine hydrochloride) orally disintegrating tablet C IV . 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. Later on, between 1940 and 1960, Phentermine was combined with other medications to improve its effectiveness. However in the presence of topiramate, Phentermine Cmax and AUC increase 13% and 42%, respectively. Click here for an email preview. Adults and children 17 years of age and older15 to 30 milligrams (mg) once a day, taken at approximately 2 hours after breakfast. (2009, April 06). 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. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. 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. Taking Phentermine depends on the brand and preparation of the drug. If not, additional education or an additional certification may be needed. iQJG\If6CuoG^|&qXegM,+vmC [To w{`F@kMxVBrH7.1g B;H _BfHPXK#Q ): Most people get their phentermine from a family or primary care doctor ( Phentermine hydrochloride/topiramate. 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. 104 0 obj <> endobj Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. 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. Especially considering Ohios ability to track the prescribing and dispensing of the drug in Ohios drug database, OARRS. allnurses is a Nursing Career & Support site for Nurses and Students. endstream endobj 105 0 obj <> endobj 106 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/Type/Page>> endobj 107 0 obj <>stream Carefully follow your doctor's instructions for a reduced-calorie diet plan and regular exercise. Animal reproduction studies have not been conducted with Phentermine. If this drug is used during pregnancy, or if the patient becomes pregnant while taking this drug, the patient should be apprised of the potential hazard to a fetus. Children 16 years of age and youngerUse is not recommended. This was often referred to as Rainbow Pills as all four drugs were often provided to a patient at the same time. information highlighted below and resubmit the form. In some cases, the use of Phentermine has also led to the development of symptoms that are related to erectile dysfunction. 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. Of course, it is taken orally. 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. 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. Patients who have been on a Phentermine program should not suddenly stop using the drug. Even patients who are overweight and pregnant at the same time are not allowed to use this product. Not only can losing weight harm an unborn baby during pregnancy, but the drug may also cause adverse effects. It has the chemical name of ,,-Dimethylphenethylamine hydrochloride. 5 Concomitant use of alcohol with phentermine may result in an adverse drug reaction. Phentermine hydrochloride (phentermine HCL) is the active ingredient in phentermine weight loss pills. See DrugAbuse and Dependence (9.3). Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise.