HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ADIPEX-P safely and effectively. (2012). If you are a good candidate for the medication, but your doctor does not prescribe phentermine, ask for a referral. The amount of medicine that you take depends on the strength of the medicine. Rule 4731-11-01 | Definitions. Burguera B, et al. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. 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. endstream endobj 108 0 obj <>stream Selling or giving away Phentermine may harm others and is against the law. Advertising revenue supports our not-for-profit mission. PDF What Every Pharmacist Needs to Know About Controlled Substances in include protected health information. In some cases, the use of this drug in combination with other pills may cause the effects of other drugs to increase. Phentermine may decrease the hypotensive effect of adrenergic neuron blocking drugs. 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_ The prescribing designation for anorexiants can be located on page 15 of The Formulary Developed by the Committee on Prescriptive Governance (The Formulary). Package insert / product label The medical board would like to work with the pharmacy board to make OARRS reports more available and helpful to physicians. LiverTox National Institutes of Health. Some of the most common withdrawal symptoms include weight gain, fatigue, insomnia and a bad mood. Intravenous phentolamine (Regitine, CIBA) has been suggested on pharmacologic grounds for possible acute, severe hypertension, if this complicates overdosage. Do You Need a Prescription for Phentermine? In some cases, the use of Phentermine has also led to the development of symptoms that are related to erectile dysfunction. CTP holders continue to be prohibited from prescribing all other anorexiants including, but not limited to phentermine (Adipex). Drug information provided by: IBM Micromedex. Weight Loss Prescribing Rules Ohio Administrative Code 4731-11-04 and 4731-11-04.1 The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. Do not double doses. Perreault L. Obesity in adults: Drug therapy. Is Phentermine a Controlled Substance? 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. Ohio Administrative Code 4731-11-04 and 4731-11-04.1. You may opt-out of email communications at any time by clicking on This is a label given to drugs that can be misused. Especially considering Ohios ability to track the prescribing and dispensing of the drug in Ohios drug database, OARRS. Systemic exposure of Phentermine may increase up to 91%, 45%, and 22% in patients with severe, moderate, and mild renal impairment, respectively [see Dosage and Administration (2.2) and Use in Specific Populations (8.6)]. Talk with your doctor before starting an exercise program. 4 Adipex-P: Package Insert / Prescribing Information - Drugs.com Rx only. Specializes in Med nurse in med-surg., float, HH, and PDN. This website is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. PDF Mid-Level Practitioners Authorization by State 5 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. Phentermine is a popular prescription drug that is often used to treat obesity. 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. All rights reserved. If you miss a dose of this medicine, take it as soon as possible. Take the disintegrating tablet with or without food. Generic name: Phentermine hydrochloride stream Specializes in NICU, PICU, Transport, L&D, Hospice. Mayo Clinic does not endorse companies or products. Phentermine: Package Insert / Prescribing Information - Drugs.com It should also not be taken within 14 days after taking an MAO inhibitor. 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 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. 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). To avoid trouble with sleeping, take the last dose of the day about 4 to 6 hours before bedtime, unless your doctor tells you otherwise. phentermine, one tablet daily, #30 on September 1, 2013. However in the presence of topiramate, Phentermine Cmax and AUC increase 13% and 42%, respectively. Although phentermine is the agent-of-choice among physicians specializing in obesity treatment, the use of this drug for obesity treatment by other physicians has long been curtailed because misapprehensions regarding phentermine safety. 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 medical boards ICD-10 Committee is tasked with reviewing ICD-10 data that physicians submit to the OARRS system when prescribing controlled substances. , 1530 0 obj <> endobj 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. I am finding limited information. 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. Each capsule, for oral administration, contains 105 mg Phendimetrazine tartrate manufactured in a special base designed for prolonged release. hb```e````a`d`@ f(fcfILLvL~. According to the medical board, at this time, only physicians who prescribe opioids are receiving benchmark style reports and the board thinks that all prescribers who report into OARRS should receive the same information. See full prescribing information for ADIPEX-P. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Also, it may cause certain side effects to become much worse. Adults and children 17 years of age and older15 to 30 milligrams (mg) once a day, taken at approximately 2 hours after breakfast. 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. Because pediatric obesity is a chronic condition requiring long-term treatment, the use of this product, approved for short-term therapy, is not recommended. Dr. Lazarus, we will discuss combination phentermine therapy later in this roundtable discussion. Phentermine.com is a property of: Careworld LLC. "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. If you take too much of this medicine, it may become habit-forming (causing mental or physical dependence). A severe manifestation of chronic intoxication is psychosis, often clinically indistinguishable from schizophrenia. Unfortunately, the answer is no in most cases. 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. Concomitant use of alcohol with Phentermine may result in an adverse drug reaction. She is passionate about promoting health at any size. Alternatively, 18.75 mg twice daily. If we combine this information with your protected 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. Phentermine Hydrochloride Tablets are indicated only as short-term (a few weeks) monotherapy for the management of exogenous obesity. allnurses, LLC, 175 Pearl St Ste 355, Brooklyn NY 11201 National Association of Boards of Pharmacy. In order to determine the effectiveness of certain pharmaceuticals, supplements and other substances, clinical trials and scientific research are often conducted among a group of volunteers. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. Medically reviewed by Drugs.com. hWmo8+jE'"m{F Le81g Of Rdb-YR!bLEbfYo9(e Gastrointestinal symptoms include nausea, vomiting, diarrhea and abdominal cramps. Tablets containing 37.5 mg Phentermine hydrochloride (equivalent to 30 mg Phentermine base). IBM Micromedex. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. 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 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. If your dose is different, do not change it unless your doctor tells you to do so. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Use of Phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis. Manifestations of acute overdosage include restlessness, tremor, hyperreflexia, rapid respiration, confusion, assaultiveness, hallucinations, and panic states. 0 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 A single copy of these materials may be reprinted for noncommercial personal use only. These are all promoted as weight loss pills that assist obese individuals. They help the body produce a larger amount of energy from fat cells, which further reduces body fat percentage. 1 PDF label - Food and Drug Administration However, the medication does have a considerable street value. It is both dangerous and potentially illegal to use an online phentermine doctor. 0 Y$iqzZz\vlt1a;svw&aBS8Z(HGCkr&_Qxt97t,GWceTL^QqX(%8_A2'"%tD'DNz"G*"Tc. Keep from freezing. @ d As mentioned above, new mothers should avoid using this medication when breastfeeding. 2021; doi:10.1007/s13679-020-00422-w. Mid-Level Practitioners Authorization by State Pursuant to Title 21, Code of Federal Regulations, Section 1300.01(b28), the term mid-level practitioner means an individual Losing weight during pregnancy can harm both a mother and her baby. 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. Learn about phentermine and succeed in your weight loss journey. 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. Highlighted below are the topics discussed at the meeting that OSMA is closely following. Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. 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. 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. Follow your doctor's orders or the directions on the label. It is illegal and unsafe to buy phentermine without a prescription. "@Hw4`tqCA\+ q [AF]` b L ! It depends on supplements a patient would like to take. Required fields are marked *. 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 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 Dispense in a tight container as defined in the USP, with a child-resistant closure (as required). They inhibit the activity of an entire enzyme family known as monoamine oxidase. Phentermine hydrochloride USP is a sympathomimetic amine anorectic. If not, additional education or an additional certification may be needed. Telehealth Guidance - Ohio Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. ). Unpublished raw data. Phentermine also is offered combined with topiramate for weight loss (Qsymia). (2019, June 20). The additional boost in energy will also increase the physical activity levels, thereby providing an additional method for them to lose weight and gain overall health benefits. 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. Do not crush, break, or chew it. Cardiovascular effects include arrhythmia, hypertension or hypotension, and circulatory collapse. 104 0 obj <> endobj Please consult with your physician before you make any decisions regarding your health. The doctor may advise the patient to complete the remaining period of the program or help him/her end the program safely. . It is illegal & unsafe to buy phentermine online consider Phen Caps instead! The plasma protein binding decreases as blood topiramate increases. I wonder whose pockets got lined with that one. 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). 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. Studies do not permit conclusions as to the relative importance of the drug and non-drug factors on weight loss. Patients should be advised to report immediately any deterioration in exercise tolerance. The drug is always accompanied by increased physical activity and a diet that includes a lower amount of calories. It is often prescribed to be taken in the morning, before or after breakfast. Phentermine is pregnancy category X, so it should never be taken while pregnant or nursing ( 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. It is an appetite suppressant with the added ability to help the body produce more energy from fat cells. 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. What could be the cause? Clinics specializing in weight loss often employ bariatric specialists who have additional training in obesity management. Since 1997, allnurses is trusted by nurses around the globe. 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. If your primary care physician thinks you are a good candidate for phentermine but does not want to (or cannot) prescribe it, he or she may refer you to a specialist. The possible origins of the increased weight loss due to the various drug effects are not established. 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. JC. Even after the period that the drug has been prescribed for, the doctor will often recommend to gradually stop using the Phentermine to avoid the withdrawal symptoms. The least amount feasible should be prescribed or dispensed at one time in order to minimize the possibility of overdosage. This content does not have an English version. 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. 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. PDF ADI-40091 Adipex-P PI v2 Before you schedule your first appointment, do some research to find out how much the whole process costs and if you can use outside coupons like prescription discount cards. It is vital to talk with the doctor before using Phentermine with other products. Wait, so NPs may prescribe Qsymia, but not phentermine? State Medical Board of Ohio On Wednesday, February 8, the board voted to adopt new telehealth rules. The promotion of this brand as a diet pill started in 1990. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox.