information highlighted below and resubmit the form. Accessed Oct. 11, 2022. To provide you with the most relevant and helpful information, and understand which Phentermine Hydrochloride Tablets, USP 37.5 mg are white oval shaped bisected tablet with blue specs, debossed with 810 on bisected side. Review/update the HVMs8WQl eLg*&{dd $_;lm |NggK6,M]gu\.BNB. Later on, between 1940 and 1960, Phentermine was combined with other medications to improve its effectiveness. 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. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Take the disintegrating tablet with or without food. Overstimulation, restlessness, dizziness, insomnia, euphoria, dysphoria, tremor, headache, psychosis. information is beneficial, we may combine your email and website usage information with 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. 2019; doi:10.1016/j.mayocp.2018.11.020. Burguera B, et al. The pharmacist may dispense the controlled substance, in the exercise of her or his professional judgment, when the pharmacist or pharmacists agent has obtained satisfactory patient information from the patient or the patients agent. Rx only. Being extremely irritable and confused, or experienced unusual behavior or thoughts. Patients with a larger body weight may need to take a larger dose, depending on whether they have any health concerns that may be worsened by the usage of a larger dose. Comprehensive review of current and upcoming anti-obesity drugs. the unsubscribe link in the e-mail. Place the tablet on the top of your tongue right after removing it from the bottle. information highlighted below and resubmit the form. Doctors used it to help patients who experience certain health issues caused by obesity to lose weight and improve the symptoms they are experiencing. Some 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 pharmacist, in good faith and in the course of professional practice only, may dispense controlled substances upon a written or oral prescription of a practitioner, under the following conditions: Oral prescriptions must be promptly reduced to writing by the pharmacist or recorded electronically if permitted by federal law. <]>> Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. If the time is too close to the next dose, it is recommended to skip the dose they have missed. But weight management can take time. The strength and dosage of Phentermine depend on the brand that is prescribed and the patients specific condition. Children 16 years of age and youngerUse is not recommended. The Administration's plan is to end the COVID-19 public health emergency on May 11, 2023. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use . It can help weight loss by making you less hungry. hbbd``b` @IHpA\> . It should also not be taken within 14 days after taking an MAO inhibitor. The initials of the pharmacist filling the prescription and the date filled. This brand is manufacturedby Teva Pharmaceuticals (formerly GATE Pharmaceuticals). The risks include, but are not limited to: See also, for example, Adverse Reactions (6) and Use in SpecificPopulations (8). 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. Prescribing Information - Qsymia (Phentermine and Topiramate extended . Drugs to treat obesity; rules establishing guidelines. The combined drug is approved for long-term use. Taking more than the prescribed amount of Phentermine can lead to an overdose, which means if a patient misses a dose, they should never try to make up for it by taking more than the prescribed amount at the next dose. Below is a chart of body mass index (BMI) based on various heights and weights. 893.04 Pharmacist and practitioner.. You may opt-out of email communications at any time by clicking on Doctors often advise patients that in the case of more serious side effects, they should immediately call for assistance. The name of the prescribing practitioner. Use caution in prescribing Phentermine for patients with even mild hypertension (risk of increase in blood pressure). Last updated on Mar 22, 2023. hbbd``b`z$@D`]"@DeX- Bb V ``LA\F*? The promotion of this brand as a diet pill started in 1990. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Each written prescription prescribed by a practitioner in this state for a controlled substance listed in Schedule II, Schedule III, or Schedule IV must include both a written and a numerical notation of the quantity of the controlled substance prescribed on the face of the prescription and a notation of the date, with the abbreviated month written out on the face of the prescription. Abuse of amphetamines and related drugs may be associated with intense psychological dependence and severe social dysfunction. History.s. 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. Publications, Help Searching (d) each prescription writtenby a practitioner in this statefor a controlledsubstance listed in schedule ii, schedule iii, or schedule iv must include a writtenand a numerical notation of the quantity of the controlled substance prescribed and a notation of the datein numerical, month/day/year format, or with the abbreviated month writtenout, or the month writtenout in . While discussing the use of Phentermine with the doctor, a patient is provided a list of lifestyle changes to implement while using this product. Take phentermine exactly as prescribed by your doctor. xb```f``ZAb 1av K3gI{$*i p400t UD J@X$Ybv k=:,fb[ a`x @ ! The number of such prescription, as recorded in the prescription files of the pharmacy in which it is filled. (3) In any case of dispensing hereunder, the amount or . There shall appear on the face of the prescription or written record thereof for the controlled substance the following information: The full name and address of the person for whom, or the owner of the animal for which, the controlled substance is dispensed. It is vital to talk with the doctor before using Phentermine with other products. Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. 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. After the tablet has melted, swallow or take a sip of water. Requirements may be altered [see Warnings and Precautions (5.9)]. 35 0 obj <>stream . privacy practices. SECTION 04. Due to its status as a controlled substance, the sale, distribution, and possession of this drug . Phentermine is related chemically and pharmacologically to amphetamine (d- and dll-amphetamine) and other related stimulant drugs have been extensively abused. Portions of this document last updated: Feb. 01, 2023. Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. However, the medication does have a considerable street value. Advertising revenue supports our not-for-profit mission. Do not crush, break, or chew it. 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. 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. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 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 Phentermine is one of the most effective prescription weight loss medications, with FDA approval since 1959. Follow your doctor's dosing instructions very carefully. Statutes, Video Broadcast 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). IBM Micromedex. In some cases, patients have also found that Phentermine interacts with drugs that contain Tranylcypromine, Henelzine, Isocarboxazid, Diethylpropion, Phendimetrazine, Amphetamine, and Benzphetamine. Safety and effectiveness in pediatric patients have not been established. 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. Children 16 years of age and youngerUse is not recommended. information and will only use or disclose that information as set forth in our notice of Phentermine also is offered combined with topiramate for weight loss (Qsymia). 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 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. Billions of dollars are headed to state and local governments to address the opioid crisis. This website is a resource which lists doctors and clinics who may offer phentermine or appetite suppressants for patients they deem qualified. Dosage should be individualized to obtain an adequate response with the lowest effective dose. RPYcn@b[%XYK'Q %[.()GTkJ WCf.-i>n-oIzE*D40f#Gp'LcddmE8;>u?X"tO 1]M={4,ReC8E8Z Q1Lt$-XpFCrTJ 0000001488 00000 n Typical actions of amphetamines include central nervous system stimulation and elevation of blood pressure. Facts & Comparisons eAnswers. Adults Exogenous Obesity Oral. 2007-156; s. 5, ch. 1558 0 obj <>/Filter/FlateDecode/ID[<7182559B062CF74D9CEE71C953F61692>]/Index[1530 62]/Info 1529 0 R/Length 121/Prev 89015/Root 1531 0 R/Size 1592/Type/XRef/W[1 2 1]>>stream There are reports of patients who have increased the dosage of these drugs to many times than recommended. Phentermine is most commonly prescribed to patients who experience negative health effects to excessive amounts of body weight. The MAO inhibitors (Monoamine Oxidase Inhibitors) are used to treat depression, especially a specific type called atypical depression. Like other weight-loss medicines ordered by providers, phentermine is meant to be only part of a weight-loss plan. Even patients who are overweight and pregnant at the same time are not allowed to use this product. (1) A pharmacist, in good faith and in the course of professional practice only, may dispense controlled substances upon a written, oral, or electronic prescription of a practitioner, under the following conditions: (a) Oral prescriptions must be promptly reduced to writing by the pharmacist or recorded . Ask your healthcare professional how you should dispose of any medicine you do not use. Dryness of the mouth, unpleasant taste, diarrhea, constipation, other gastrointestinal disturbances. Of course, it is taken orally. Acidification of the urine increases Phentermine excretion. Taking too much Phentermine can be harmful to the patients body. This search engine indexes the Drug Enforcement Administration Diversion Control Program Web Site (www.deadiversion.usdoj.gov) only. Follow your doctor's orders or the directions on the label. 1591 0 obj <>stream This website is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Any pharmacist who dispenses by mail a controlled substance listed in Schedule II, Schedule III, or Schedule IV is exempt from the requirement to obtain suitable identification for the prescription dispensed by mail if the pharmacist has obtained the patients identification through the patients prescription benefit plan. Available for Android and iOS devices. Carefully follow your doctor's instructions for a reduced-calorie diet plan and regular exercise. Schedule. privacy practices. This medicine is available in four forms: capsules, disintegrating tablets, extended-release capsules, and tablets. Use of Phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis. Different brands manufacture, distribute and sell Phentermine drugs. Florida Statutes Definitions Index (2022), Table Tracing Session Laws to Florida Statutes (2022), Index to Special and Local Laws (1971-2022), Index to Special and Local Laws (1845-1970). 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. There is a problem with Taking Phentermine depends on the brand and preparation of the drug. 0000002493 00000 n The Board of Medicine shall adopt rules to establish practice guidelines for physicians to safely prescribe phentermine, fenfluramine, and other drugs used to treat obesity. 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. Controlled substances for the treatment of obesity. 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. 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 a Schedule 4 drug. 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. 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. If you miss a dose of this medicine, take it as soon as possible. HB 423 - ARNP/PA Controlled Substance Prescribing. (A) A prescriber may utilize a schedule III or IV controlled substance for the treatment of obesity only if it has an F.D.A approved indication for this purpose and then only in accordance with all of the . Any controlled substance listed in Schedule III or Schedule IV may be dispensed by a pharmacist upon an oral prescription if, before filling the prescription, the pharmacist reduces it to writing or records the prescription electronically if permitted by federal law. History.s. But it isn't a good choice for people with heart disease, high blood pressure, an overactive thyroid gland or glaucoma. The amount of medicine that you take depends on the strength of the medicine. It is a class IV controlled substance because of its serious side effects and addiction potential. Drug information provided by: Merative, Micromedex. It is often prescribed to be taken in the morning, before or 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. A severe manifestation of chronic intoxication is psychosis, often clinically indistinguishable from schizophrenia. This content does not have an Arabic version. . But the rate of misuse seems to be low. The possible origins of the increased weight loss due to the various drug effects are not established. 97-264. 21 15 Phentermine hydrochloride (phentermine HCL) is the active ingredient in phentermine weight loss pills. A pharmacist may, upon verification by the prescriber, document any information required by this paragraph. Over 12 weeks, it can be as high as 9-10%. When breastfeeding, the drug may enter the breast milk and travel into the nursing babys body, which may cause harm to them. The prescription of such weight loss enhancers is not generally appropriate for children. In some cases, the side effects were life-threatening and led to the death of a patient. Code R. 64B8-11.001 Advertising weight loss treatment shall be considered false, deceptive, or misleading if it contains representations that: (e) Suggest that weight loss is effortless or magical. The number of the prescription, as recorded in the prescription files of the pharmacy in which it is filled. Registration is accomplished by completing and returning the dispensing physician registration form. Phentermine is approved for use for up to 12 . All rights reserved. Numerous side effects have been linked to the use of Phentermine. 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. 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. The directions for the use of the controlled substance prescribed in the prescription. "@Hw4`tqCA\+ q [AF]` b L ! The combined drug is approved for long-term use. Cardiovascular effects include arrhythmia, hypertension or hypotension, and circulatory collapse. In 1968, three years after its release, Aminorex was withdrawn. Use caution when administering Phentermine to patients with renal impairment. Phentermine is one of the substances that have been researched thoroughly, thus its effects have been proven effective and the claims that are made about this drug are backed by scientific evidence. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). 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. 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)]. Doses are normally taken before breakfast, or 1 to 2 hours after breakfast. If the prescriber is not available to verify a prescription, the pharmacist may dispense the controlled substance but may insist that the person to whom the controlled substance is dispensed provide valid photographic identification. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Pursuant to Board of Medical Examiners Rule 540-X-4-.05, dispensing physicians are required to register with the Board. Generic name: Phentermine hydrochloride Publications, Help Searching 100 TABLETS They inhibit the activity of an entire enzyme family known as monoamine oxidase. All rights reserved. Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. Why is phentermine a controlled substance? Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota. s. 4, ch. 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. 0000001039 00000 n HB 423 (by Rep. Pigman) was signed into law on April 14, 2016. In some cases, the use of Phentermine has also led to the development of symptoms that are related to erectile dysfunction. If the prescription is for an animal, the species of animal for which the controlled substance is prescribed. Skip to Navigation | Skip to Main Content | Skip to Site Map. The drug is also available in regular capsules that are taken orally with a glass of water. 79-12; s. 2, ch. Accessed Oct. 11, 2022. As mentioned above, new mothers should avoid using this medication when breastfeeding. Copyright 2000- 2023 State of Florida. These rules and statutes . Florida has received national attention for the large num- 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. Phentermine is approved for use for up to 12 weeks. The Topamax is added to Phentermine in order to intensify its effects and to help patients lose weight faster. 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.

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