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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. Along with Ohio's telehealth law in Sub. This combination of ingredients was branded as Fen-Phen. Some people also receive a phentermine prescription from their gynecologist (OB-GYN). Here are the results of a recent poll that asked current phentermine patients where they received their phentermine prescription ( Dispense in a tight container as defined in the USP, with a child-resistant closure (as required). Some brands use a dissolving tablet that is placed under the tongue, which allows the body to absorb the chemicals in the drug faster. Phentermine hydrochloride USP is a sympathomimetic amine anorectic. %PDF-1.3 Use caution in prescribing Phentermine for patients with even mild hypertension (risk of increase in blood pressure). Phentermine is not recommended for use in pediatric patients 16 years of age. The possible role of Phentermine in the etiology of these valvulopathies has not been established and their course in individuals after the drugs are stopped is not known. Phentermine is a Schedule IV controlled substance. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. allnurses, LLC, 175 Pearl St Ste 355, Brooklyn NY 11201 Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. 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. 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. Carefully follow your doctor's instructions for a reduced-calorie diet plan and regular exercise. Phentermine HCl Tablets, USP 37.5 mg Today, Phentermine can still be obtained through the doctors prescription in the majority of countries around the world. This content does not have an Arabic version. 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. https://www.micromedexsolutions.com. Phentermine is a schedule IV drug that requires a consultation with the doctor and a prescription. (2012). This was often referred to as Rainbow Pills as all four drugs were often provided to a patient at the same time. ADIPEX-P (phentermine hydrochloride) tablets, for oral use CIV ADIPEX-P (phentermine hydrochloride) capsules, for oral use CIV Initial U.S. Approval: 1959 If the drug is taken too late in the day, it may also cause insomnia. However, phentermine is not appropriate or safe for everyone. 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. What to offer the 99% of patients with severe obesity who do not undergo bariatric surgery? National Association of Boards of Pharmacy. For oral dosage form (disintegrating tablets): Adults and children 17 years of age and olderOne tablet once a day, taken in the morning. The drug is mainly an appetite suppressant, thus making a patient feel fuller after (and between) meals and making the patient more likely to consume foods that have lower amounts of calories. Accessed Oct. 11, 2022. 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. Precaution should be taken if a patient has any existing health concerns as the drug may cause further harm to their body. All rights reserved. LiverTox National Institutes of Health. 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. Phentermine is not a miracle drug taken daily and the body simply starts losing weight all by itself. 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. Phentermine hydrochloride (phentermine HCL) is the active ingredient in phentermine weight loss pills. health information, we will treat all of that information as protected health . 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. information highlighted below and resubmit the form. Phentermine is contraindicated during pregnancy because weight loss offers no potential benefit to a pregnant woman and may result in fetal harm. The first use of Phentermine as a drug to help treat obesity dates back to 1938. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Learn more about popular brands, dosage, side effects, results, and weight loss alternatives. Or it can help you feel full longer. All rights reserved. There is a problem with In order to use Phentermine, the doctor needs to prescribe the drug for a specific patient. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. << /Length 5 0 R /Filter /FlateDecode >> Swallow the extended-release capsule whole. ). Place the tablet on the top of your tongue right after removing it from the bottle. 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. Therefore, coadministration of Phentermine and these drug products is not recommended. While suffering from any of these health concerns may be a cause for concern, it does not mean a patient will not be able to use Phentermine at all. Dosage form: tablet JC. Mayo Clinic Proceedings. CTP holders continue to be prohibited from prescribing all other anorexiants including, but not limited to phentermine (Adipex). 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. If you are a Mayo Clinic patient, this could Manifestations of acute overdosage include restlessness, tremor, hyperreflexia, rapid respiration, confusion, assaultiveness, hallucinations, and panic states. The dose of this medicine will be different for different patients. It is vital to talk with the doctor before using Phentermine with other products. United States of America, Drug Enforcement Administration, Federal Register. Phentermine has been linked to many complications; knowing these details will help patients minimize their risk of experiencing such unwanted scenarios. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ADIPEX-P safely and effectively. It should melt quickly. Should the collaborating physician have restrictions on his/her ability to prescribe controlled substances including controlled substance weight loss medications, the CTP holder would be limited by the same restrictions.The administrative rules, Advanced Practice Registered Nurse Certification and Practice, contained in Chapter 4723-8, of Ohio Administrative Code (OAC), require all APRNs to utilize and incorporate into the nurses practice knowledge of Chapter 4731.,ORC, and rules adopted under that chapter by the State Medical Board that govern the practice of the nurses collaborating physician. Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. Implementation of the Ryan Haight Online Pharmacy Consumer Protection Act of 2008. Current Obesity Reports. The medication has been classified as a controlled substance in most countries and is also classified as a schedule IV prescription drug. Last updated on Mar 22, 2022. Patients should be advised to report immediately any deterioration in exercise tolerance. A physician is the only person who can prescribe phentermine. So some health care providers might order it for longer use. %%EOF Gastrointestinal symptoms include nausea, vomiting, diarrhea and abdominal cramps. It is often prescribed to be taken in the morning, before or after breakfast. 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. 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 usual duration of treatment is 12 weeks or less. For more FAQs, please see our full archive of Frequently Asked Questions about phentermine and related prescription appetite suppressants. Sign-up for our weekly newsletter! Even patients who are overweight and pregnant at the same time are not allowed to use this product. She is passionate about promoting health at any size. However, weight loss clinics are not the perfect solution. The use of Topamax and Phentermine is actually an FDA-approved combination. But regarding phentermine monotherapy, phentermine hydrochloride (HCl) is a sympathomimetic Drug Enforcement Agency (DEA) scheduled IV drug approved as an anti-obesity medication and marketed in the US since 1959 (See Table 1).The reported weight reduction efficacy of phentermine [10] derived from . The weight loss experts who OSMA has consulted with have indicated that misuse of phentermine is unlikely. Cumulative urinary excretion of Phentermine under uncontrolled urinary pH conditions was 62% to 85%. Drug information provided by: IBM Micromedex. 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. All trademarks are the property of their respective owners. This content does not have an English version. Your doctor may prescribe both of these drugs separately, or choose to prescribe Qsymia, which is another medication that combines Phentermine and Topamax. It is contraindicated for patients with current or past: cardiovascular disease (heart problems), hyperthyroidism, glaucoma, agitated states, drug/alcohol abuse, or reactions to sympathomimetic amines. 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. Phentermine is a sympathomimetic amine with pharmacologic activity similar to the prototype drugs of this class used in obesity, amphetamine (d- and dll-amphetamine). Start with your primary care doctor and schedule an appointment to discuss weight. Phentermine doctors network. 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. Please consult with your physician before you make any decisions regarding your health. ). 1 Being extremely irritable and confused, or experienced unusual behavior or thoughts. The initial symptom of PPH is usually dyspnea. If you miss a dose of this medicine, take it as soon as possible. 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. Tell patients to keep Phentermine in a safe place to prevent theft, accidental overdose, misuse or abuse. Some of the most common withdrawal symptoms include weight gain, fatigue, insomnia and a bad mood. Click here for an email preview. A doctor is the only person who can determine if phentermine is right for you. Phentermine also is offered combined with topiramate for weight loss (Qsymia). As phentermine is similar to amphetamine, it is a controlled drug (class C5) and has the potential for abuse. The following information includes only the average doses of this medicine. Highlighted below are the topics discussed at the meeting that OSMA is closely following. 2021; doi:10.1007/s13679-020-00422-w. 2019; doi:10.1016/j.mayocp.2018.11.020. 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 Y$iqzZz\vlt1a;svw&aBS8Z(HGCkr&_Qxt97t,GWceTL^QqX(%8_A2'"%tD'DNz"G*"Tc. Rule 4731-11-02 | General provisions. This medicine is available in four forms: capsules, disintegrating tablets, extended-release capsules, and tablets. Available for Android and iOS devices. Following the administration of Phentermine, Phentermine reaches peak concentrations (Cmax) after 3 to 4.4 hours. 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. 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. The doctor also looks at the patients medical history for any pre-existing medical conditions that the medication should not be taken with. The CPG determination is specific to Qsymin, Belviq and Contrave only. "@Hw4`tqCA\+ q [AF]` b L ! This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. 0 Rule 4731-11-04 | Controlled substances: Utilization of short term anorexiants for weight reduction. It can help weight loss by making you less hungry. 6 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. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. 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 The most severe manifestation of chronic intoxications is psychosis, often clinically indistinguishable from schizophrenia. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Nationwide Efforts to Combat the Problem Questions To Discuss At the completion of this block of instruction you will be able to answer the following questions: 1. Like other weight-loss medicines ordered by providers, phentermine is meant to be only part of a weight-loss plan. 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).

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