Create well-written care plans that meets your patient's health goals. Dosage should be individualized to obtain an adequate response with the lowest effective dose. 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. Phentermine Hydrochloride Tablets, USP 37.5 mg are white oval shaped bisected tablet with blue specs, debossed with 810 on bisected side. The safety and efficacy of combination therapy with Phentermine and any other drug products for weight loss including prescribed drugs, over-the-counter preparations, and herbal products, or serotonergic agents such as selective serotonin reuptake inhibitors (e.g., fluoxetine, sertraline, fluvoxamine, paroxetine), have not been established. https://www.uptodate.com/contents/search. 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. The most common brand of Phentermine is a product known as Adipex, but officially called Adipex-P. 1 All rights reserved. 5 Between the consultation, labs, prescription, and supplements (if applicable), weight loss clinics are also an expensive option. 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. Use of Phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis. Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. Carefully follow the dosing instructions for the form you are using. Tachyphylaxis and tolerance have been demonstrated with all drugs of this class in which these phenomena have been looked for. I am looking for information/advice/links to prescribing Phentermine (adipex ) in conjunction with diet and exercise in My private PCP business in the state of Ohio. The dosage may be adjusted to the patients need. The prescribing designation for anorexiants can be located on page 15 of The Formulary Developed by the Committee on Prescriptive Governance (The Formulary). %%EOF ). 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. If you miss a dose of this medicine, take it as soon as possible. Use caution when administering Phentermine to patients with renal impairment. Phen Caps is recommended by over 30,000 people like you who want to lose weight fast and effectively without the drawbacks of prescription medications. 1-612-816-8773. A reduction in insulin or oral hypoglycemic medications in patients with diabetes mellitus may be required. As phentermine is similar to amphetamine, it is a controlled drug (class C5) and has the potential for abuse. The medical board would like to work with the pharmacy board to make OARRS reports more available and helpful to physicians. See Drug Abuse and Dependence (9) and Overdosage (10). CIV However, phentermine is not appropriate or safe for everyone. Do not crush, break, or chew it. Please consult with your physician before you make any decisions regarding your health. Carefully follow your doctor's instructions for a reduced-calorie diet plan and regular exercise. Lomaira: One tablet three times a day, taken 30 minutes before meals. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ADIPEX-P safely and effectively. Choosing a specialty can be a daunting task and we made it easier. If the doctor finds that the patient is a good candidate for Phentermine, they may prescribe a certain dose and provide specific details on dosage and lifestyle choices that should accompany the use of this medicine. The doctor may advise the patient to complete the remaining period of the program or help him/her end the program safely. It is often prescribed to be taken in the morning, before or after breakfast. Metric conversions are as follows: pounds 2.2 = kg; inches x 0.0254 = meters. The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. 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. Phentermine may decrease the hypotensive effect of adrenergic neuron blocking drugs. The board expressed concerns that removing the prescribing restrictions could lead to misuse of weight loss drugs such as phentermine. How Is Phentermine Dosed? Ohio has some of the strictest rules in the country and. Accessed Oct. 11, 2022. Since it may lead to such symptoms, it also has the potential to cause severe withdrawal symptoms, especially when a patient goes cold turkey. 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. The patient brings in a prescription for the same drug on November 1, 2013. This search engine indexes the Drug Enforcement Administration Diversion Control Program Web Site (www.deadiversion.usdoj.gov) only. Succeed on your weight loss journey with our curated resources! 100 TABLETS Do You Need a Prescription for Phentermine? 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. 2020; doi:10.4093/dmj.2020.0258. %%EOF Unfortunately, the answer is no in most cases. Burguera B, et al. 0 information highlighted below and resubmit the form. One of the most important things to consider is the fact that the drug should never be accompanied by an MAO inhibitor. In order to help patients reduce their risk of developing these diseases when they are obese, doctors usually prescribe Phentermine. Learn about phentermine and succeed in your weight loss journey. 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. Moreover, it is strongly recommended to avoid or limit the alcohol intake. She is passionate about promoting health at any size. ]c,'303:20/) @d` )2 include protected health information. Dryness of the mouth, unpleasant taste, diarrhea, constipation, other gastrointestinal disturbances. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 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 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. Review/update the If the drug is taken too late in the day, it may also cause insomnia. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127 (614) 466-3934 med.ohio.gov Phentermine is pregnancy category X, so it should never be taken while pregnant or nursing ( \ Detailed Phentermine dosage information Related/similar drugs 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. There are reports of patients who have increased the dosage of these drugs to many times than recommended. If you are a Mayo Clinic patient, this could %PDF-1.6 % Six years after the approval, a similar drug, called Aminorex, were released in Europe with the same purpose of helping obese individuals. Do not double doses. https://med.ohio.gov/LinkClick.aspx?fileticket=Q2JmI7o-3HI%3d&portalid=0. Fatigue and depression usually follow the central stimulation. As a reminder, Ohio law requires physicians who prescribe any controlled substances, not just opioids, to submit an ICD-10 code with that prescription. "@Hw4`tqCA\+ q [AF]` b L ! Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. 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. endstream endobj 108 0 obj <>stream Selling or giving away Phentermine may harm others and is against the law. 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 Comprehensive review of current and upcoming anti-obesity drugs. See DrugAbuse and Dependence (9.3). Instead, wait until you can go to a local doctor or consider other, over-the-counter weight loss options. For oral dosage form (disintegrating tablets): Adults and children 17 years of age and olderOne tablet once a day, taken in the morning. Phentermine is not to be used while pregnant or breastfeeding under any circumstances. The CPG determination is specific to Qsymin, Belviq and Contrave only. Other brands of this drug include Suprenza, Phentercot, Acxion, Elvenir, Terflamex, Panbesy, Duromine, Fentermina, Phentermin, PHentermine and Lomaira. The possible origins of the increased weight loss due to the various drug effects are not established. Facts & Comparisons eAnswers. 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. Phentermine is a schedule IV drug that requires a consultation with the doctor and a prescription. iQJG\If6CuoG^|&qXegM,+vmC [To w{`F@kMxVBrH7.1g B;H _BfHPXK#Q However, weight loss clinics are not the perfect solution. If you are a Mayo Clinic patient, this could The least amount feasible should be prescribed or dispensed at one time in order to minimize the possibility of overdosage. Dr. Lazarus, we will discuss combination phentermine therapy later in this roundtable discussion. Animal reproduction studies have not been conducted with Phentermine. Generic name: Phentermine hydrochloride It is obvious that these symptoms can make the entire program useless. Columbus, Ohio 43215 Phone: (614) 466-3934 Web: www.med.ohio.gov State Medical Board of Ohio 30 E . https://www.micromedexsolutions.com. A total of 24 patients developed heart valve disease while taking this drug, which led the FDA to withdraw the product from the market in 1997. It is important to follow these instructions religiously. 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. 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. 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 . Or it can help you feel full longer. The MAO inhibitors (Monoamine Oxidase Inhibitors) are used to treat depression, especially a specific type called atypical depression. health information, we will treat all of that information as protected health Losing weight during pregnancy can harm both a mother and her baby. 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. Highlighted below are the topics discussed at the meeting that OSMA is closely following. information highlighted below and resubmit the form. Contraindications 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 Hyperthyroidism 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. Ohio Administrative Code 4731-11-04 and 4731-11-04.1. 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)]. 4 Late evening medication should be avoided because of the possibility of resulting insomnia. Ask your healthcare professional how you should dispose of any medicine you do not use. The health information contained here is provided for educational purposes only and is not intended to replace discussions with a healthcare provider. 5 This medication has been linked to physical dependence, which means a patient may become addicted to it. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient. hWmo8+jE'"m{F 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). Studies do not permit conclusions as to the relative importance of the drug and non-drug factors on weight loss. These are two schedule- IV medications, phentermine/topiramate (Qsymia), and locaserin (Belviq), as well as non-controlled naltrexone hydrochloride/ buproprion hydrochloride (Contrave). 2021; doi:10.1007/s13679-020-00422-w. Sign-up for our weekly newsletter! The combined drug is approved for long-term use. If you are allergic to other stimulants, amphetamines, cold medications or diet pills, you have a higher risk of being allergic to these pills too. Being extremely irritable and confused, or experienced unusual behavior or thoughts. Any knowledge would be most appreciated. Amphetamines and other stimulant drugs have been extensively abused and 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. Management of acute Phentermine hydrochloride intoxication is largely symptomatic and includes lavage and sedation with a barbiturate. LiverTox National Institutes of Health. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. Take the disintegrating tablet with or without food. Press Releases. 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. Yes, you need a prescription for phentermine. If a patient would like to take other supplements, they should consult their doctor first. x8FvuN3il&_t%(af?uE7wRu\BbK. Instead of simply quitting the program, a patient should rather consult a healthcare provider about quitting. Especially considering Ohios ability to track the prescribing and dispensing of the drug in Ohios drug database, OARRS. W0Qxe {>x??}# cGCSGGC[G(P A@3'i~ (2[n! If you miss a dose of this medicine, take it as soon as possible. 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. Some patients experience an increase in sexual interest, while others notice that they have a lower libido. Plus, the doctors are not familiar with your overall health status, instead relying entirely on self-reported information, which is often incomplete or inaccurate. Phentermine hydrochloride USP is a sympathomimetic amine anorectic. Phentermine is contraindicated during pregnancy because weight loss offers no potential benefit to a pregnant woman and may result in fetal harm. 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. 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. 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. 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. the current rules place time limitations on prescriptions that, many times, force physicians to stop a medication that is showing positive weight loss results. But weight management can take time. This content does not have an Arabic version. Like other weight-loss medicines ordered by providers, phentermine is meant to be only part of a weight-loss plan. Encourage prescribers to incorporate best clinical practices when prescribing opioids for treating Ohio . 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. 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. Mayo Clinic does not endorse companies or products. Phentermine is approved for short-term weight loss therapy. Due to its status as a controlled substance, the sale, distribution, and possession of this drug is tightly regulated by the DEA and international regulatory authorities ( This brand is manufacturedby Teva Pharmaceuticals (formerly GATE Pharmaceuticals). This is a label given to drugs that can be misused. There is a problem with Children 15 years of age and youngerUse is not recommended. Want to get more tips, information, and motivation? It is a class IV controlled substance because of its serious side effects and addiction potential. It depends on supplements a patient would like to take. (1981, February 4). - 7 Ideally, patients should take it on an empty stomach. Phentermine is a Schedule IV controlled substance. 1591 0 obj <>stream 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. Dispense in a tight container as defined in the USP, with a child-resistant closure (as required). Specializes in NICU, PICU, Transport, L&D, Hospice. CTP holders continue to be prohibited from prescribing all other anorexiants including, but not limited to phentermine (Adipex). Trends in Prescribing and Dispensing Patterns . Adipex-P (phentermine hydrochloride) capsules label, Greater than 27 kg/m2 + one or more weight-related condition, Vitals (heart rate, blood pressure, etc. Current Obesity Reports. Phendimetrazine tartrate is a white, odorless crystalline powder. Your email address will not be published. This site complies with the HONcode standard for trustworthy health information: verify here. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Phentermine, an amphetamine congener, is the most widely used anti-obesity drug in the U.S. 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)]. Taking too much Phentermine can be harmful to the patients body. Take 1 tablet or capsule once a day before breakfast or 1-2 hours after breakfast. 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. Acidification of the urine increases Phentermine excretion. Do not crush, break, or chew it. In 1968, three years after its release, Aminorex was withdrawn. 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. These lifestyle changes often include participating in regular exercise and physical activities, as well as eating a well-balanced diet that does not contain large amounts of calories or harmful substances. The amount of medicine that you take depends on the strength of the medicine. The plasma protein binding decreases as blood topiramate increases. Intravenous phentolamine (Regitine, CIBA) has been suggested on pharmacologic grounds for possible acute, severe hypertension, if this complicates overdosage. Yes, phentermine is a federally controlled substance because it may be abused or lead to Phentermine also is offered combined with topiramate for weight loss (Qsymia). Use caution in prescribing Phentermine for patients with even mild hypertension (risk of increase in blood pressure). If not, additional education or an additional certification may be needed. 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 Drug information provided by: IBM Micromedex. Taking Phentermine depends on the brand and preparation of the drug. This website is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. A doctor is the only person who can determine if phentermine is right for you. Take this medicine only as directed by your doctor. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use . 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 If the time is too close to the next dose, it is recommended to skip the dose they have missed. 0 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. 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. The most common side effects that patients experience include tremors, headaches, dizziness, dry mouth, diarrhea, constipation, upset stomach, feeling restless and being hyperactive. , Phentermine.com is a property of: Careworld LLC. 6 Patients who have been on a Phentermine program should not suddenly stop using the drug. 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. Therefore, coadministration of Phentermine and these drug products is not recommended. ADIPEX-P (phentermine hydrochloride) tablets, for oral use CIV ADIPEX-P (phentermine hydrochloride) capsules, for oral use CIV Initial U.S. Approval: 1959 Each tablet contains the following inactive ingredients: starch, lactose anhydrous, microcrystalline cellulose, colloidal silicon dioxide, stearic acid, magnesium stearate and blue sugar spheres.
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