information and will only use or disclose that information as set forth in our notice of 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. other information we have about you. So some health care providers might order it for longer use. 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. (2019). 104 0 obj <> endobj It also isn't for people who are pregnant, may become pregnant or are breastfeeding. The Topamax is added to Phentermine in order to intensify its effects and to help patients lose weight faster. Want to get more tips, information, and motivation? 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. Late evening medication should be avoided because of the possibility of resulting insomnia. The medication has been classified as a controlled substance in most countries and is also classified as a schedule IV prescription drug. ). Some patients experience an increase in sexual interest, while others notice that they have a lower libido. Won Son J, et al. Read more here: How much does phentermine cost? Being extremely irritable and confused, or experienced unusual behavior or thoughts. Of course, it is taken orally. Phentermine is approved for short-term weight loss therapy. OSMA is actively following this issue and we are hopeful that the medical board will make changes to Ohios rules that will enable physicians to utilize their training and professional judgment, instead of restrictive time limits, when treating some of Ohios most vulnerable patients. What could be the cause? When performing prospective DUR, the pharmacist notices a 30-day gap in treatment. Ohio has some of the strictest rules in the country and. This includes Chapter 4731-11, OAC, Controlled Substances pertaining to the prescribing of schedule II, III, and IV medications for purposes of weight loss. The dose of this medicine will be different for different patients. There is a problem with This content does not have an English version. %%EOF Dispense in a tight container as defined in the USP, with a child-resistant closure (as required). Phentermine is related chemically and pharmacologically to the amphetamines. 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. The drug has two primary functions in the human body, which is the reason why it is always accompanied by these lifestyle changes. When breastfeeding, the drug may enter the breast milk and travel into the nursing babys body, which may cause harm to them. Management of acute Phentermine hydrochloride intoxication is largely symptomatic and includes lavage and sedation with a barbiturate. 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. Abrupt cessation following prolonged high dosage administration results in extreme fatigue and mental depression; changes are also noted on the sleep EEG. You may opt-out of email communications at any time by clicking on 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. Phentermine is a Schedule 4 drug. (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. Phentermine. Rule 4731-11-04 | Controlled substances: Utilization of short term anorexiants for weight reduction. Phentermine also is offered combined with topiramate for weight loss (Qsymia). You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Phentermine 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. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient. 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. State Medical Board of Ohio > Resources > Weight Loss Drugs HVMs8WQl eLg*&{dd $_;lm |NggK6,M]gu\.BNB. Find out everything you need to know about weight loss drugs in our prescription weight loss pill guide. Create well-written care plans that meets your patient's health goals. Phentermine HCl Tablets, USP 37.5 mg LZ(6&JQKU5@5_M.~#p = yLgzP"Z90* v~1iu0pV (s:J&Q,. } }& 8}q>u@y)dO|fRmknw huA0@6-%&k-1qI6fSt4#>=sHMk>8fztq9_ nw:>NxHfib Lx.c QEWg\@y@ ~[*+-Dze~Ej+%.E`|IdW#o~#` MM The possible origins of the increased weight loss due to the various drug effects are not established. Rx only. In some cases, the doctor may prescribe Phentermine in smaller doses and advise the patient to take it up to three times in a single day. The Formulary can be accessed on the Board of Nursing website: www.nursing. Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. Selling or giving away Phentermine may harm others and is against the law. Phentermine is a schedule IV drug that requires a consultation with the doctor and a prescription. 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. In 1968, three years after its release, Aminorex was withdrawn. The FDA has categorized this drug as X for pregnancy, which means it should not be used during pregnancy under any circumstances. Long-term efficacy and safety of anti-obesity treatment: Where do we stand? 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. 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. "@Hw4`tqCA\+ q [AF]` b L ! The most common brand of Phentermine is a product known as Adipex, but officially called Adipex-P. 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 All rights reserved. hbbd``b`z$@D`]"@DeX- Bb V ``LA\F*? % (2019, May 03). 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 Hydrochloride Tablets are indicated only as short-term (a few weeks) monotherapy for the management of exogenous obesity. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. For oral dosage form (disintegrating tablets): Adults and children 17 years of age and olderOne tablet once a day, taken in the morning. It is an appetite suppressant with the added ability to help the body produce more energy from fat cells. Tell patients to keep Phentermine in a safe place to prevent theft, accidental overdose, misuse or abuse. These are two schedule- IV medications, phentermine/topiramate (Qsymia), and locaserin (Belviq), as well as non-controlled naltrexone hydrochloride/ buproprion hydrochloride (Contrave). Dryness of the mouth, unpleasant taste, diarrhea, constipation, other gastrointestinal disturbances. Specializes in Cardiology, Research, Family Practice. Requirements may be altered [see Warnings and Precautions (5.9)]. It helps patients lose weight by suppressing their appetite and boosting their energy levels, thus leading to a more active lifestyle and greater calorie burn. Specializes in NICU, PICU, Transport, L&D, Hospice. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. The strength and dosage of Phentermine depend on the brand that is prescribed and the patients specific condition. Since it may lead to such symptoms, it also has the potential to cause severe withdrawal symptoms, especially when a patient goes cold turkey. Typical actions of amphetamines include central nervous system stimulation and elevation of blood pressure. Your email address will not be published. 1 Ohio Administrative Code 4731-11-04 and 4731-11-04.1. hbbd``b` @IHpA\> . 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. These are all promoted as weight loss pills that assist obese individuals. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Abuse of amphetamines and related drugs may be associated with intense psychological dependence and severe social dysfunction. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. 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. For more FAQs, please see our full archive of Frequently Asked Questions about phentermine and related prescription appetite suppressants. CIV Required fields are marked *. PDF Phentermine Patient Information - American Association of Clinical See full prescribing information for ADIPEX-P. iQJG\If6CuoG^|&qXegM,+vmC [To w{`F@kMxVBrH7.1g B;H _BfHPXK#Q information highlighted below and resubmit the form. Existing health conditions that may act as a problem include diabetes, thyroid disorders, hypertension and kidney disease. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. 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. Press Releases. However, the medication does have a considerable street value. 2 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. This combination of ingredients was branded as Fen-Phen. 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. PDF What Every Pharmacist Needs to Know About Controlled Substances in Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. With more than 4 million prescriptions written in the United States each year, phentermine is an undeniably popular weight loss medication ( 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. Intravenous phentolamine (Regitine, CIBA) has been suggested on pharmacologic grounds for possible acute, severe hypertension, if this complicates overdosage. The following information includes only the average doses of this 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)]. Dr. Lazarus, we will discuss combination phentermine therapy later in this roundtable discussion. endstream endobj startxref The doctor also looks at the patients medical history for any pre-existing medical conditions that the medication should not be taken with. 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 . The usual duration of treatment is 12 weeks or less. ). The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. All trademarks are the property of their respective owners. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use . 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. 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. Doctors often advise patients that in the case of more serious side effects, they should immediately call for assistance. 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.