"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. Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. Children 15 years of age and youngerUse is not recommended. 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 Current Obesity Reports. Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. However in the presence of topiramate, Phentermine Cmax and AUC increase 13% and 42%, respectively. Mayo Clinic does not endorse companies or products. Use caution in prescribing Phentermine for patients with even mild hypertension (risk of increase in blood pressure). 1-612-816-8773. 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. 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. 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 MAO inhibitors (Monoamine Oxidase Inhibitors) are used to treat depression, especially a specific type called atypical depression. Many physicians who currently receive the reports have found that the reports help them better understand, and possibly alter, their prescribing practices. Studies do not permit conclusions as to the relative importance of the drug and non-drug factors on weight loss. OSMA has historically had concerns with the limitations that these rules place on physicians who treat patients with obesity. The drug is always accompanied by increased physical activity and a diet that includes a lower amount of calories. \ Detailed Phentermine dosage information Related/similar drugs In addition to its function as an appetite suppressant, Phentermine drugs also act as energy boosters. (1) The prescriber shall assess the patient, at a minimum, once in the first three months of utilization of controlled substances for weight reduction, and shall record in the patient record information demonstrating the patient's continuing efforts to lose weight, the patient's dedication to the treatment program and response to treatment, and This medication has been linked to physical dependence, which means a patient may become addicted to it. Available for Android and iOS devices. information and will only use or disclose that information as set forth in our notice of 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. Below is a chart of body mass index (BMI) based on various heights and weights. 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. Long-term efficacy and safety of anti-obesity treatment: Where do we stand? Of course, it is taken orally. Manifestations of acute overdosage include restlessness, tremor, hyperreflexia, rapid respiration, confusion, assaultiveness, hallucinations, and panic states. Adults and children 17 years of age and older. include protected health information. However, weight loss clinics are not the perfect solution. I am finding limited information. 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. All rights reserved. Adipex-P (phentermine hydrochloride) capsules label, Greater than 27 kg/m2 + one or more weight-related condition, Vitals (heart rate, blood pressure, etc. The doctor also looks at the patients medical history for any pre-existing medical conditions that the medication should not be taken with. hb``````>X,K10wdjdZ(`l Ro4'
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information and will only use or disclose that information as set forth in our notice of Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. Rule 4731-11-01 | Definitions. The CPG determination is specific to Qsymin, Belviq and Contrave only. 0
In 1968, three years after its release, Aminorex was withdrawn. When breastfeeding, the drug may enter the breast milk and travel into the nursing babys body, which may cause harm to them. . Rule 4731-11-02 | General provisions. Missed Dose . What could be the cause? 100 TABLETS This content does not have an English version. It is an appetite suppressant with the added ability to help the body produce more energy from fat cells. 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. 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. RPYcn@b[%XYK'Q
%[.()GTkJ WCf.-i>n-oIzE*D40f#Gp'LcddmE8;>u?X"tO 1]M={4,ReC8E8Z Q1Lt$-XpFCrTJ The structural formula is as follows: Phentermine hydrochloride is a white, odorless, hygroscopic, crystalline powder which is soluble in water and lower alcohols, slightly soluble in chloroform and insoluble in ether. Learn about phentermine and succeed in your weight loss journey. State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127 (614) 466-3934 med.ohio.gov 5 Below we explain how to get phentermine, including why you need a prescription, who can take this medication, and how to get your doctor to prescribe phentermine. Broad St., 3 rd Floor GUIDANCE DOCUMENT: Physician Assistant Prescriptive Authority Effective 10/15/15 The following information is provided as guidance, and may not reference all statutes and rules Avoid use of Phentermine in patients with eGFR less than 15 mL/min/1.73m2 or end-stage renal disease requiring dialysis [see Use in Specific Populations (8.6) and Clinical Pharmacology (12.3)]. This is a label given to drugs that can be misused. While these are the most common side effects of the drug, they are not the only consequences associated with the intake of this medication. Between the consultation, labs, prescription, and supplements (if applicable), weight loss clinics are also an expensive option. All rights reserved. If not, additional education or an additional certification may be needed. Some of these include: As with many other prescription drugs, Phentermine can also interact with certain medications. This site complies with the HONcode standard for trustworthy health information: verify here. Required fields are marked *. Y$iqzZz\vlt1a;svw&aBS8Z(HGCkr&_Qxt97t,GWceTL^QqX(%8_A2'"%tD'DNz"G*"Tc. 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. 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. It is a class IV controlled substance because of its serious side effects and addiction potential. Ask your healthcare professional how you should dispose of any medicine you do not use. U.S. Food and Drug Administration. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ADIPEX-P safely and effectively. Swallow the tablet whole. Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. Do not crush, break, or chew it. 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. The use of Topamax and Phentermine is actually an FDA-approved combination. In addition, Section 4723.431(A), ORC, requires the APRNs collaborating physician to be practicing in Ohio in a specialty that is the same or similar to the nurses nursing specialty.Section 4723.481(B), ORC, prohibits the prescriptive authority of the CTP holder from exceeding the prescriptive authority of the collaborating physician. 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 . Not only can losing weight harm an unborn baby during pregnancy, but the drug may also cause adverse effects. CIV 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. Phentermine is a popular prescription drug that is often used to treat obesity. , x8FvuN3il&_t%(af?uE7wRu\BbK. You may opt-out of email communications at any time by clicking on Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 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 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. Accessed Oct. 11, 2022. All rights reserved.5115 Parkcenter Avenue Suite 200 Dublin, OH 43017ph: 800.766.6762info@osma.org. Carefully follow your doctor's instructions for a reduced-calorie diet plan and regular exercise. To provide you with the most relevant and helpful information, and understand which health information, we will treat all of that information as protected health Thus, in order to make the most of this drug, patients need make some effort too. The weight loss experts who OSMA has consulted with have indicated that misuse of phentermine is unlikely. It is vital to talk with the doctor before using Phentermine with other products. For more FAQs, please see our full archive of Frequently Asked Questions about phentermine and related prescription appetite suppressants. They help the body produce a larger amount of energy from fat cells, which further reduces body fat percentage. Phentermine.com is a property of: Careworld LLC. Create well-written care plans that meets your patient's health goals. This content does not have an Arabic version. 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. Intravenous phentolamine (Regitine, CIBA) has been suggested on pharmacologic grounds for possible acute, severe hypertension, if this complicates overdosage. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Phentermine is most commonly prescribed to patients who experience negative health effects to excessive amounts of body weight. The patient could have had the prescription for the month of October filled at another pharmacy. Tachyphylaxis and tolerance have been demonstrated with all drugs of this class in which these phenomena have been looked for. The drug has two primary functions in the human body, which is the reason why it is always accompanied by these lifestyle changes. Like other weight-loss medicines ordered by providers, phentermine is meant to be only part of a weight-loss plan. (2019, May 03). 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 ( 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. Review/update the 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). 2 However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. 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. Tablets: 37.5 mg phentermine hydrochloride, USP (equivalent to 30 mg phentermine base). Other brands of this drug include Suprenza, Phentercot, Acxion, Elvenir, Terflamex, Panbesy, Duromine, Fentermina, Phentermin, PHentermine and Lomaira. 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. Any knowledge would be most appreciated. Our members represent more than 60 professional nursing specialties. 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. 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. "@Hw4`tqCA\+ q [AF]` b L ! 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. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Swallow the extended-release capsule whole. In some cases, the side effects were life-threatening and led to the death of a patient. endstream
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Phentermine is contraindicated during pregnancy because weight loss offers no potential benefit to a pregnant woman and may result in fetal harm. OSMA has historically had concerns with the limitations that these rules place on physicians who treat patients with obesity. 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. Despite the initial draw of saving time and money by completing your consultation online and receiving weight loss pills in the mail, using these online phentermine doctors is not safe. 2020; doi:10.4093/dmj.2020.0258. 2019; doi:10.1016/j.mayocp.2018.11.020. 1558 0 obj
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If the time is too close to the next dose, it is recommended to skip the dose they have missed. ). Since it may lead to such symptoms, it also has the potential to cause severe withdrawal symptoms, especially when a patient goes cold turkey. Management of acute Phentermine hydrochloride intoxication is largely symptomatic and includes lavage and sedation with a barbiturate. 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. other information we have about you. More specifically, this medication is an option for people with a body mass index (BMI): Weight-related conditions that may qualify a lower-BMI patient for phentermine include: type 2 diabetes, high cholesterol (hyperlipidemia), and controlled high blood pressure (hypertension) ( Phentermine may decrease the hypotensive effect of adrenergic neuron blocking drugs. Copyright 2023 IBM Watson Health. Before writing a phentermine prescription, he or she will evaluate your: While any doctor can prescribe phentermine, not all doctors feel comfortable doing so. 4 0 obj It is obvious that these symptoms can make the entire program useless. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Phentermine. Generic name: Phentermine hydrochloride Yes, you need a prescription for phentermine. https://fco.factsandcomparisons.com/. Unfortunately, the answer is no in most cases. hbbd``b`z$@D`]"@DeX- Bb V ``LA\F*? This content does not have an Arabic version. [Who Prescribed Your Phentermine?]. Do not keep outdated medicine or medicine no longer needed. IBM Micromedex. It is illegal and unsafe to buy phentermine without a prescription. 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 the most popular weight loss medications. 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. privacy practices. They are usually real doctors who prescribe real phentermine without the now-mandatory face-to-face consultation. This medicine is available in four forms: capsules, disintegrating tablets, extended-release capsules, and tablets. Phentermine is not a miracle drug taken daily and the body simply starts losing weight all by itself. Want to get more tips, information, and motivation? See Drug Abuse and Dependence (9) and Overdosage (10). 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. Precaution should be taken if a patient has any existing health concerns as the drug may cause further harm to their body. The final option is online doctors who prescribe phentermine. If we combine this information with your protected If the drug is taken too late in the day, it may also cause 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. Dosage should be individualized to obtain an adequate response with the lowest effective dose. Phentermine Hydrochloride Tablets, USP 37.5 mg are white oval shaped bisected tablet with blue specs, debossed with 810 on bisected side. Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise.