Although phentermine is the agent-of-choice among physicians specializing in obesity treatment, the use of this drug for obesity treatment by other physicians has long been curtailed because misapprehensions regarding phentermine safety. Patients must be instructed on how much Phentermine to take, and when and how to take it [see Dosage and Administration (2)]. All rights reserved.5115 Parkcenter Avenue Suite 200 Dublin, OH 43017ph: 800.766.6762info@osma.org. Some people also receive a phentermine prescription from their gynecologist (OB-GYN). Instead, wait until you can go to a local doctor or consider other, over-the-counter weight loss options. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. United Nations Office on Drugs and Crime. Phentermine Hydrochloride Tablets are indicated only as short-term (a few weeks) monotherapy for the management of exogenous obesity. Today, Phentermine can still be obtained through the doctors prescription in the majority of countries around the world. 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. Precaution should be taken if a patient has any existing health concerns as the drug may cause further harm to their body. hWmo8+jE'"m{F OSMA has historically had concerns with the limitations that these rules place on physicians who treat patients with obesity. Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. Swallow the extended-release capsule whole. 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. Phentermine hydrochloride: Usual dosage is 8 mg 3 times daily (given 30 minutes before meals) or 15-37.5 mg once daily (in the morning). Studies have not been performed with Phentermine to determine the potential for carcinogenesis, mutagenesis or impairment of fertility. Phentermine is a Schedule IV controlled substance. They are usually real doctors who prescribe real phentermine without the now-mandatory face-to-face consultation. All rights reserved. Tablets containing 37.5 mg Phentermine hydrochloride (equivalent to 30 mg Phentermine base). information and will only use or disclose that information as set forth in our notice of Typical actions of amphetamines include central nervous system stimulation and elevation of blood pressure. United States of America, Drug Enforcement Administration, Federal Register. As phentermine is similar to amphetamine, it is a controlled drug (class C5) and has the potential for abuse. 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) ( If we combine this information with your protected Some brands use a dissolving tablet that is placed under the tongue, which allows the body to absorb the chemicals in the drug faster. (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 Dr. Lazarus, we will discuss combination phentermine therapy later in this roundtable discussion. 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. https://www.micromedexsolutions.com. Use of Phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis. The medical boards ICD-10 Committee is tasked with reviewing ICD-10 data that physicians submit to the OARRS system when prescribing controlled substances. It is illegal and unsafe to buy phentermine without a prescription. information and will only use or disclose that information as set forth in our notice of The dose of this medicine will be different for different patients. @ d
Generic name: Phentermine hydrochloride Along with Ohio's telehealth law in Sub. As much as 33% of the U.S. adult population are considered to be obese. The MAO inhibitors (Monoamine Oxidase Inhibitors) are used to treat depression, especially a specific type called atypical depression. U.S. Food and Drug Administration. There is a problem with 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)]. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient. Phentermine may decrease the hypotensive effect of adrenergic neuron blocking drugs. 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. %PDF-1.6
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It is vital to talk with the doctor before using Phentermine with other products. This brand is manufacturedby Teva Pharmaceuticals (formerly GATE Pharmaceuticals). (2019, June 20). (1/19/2016) Ohio Strenthens Opioid Prescribing Guidlines to Further Prevent Prescription Drug Abuse and Save . https://fco.factsandcomparisons.com/. This website is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. 4 1558 0 obj
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Review/update the Some of these include: As with many other prescription drugs, Phentermine can also interact with certain medications. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. There is a problem with Phentermine is pregnancy category X, so it should never be taken while pregnant or nursing ( Succeed on your weight loss journey with our curated resources! Animal reproduction studies have not been conducted with Phentermine. I am finding limited information. If you miss a dose of this medicine, take it as soon as possible. I wonder whose pockets got lined with that one. Since Phentermine is a drug that contains chemical compounds, it is important to know about all of the risks that are involved with its use and precautions a person should be aware of before the consumption. 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. Following the administration of Phentermine, Phentermine reaches peak concentrations (Cmax) after 3 to 4.4 hours. include protected health information. Follow your doctor's orders or the directions on the label. hb```e````a`d`@ f(fcfILLvL~. A single copy of these materials may be reprinted for noncommercial personal use only. The medical board would like to work with the pharmacy board to make OARRS reports more available and helpful to physicians. Before writing a phentermine prescription, he or she will evaluate your: While any doctor can prescribe phentermine, not all doctors feel comfortable doing so. 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. JC. Not only can losing weight harm an unborn baby during pregnancy, but the drug may also cause adverse effects. Advertising revenue supports our not-for-profit mission. = Take this medicine only as directed by your doctor. 0
This medication has been linked to physical dependence, which means a patient may become addicted to it. 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. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Unfortunately, patients experienced a variety of side effects, which included severe heart toxicity and hypertension. Phentermine is not recommended for use in pediatric patients 16 years of age. information highlighted below and resubmit the form. See full prescribing information for ADIPEX-P. Phentermine also is offered combined with topiramate for weight loss (Qsymia). Your doctor may prescribe both of these drugs separately, or choose to prescribe Qsymia, which is another medication that combines Phentermine and Topamax. 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/m 2, or 27 kg/m 2 in the presence of other risk factors (e.g., 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. endstream
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, If not, additional education or an additional certification may be needed. 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. 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. hb``````>X,K10wdjdZ(`l Ro4'
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(2019, May 03). 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). In order to help patients reduce their risk of developing these diseases when they are obese, doctors usually prescribe Phentermine. health information, we will treat all of that information as protected health endstream
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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. Find out everything you need to know about weight loss drugs in our prescription weight loss pill guide. CTP holders continue to be prohibited from prescribing all other anorexiants including, but not limited to phentermine (Adipex). However, the medication does have a considerable street value. 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. 4 Rule 4731-11-04 | Controlled substances: Utilization of short term anorexiants for weight reduction. Ohio has some of the strictest rules in the country and. information submitted for this request. The following information includes only the average doses of this medicine. At January's meeting, the board discussed the rules and elected to investigate what other states are doing to regulate weight loss medication. For oral dosage form (disintegrating tablets): Adults and children 17 years of age and olderOne tablet once a day, taken in the morning. Studies do not permit conclusions as to the relative importance of the drug and non-drug factors on weight loss. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. See DrugAbuse and Dependence (9.3). The CPG determination is specific to Qsymin, Belviq and Contrave only. Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. Any knowledge would be most appreciated. Acidification of the urine increases Phentermine excretion. When breastfeeding, the drug may enter the breast milk and travel into the nursing babys body, which may cause harm to them. Our members represent more than 60 professional nursing specialties. endstream
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If you are a Mayo Clinic patient, this could FULL PRESCRIBING of the risk of hypertensive crisis. Unfortunately, the answer is no in most cases. Losing weight during pregnancy can harm both a mother and her baby. Phentermine, an amphetamine congener, is the most widely used anti-obesity drug in the U.S. Later on, between 1940 and 1960, Phentermine was combined with other medications to improve its effectiveness. Rx only. Unpublished raw data. Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. Existing health conditions that may act as a problem include diabetes, thyroid disorders, hypertension and kidney disease. Le81g Of Rdb-YR!bLEbfYo9(e The health information contained here is provided for educational purposes only and is not intended to replace discussions with a healthcare provider. If we combine this information with your protected Since 1997, allnurses is trusted by nurses around the globe. 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. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use . Before you schedule your first appointment, do some research to find out how much the whole process costs and if you can use outside coupons like prescription discount cards. Adults and children 17 years of age and older15 to 30 milligrams (mg) once a day, taken at approximately 2 hours after breakfast. Last updated on Mar 22, 2022. Here are the results of a recent poll that asked current phentermine patients where they received their phentermine prescription ( Accessed Oct. 11, 2022. 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)]. It is both dangerous and potentially illegal to use an online phentermine doctor. What to offer the 99% of patients with severe obesity who do not undergo bariatric surgery? Won Son J, et al. Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. These are two schedule- IV medications, phentermine/topiramate (Qsymia), and locaserin (Belviq), as well as non-controlled naltrexone hydrochloride/ buproprion hydrochloride (Contrave). Instead of simply quitting the program, a patient should rather consult a healthcare provider about quitting. In some cases, the side effects were life-threatening and led to the death of a patient. 104 0 obj
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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. Drug information provided by: IBM Micromedex. OSMA has historically had concerns with the limitations that these rules place on physicians who treat patients with obesity. Rule 4731-11-02 | General provisions. 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. Tablets are packaged in bottles of 100 (NDC 42806-810-01); and 1000 (NDC 42806-810-10). Some of the studies that have linked Phentermine to positive results in humans include: The main active ingredient is known as Phentermine Hydrochloride. Phentermine is related chemically and pharmacologically to amphetamine (d- and dll-amphetamine) and other related stimulant drugs have been extensively abused. ), Cannot find a doctor in your network that prescribes phentermine. Wait, so NPs may prescribe Qsymia, but not phentermine? She is passionate about promoting health at any size. Lomaira: One tablet three times a day, taken 30 minutes before meals. 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 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