These are two schedule- IV medications, phentermine/topiramate (Qsymia), and locaserin (Belviq), as well as non-controlled naltrexone hydrochloride/ buproprion hydrochloride (Contrave). 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. The medication has been classified as a controlled substance in most countries and is also classified as a schedule IV prescription drug. Rx only. 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. Phentermine Hydrochloride Tablets, USP 37.5 mg are white oval shaped bisected tablet with blue specs, debossed with 810 on bisected side. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. For example, it can be be used with healthy eating, physical activity and behavior change. Phentermine has been linked to many complications; knowing these details will help patients minimize their risk of experiencing such unwanted scenarios. 2 HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ADIPEX-P safely and effectively. The strength and dosage of Phentermine depend on the brand that is prescribed and the patients specific condition. Obesity has been linked to many different diseases, including type 2 diabetes and cardiovascular disease. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. As mentioned above, new mothers should avoid using this medication when breastfeeding. 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. 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. The additional boost in energy will also increase the physical activity levels, thereby providing an additional method for them to lose weight and gain overall health benefits. Phentermine is a Schedule 4 drug. 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. Ohio Administrative Code 4731-11-04 and 4731-11-04.1. 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. Trends in Prescribing and Dispensing Patterns . include protected health information. Mayo Clinic does not endorse companies or products. Phentermine is a Schedule IV controlled substance. But it isn't a good choice for people with heart disease, high blood pressure, an overactive thyroid gland or glaucoma. Even after the period that the drug has been prescribed for, the doctor will often recommend to gradually stop using the Phentermine to avoid the withdrawal symptoms. 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. Generic name: Phentermine hydrochloride State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127 (614) 466-3934 med.ohio.gov Rule 4731-11-02 | General provisions. information is beneficial, we may combine your email and website usage information with 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. include protected health information. These are both major barriers to optimal medical care. The following information includes only the average doses of this medicine. Since it may lead to such symptoms, it also has the potential to cause severe withdrawal symptoms, especially when a patient goes cold turkey. Do You Need a Prescription for Phentermine? Some preparations of the formula, however, have been classified as schedule II drugs. Phentermine is not to be used while pregnant or breastfeeding under any circumstances. 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. Learn more about popular brands, dosage, side effects, results, and weight loss alternatives. Accessed Oct. 11, 2022. 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 Taking Phentermine depends on the brand and preparation of the drug. 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. W0Qxe {>x??}# cGCSGGC[G(P A@3'i~ (2[n! Long-term efficacy and safety of anti-obesity treatment: Where do we stand? Tablets: 37.5 mg phentermine hydrochloride, USP (equivalent to 30 mg phentermine base). Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. Some patients experience an increase in sexual interest, while others notice that they have a lower libido. Phentermine is approved for use for up to 12 weeks. 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 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)]. (2019, June 20). Children 16 years of age and youngerUse is not recommended. In order to use Phentermine, the doctor needs to prescribe the drug for a specific patient. Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. A physician is the only person who can prescribe phentermine. 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. The patient could have had the prescription for the month of October filled at another pharmacy. It is not uncommon for patients to experience a change in their sexual interest. Dosage form: tablet Unfortunately, patients experienced a variety of side effects, which included severe heart toxicity and hypertension. 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. Take the disintegrating tablet with or without food. However, the medication does have a considerable street value. The CPG determination is specific to Qsymin, Belviq and Contrave only. Dryness of the mouth, unpleasant taste, diarrhea, constipation, other gastrointestinal disturbances. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). The drug is always accompanied by increased physical activity and a diet that includes a lower amount of calories. 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. Find out everything you need to know about weight loss drugs in our prescription weight loss pill guide. In order to determine the effectiveness of certain pharmaceuticals, supplements and other substances, clinical trials and scientific research are often conducted among a group of volunteers. Some of these include: As with many other prescription drugs, Phentermine can also interact with certain medications. Unfortunately, the answer is no in most cases. Safety and effectiveness in pediatric patients have not been established. Also, it may cause certain side effects to become much worse. 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. Last updated on Mar 22, 2022. Thus, in order to make the most of this drug, patients need make some effort too. However in the presence of topiramate, Phentermine Cmax and AUC increase 13% and 42%, respectively. Moreover, it is strongly recommended to avoid or limit the alcohol intake. Patients must be instructed on how much Phentermine to take, and when and how to take it [see Dosage and Administration (2)]. It depends on supplements a patient would like to take. Doctors used it to help patients who experience certain health issues caused by obesity to lose weight and improve the symptoms they are experiencing. The usual adult dose is one tablet (37.5 mg) daily, as prescribed by the physician, administered before breakfast or 1 to 2 hours after breakfast. Learn about the benefits and advantages of Phen Caps! With more than 4 million prescriptions written in the United States each year, phentermine is an undeniably popular weight loss medication ( 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. 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. 121 0 obj <>/Filter/FlateDecode/ID[<5D80FCFEE48BF540827EEA7155FB4128>]/Index[104 35]/Info 103 0 R/Length 85/Prev 180155/Root 105 0 R/Size 139/Type/XRef/W[1 2 1]>>stream All rights reserved. However, if it is almost time for your next dose, skip the missed dose and go back to your . Le81g Of Rdb-YR!bLEbfYo9(e 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. Based on Ohio's opioid prescribing guidelines, we developed an opioid prescribing rule that applies to all BWC-certified prescribers.
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