Portions of this document last updated: Feb. 01, 2023. 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. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. If you miss a dose of this medicine, take it as soon as possible. Metric conversions are as follows: pounds 2.2 = kg; inches x 0.0254 = meters. 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. 97-102; s. 301, ch. 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. Obesity has been linked to many different diseases, including type 2 diabetes and cardiovascular disease. 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, Known hypersensitivity, or idiosyncrasy to the sympathomimetic amines, Effect on the ability to engage in potentially hazardous tasks [see, Withdrawal effects following prolonged high dosage administration [see, Development of primary pulmonary hypertension [see, Development of serious valvular heart disease [see, Effects on the ability to engage in potentially hazardous tasks [see, The risk of an increase in blood pressure [see, the potential for developing tolerance and actions if they suspect development of tolerance [see, the risk of dependence and the potential consequences of abuse [see. 0000000828 00000 n Also, it may cause certain side effects to become much worse. This combination of ingredients was branded as Fen-Phen. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. 138 0 obj <>stream 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 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. Requirements may be altered [see Warnings and Precautions (5.9)]. Concomitant use of alcohol with Phentermine may result in an adverse drug reaction. Other brands of this drug include Suprenza, Phentercot, Acxion, Elvenir, Terflamex, Panbesy, Duromine, Fentermina, Phentermin, PHentermine and Lomaira. (d) each prescription writtenby a practitioner in this statefor a controlledsubstance listed in schedule ii, schedule iii, or schedule iv must include a writtenand a numerical notation of the quantity of the controlled substance prescribed and a notation of the datein numerical, month/day/year format, or with the abbreviated month writtenout, or the month writtenout in . Phentermine is a Schedule 4 drug. - 7 By: Susan St. John Pursuant to Section 456.44(3)(a), Florida Statutes, and Rule 64B-9.013(3)(a), Florida Administrative Code, a practitioner must evaluate a patient by taking a complete medical history and performing a physical examination prior to prescribing a controlled substance to a patient. <]>> It is not known if Phentermine is excreted in human milk; however, other amphetamines are present in human milk. %PDF-1.6 % information submitted for this request. Y$iqzZz\vlt1a;svw&aBS8Z(HGCkr&_Qxt97t,GWceTL^QqX(%8_A2'"%tD'DNz"G*"Tc. Any time such prescriptions are made for children, the prescribing physician must obtain a written informed consent from the parent or legal guardian of the minor patient in addition to complying with the other guidelines and standards set forth in this rule. A pharmacist, in good faith and in the course of professional practice only, may dispense controlled substances upon a written or oral prescription of a practitioner, under the following conditions: Oral prescriptions must be promptly reduced to writing by the pharmacist or recorded electronically if permitted by federal law. 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. Section 458.336, F.S. The directions for the use of the controlled substance prescribed in the prescription. 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. Drugs to treat obesity; rules establishing guidelines. information is beneficial, we may combine your email and website usage information with Because pediatric obesity is a chronic condition requiring long-term treatment, the use of this product, approved for short-term therapy, is not recommended. 0000000909 00000 n information highlighted below and resubmit the form. 0 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. 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)]. Florida has received national attention for the large num- The FDA has categorized this drug as X for pregnancy, which means it should not be used during pregnancy under any circumstances. Opioid settlement billions flow to states, as advocates worry about 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. If the time is too close to the next dose, it is recommended to skip the dose they have missed. 64b8-9 Pharmacist and practitioner. Registration is accomplished by completing and returning the dispensing physician registration form. The Board of Medicine shall adopt rules to establish practice guidelines for physicians to safely prescribe phentermine, fenfluramine, and other drugs used to treat obesity. %PDF-1.4 % 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. A severe manifestation of chronic intoxication is psychosis, often clinically indistinguishable from schizophrenia. Taking too much Phentermine can be harmful to the patients body. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Phentermine is related chemically and pharmacologically to amphetamine (d- and dll-amphetamine) and other related stimulant drugs have been extensively abused. This includes prescription and nonprescription (over-the-counter) medicines, dietary supplements, herbal remedies, or medicines for appetite control, asthma, colds, cough, hay fever, and sinus problems. Some patients experience an increase in sexual interest, while others notice that they have a lower libido. Swallow the tablet whole. Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. If you are a Mayo Clinic patient, this could 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. Dosage form: tablet The MAO inhibitors (Monoamine Oxidase Inhibitors) are used to treat depression, especially a specific type called atypical depression. It depends on supplements a patient would like to take. Safety and effectiveness in pediatric patients have not been established. Joint Administrative Procedures Committee (JAPC), Joint Committee on Public Counsel Oversight(JCPO), Joint Legislative Auditing Committee (JLAC), Joint Legislative Budget Commission (JLBC), Joint Select Committee on Collective Bargaining (JSCB), Office of Program Policy Analysis & Government Accountability (OPPAGA), Florida Legislative Committee on Intergovernmental Relations (LCIR), Joint Legislative Committee on Everglades Oversight (JCEO), Joint Legislative Sunset Committee (JCSC), Copyright 1995-2023 The Florida Legislature . There is a problem with 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. "@Hw4`tqCA\+ q [AF]` b L ! Below is a chart of body mass index (BMI) based on various heights and weights. Lomaira: One tablet three times a day, taken 30 minutes before meals. Phentermine is approved for use for up to 12 . However, the medication does have a considerable street value. Your email address will not be published. Current Obesity Reports. Accessed Oct. 11, 2022. 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. IBM Micromedex. Therefore, coadministration of Phentermine and these drug products is not recommended. As phentermine is similar to amphetamine, it is a controlled drug (class C5) and has the potential for abuse. This website is a resource which lists doctors and clinics who may offer phentermine or appetite suppressants for patients they deem qualified. 188, ch. Advertising revenue supports our not-for-profit mission. Your email address will not be published. ]^Ng8\!HqX 'nR l# w! {A6.q=0G: S:nR-`\ |%Tx F5z :^EU\)|\eyt0F 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 Rule 4731-11-04 | Controlled substances for the treatment of obesity. Package insert / product label ZeS{$d!YS,|C~E;h4DJS?|{x}~ ?`2F. It is not uncommon for patients to experience a change in their sexual interest. 0000000016 00000 n The effective date is January 1, 2020. Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. Schedule. Overstimulation, restlessness, dizziness, insomnia, euphoria, dysphoria, tremor, headache, psychosis. The full name and address of the prescribing practitioner and the practitioners federal controlled substance registry number shall be printed thereon. the prescription is dispensed directly to a member of the United States armed forces serving outside the United States. Cumulative urinary excretion of Phentermine under uncontrolled urinary pH conditions was 62% to 85%. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota. 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. Review/update the Doctors often prescribe a dose of 5-HTP and vitamin B12 with a Phentermine prescription in order to enhance its effects and to relieve some side effects. A pharmacist may not knowingly fill a prescription that has been forged for a controlled substance listed in Schedule II, Schedule III, or Schedule IV. Burguera B, et al. When breastfeeding, the drug may enter the breast milk and travel into the nursing babys body, which may cause harm to them. Other initial symptoms may include angina pectoris, syncope or lower extremity edema. . Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. History.s. If the federal government fails to oversee how the money is spent, advocates worry it will be wasted. See Drug Abuse and Dependence (9) and Overdosage (10). 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. One of the most important things to consider is the fact that the drug should never be accompanied by an MAO inhibitor. https://www.uptodate.com/contents/search. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. 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. Chapter 893 DRUG ABUSE PREVENTION AND CONTROL Entire Chapter.
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