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. Instead, wait until you can go to a local doctor or consider other, over-the-counter weight loss options. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient. Before writing a phentermine prescription, he or she will evaluate your: While any doctor can prescribe phentermine, not all doctors feel comfortable doing so. allnurses is a Nursing Career & Support site for Nurses and Students. iQJG\If6CuoG^|&qXegM,+vmC [To w{`F@kMxVBrH7.1g B;H _BfHPXK#Q Rule 4731-11-04.1 Controlled substances: utilization for chronic weight management. Lomaira: One tablet three times a day, taken 30 minutes before meals. Phentermine is a popular prescription drug that is often used to treat obesity. I am finding limited information. This content does not have an English version. The Formulary can be accessed on the Board of Nursing website: www.nursing. hb```e````a`d`@ f(fcfILLvL~. In relatively short-term clinical trials, adult obese subjects instructed in dietary management and treated with anorectic drugs lost more weight on the average than those treated with placebo and diet. @ d 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. 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. Your doctor may prescribe both of these drugs separately, or choose to prescribe Qsymia, which is another medication that combines Phentermine and Topamax. Fatigue and depression usually follow the central stimulation. See Drug Abuse and Dependence (9) and Overdosage (10). Here are the results of a recent poll that asked current phentermine patients where they received their phentermine prescription ( 100 TABLETS A total of 24 patients developed heart valve disease while taking this drug, which led the FDA to withdraw the product from the market in 1997. Available for Android and iOS devices. Phentermine Hydrochloride Tablets, USP 37.5 mg are white oval shaped bisected tablet with blue specs, debossed with 810 on bisected side. Yes, phentermine is a federally controlled substance because it may be abused or lead to Mayo Clinic Proceedings. The overdose symptoms include: The side effects of Phentermine can lead to several symptoms that may impair certain functions in the patients body. Studies have not been performed with Phentermine to determine the potential for carcinogenesis, mutagenesis or impairment of fertility. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. https://www.micromedexsolutions.com. Some of these include: As with many other prescription drugs, Phentermine can also interact with certain medications. They are usually real doctors who prescribe real phentermine without the now-mandatory face-to-face consultation. Do not keep outdated medicine or medicine no longer needed. Overstimulation, restlessness, dizziness, insomnia, euphoria, dysphoria, tremor, headache, psychosis. 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. State Medical Board of Ohio > Resources > Weight Loss Drugs Phentermine HCl Tablets, USP 37.5 mg 4 Implementation of the Ryan Haight Online Pharmacy Consumer Protection Act of 2008. Tak YJ, et al. 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. The drug is also available in regular capsules that are taken orally with a glass of water. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Based on the reported excretion of Phentermine in urine, exposure increases can be expected in patients with renal impairment [see ClinicalPharmacology (12.3)]. Advise pregnant women and nursing mothers not to use Phentermine [see Use in Specific Populations (8.1, 8.3)]. Long-term efficacy and safety of anti-obesity treatment: Where do we stand? A physician is the only person who can prescribe phentermine. the unsubscribe link in the e-mail. 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. Should the collaborating physician have restrictions on his/her ability to prescribe controlled substances including controlled substance weight loss medications, the CTP holder would be limited by the same restrictions.The administrative rules, Advanced Practice Registered Nurse Certification and Practice, contained in Chapter 4723-8, of Ohio Administrative Code (OAC), require all APRNs to utilize and incorporate into the nurses practice knowledge of Chapter 4731.,ORC, and rules adopted under that chapter by the State Medical Board that govern the practice of the nurses collaborating physician. Do You Need a Prescription for Phentermine? Between the consultation, labs, prescription, and supplements (if applicable), weight loss clinics are also an expensive option. A reduction in insulin or oral hypoglycemic medications in patients with diabetes mellitus may be required. Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. endstream endobj 105 0 obj <> endobj 106 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/Type/Page>> endobj 107 0 obj <>stream endstream endobj startxref We comply with the HONcode standard for trustworthy health information. The amount of medicine that you take depends on the strength of the medicine. PDF Reference ID: 3115694 - Food and Drug Administration In most cases, the drug is prescribed to users in periods of 12 weeks. PDF ADI-40091 Adipex-P PI v2 Y$iqzZz\vlt1a;svw&aBS8Z(HGCkr&_Qxt97t,GWceTL^QqX(%8_A2'"%tD'DNz"G*"Tc. 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. 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. It is vital to talk with the doctor before using Phentermine with other products. Click here for an email preview. All trademarks are the property of their respective owners. Long-term Phentermine Pharmacotherapy: An Investigation for Symptoms of Phentermine: Package Insert / Prescribing Information - Drugs.com hWmo8+jE'"m{F Follow your doctor's orders or the directions on the label. PDF State Medical Board of Ohio A doctor is the only person who can determine if phentermine is right for you. information submitted for this request. 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. Phentermine is a popular prescription drug that is often used to treat obesity. For more information, the rule package submitted to the Common Sense Initiative (CSI) office for review can be found here:https://med.ohio.gov/LinkClick.aspx?fileticket=Q2JmI7o-3HI%3d&portalid=0, 2023 The Ohio State Medical Association. The most common brand of Phentermine is a product known as Adipex, but officially called Adipex-P. Keep from freezing. The amount of weight loss associated with the use of an anorectic drug varies from trial to trial, and the increased weight loss appears to be related in part to variables other than the drugs prescribed, such as the physician-investigator, the population treated and the diet prescribed. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function. It is often prescribed to be taken in the morning, before or after breakfast. So some health care providers might order it for longer use. Use caution in prescribing Phentermine for patients with even mild hypertension (risk of increase in blood pressure). Or it can help you feel full longer. Our members represent more than 60 professional nursing specialties. Each capsule, for oral administration, contains 105 mg Phendimetrazine tartrate manufactured in a special base designed for prolonged release. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). United Nations Office on Drugs and Crime. Drug classes: Anorexiants, CNS stimulants. Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. Phentermine may impair the ability of the patient to engage in potentially hazardous activities such as operating machinery or driving a motor vehicle; the patient should therefore be cautioned accordingly. Based on Ohio's opioid prescribing guidelines, we developed an opioid prescribing rule that applies to all BWC-certified prescribers. other information we have about you. The combined drug is approved for long-term use. Dosage form: tablet Phentermine is related chemically and pharmacologically to the amphetamines. Doctors often combined the use of Phentermine with diuretics, thyroid hormone medicines and digitalis. (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 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. 3 Phentermine has pharmacologic activity similar to amphetamine (d- and dll-amphetamine) [see Clinical Pharmacology (12.1)]. - 7 Swallow the extended-release capsule whole. Concomitant use of alcohol with phentermine may result in an adverse drug reaction. The most common side effects that patients experience include tremors, headaches, dizziness, dry mouth, diarrhea, constipation, upset stomach, feeling restless and being hyperactive. 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. 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. Trends in Prescribing and Dispensing Patterns . 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. Unfortunately, the answer is no in most cases. Clinics specializing in weight loss often employ bariatric specialists who have additional training in obesity management. Rx only. Tablets containing 37.5 mg Phentermine hydrochloride (equivalent to 30 mg Phentermine base). While the drug is considered to be relatively safe for individuals who are older than 16, the recommended age is 18. The drug has two primary functions in the human body, which is the reason why it is always accompanied by these lifestyle changes. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Adipex-P (phentermine hydrochloride) capsules label, Greater than 27 kg/m2 + one or more weight-related condition, Vitals (heart rate, blood pressure, etc. This combination of ingredients was branded as Fen-Phen. Learn about the benefits and advantages of Phen Caps! 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. Ohio has some of the strictest rules in the country andthe current rules place time limitations on prescriptions that, many times, force physicians to stop a medication that is showing positive weight loss results. If not, additional education or an additional certification may be needed. But weight management can take time. It's designed to help prevent opioid dependence for Ohio's injured workers through its three primary goals. Comprehensive review of current and upcoming anti-obesity drugs. The initial symptom of PPH is usually dyspnea. 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 17.5% plasma protein-bound, while topiramate is 15 - 41% plasma protein-bound when the blood concentration range is 0.5 to 250 g/mL. 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. Losing weight during pregnancy can harm both a mother and her baby. These are all promoted as weight loss pills that assist obese individuals. Phentermine is not recommended for use in pediatric patients 16 years of age. , If you take too much of this medicine, it may become habit-forming (causing mental or physical dependence). (1/19/2016) Ohio Strenthens Opioid Prescribing Guidlines to Further Prevent Prescription Drug Abuse and Save . 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. 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. After the tablet has melted, swallow or take a sip of water. Abuse of amphetamines and related drugs may be associated with intense psychological dependence and severe social dysfunction. Carefully follow your doctor's instructions for a reduced-calorie diet plan and regular exercise. For oral dosage form (extended-release capsules): Adults and children 16 years of age and olderOne capsule once a day, taken before breakfast or 10 to 14 hours before sleeping. The least amount feasible should be prescribed or dispensed at one time in order to minimize the possibility of overdosage. 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. It depends on supplements a patient would like to take. If you are a Mayo Clinic patient, this could There are reports of patients who have increased the dosage of these drugs to many times than recommended. In order to use Phentermine, the doctor needs to prescribe the drug for a specific patient. While discussing the use of Phentermine with the doctor, a patient is provided a list of lifestyle changes to implement while using this product. The CPG determination is specific to Qsymin, Belviq and Contrave only. Specializes in NICU, PICU, Transport, L&D, Hospice. Along with Ohio's telehealth law in Sub. All rights reserved. This website is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. But it isn't a good choice for people with heart disease, high blood pressure, an overactive thyroid gland or glaucoma. 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. Current Obesity Reports. Intravenous phentolamine (Regitine, CIBA) has been suggested on pharmacologic grounds for possible acute, severe hypertension, if this complicates overdosage. Prescribing phentermine - Medical Protection Phentermine is not to be used while pregnant or breastfeeding under any circumstances. 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. Chapter 4731-11 - Ohio Administrative Code | Ohio Laws Package insert / product label Press Releases. The patient brings in a prescription for the same drug on November 1, 2013. You may opt-out of email communications at any time by clicking on Phentermine is related chemically and pharmacologically to amphetamine (d- and dll-amphetamine) and other related stimulant drugs have been extensively abused. OhioBWC - Provider: (Opioid Educate) - About prescribing Required fields are marked *. It is not uncommon for patients to experience a change in their sexual interest. However, the medication does have a considerable street value. 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 medical boards ICD-10 Committee is tasked with reviewing ICD-10 data that physicians submit to the OARRS system when prescribing controlled substances. Phentermine is most commonly prescribed to patients who experience negative health effects to excessive amounts of body weight. Not only can losing weight harm an unborn baby during pregnancy, but the drug may also cause adverse effects. Gastrointestinal symptoms include nausea, vomiting, diarrhea and abdominal cramps. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Drug information provided by: IBM Micromedex. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. 0 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. Phentermine doctors network. 1-612-816-8773. 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. Missed Dose . Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. 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. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Plus, the doctors are not familiar with your overall health status, instead relying entirely on self-reported information, which is often incomplete or inaccurate. The recommended maximum dosage of Phentermine is 15 mg daily for patients with severe renal impairment (eGFR 15 to 29 mL/min/1.73m2). Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. But regarding phentermine monotherapy, phentermine hydrochloride (HCl) is a sympathomimetic Drug Enforcement Agency (DEA) scheduled IV drug approved as an anti-obesity medication and marketed in the US since 1959 (See Table 1).The reported weight reduction efficacy of phentermine [10] derived from . ). The following information includes only the average doses of this medicine. These are two schedule- IV medications, phentermine/topiramate (Qsymia), and locaserin (Belviq), as well as non-controlled naltrexone hydrochloride/ buproprion hydrochloride (Contrave). Rule 4731-11-03 | Utilization of anabolic steroids, schedule II controlled substance cocaine hydrochloride, and schedule II controlled substance stimulants. NDC 42806-810-01 Telehealth Guidance - Ohio When performing prospective DUR, the pharmacist notices a 30-day gap in treatment. Learn about phentermine and succeed in your weight loss journey. This search engine indexes the Drug Enforcement Administration Diversion Control Program Web Site (www.deadiversion.usdoj.gov) only. endstream endobj 1531 0 obj <>/Metadata 26 0 R/Pages 1528 0 R/StructTreeRoot 41 0 R/Type/Catalog>> endobj 1532 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/TrimBox[0.0 0.0 630.0 702.0]/Type/Page>> endobj 1533 0 obj <>stream Opioid Prescribing Guidelines - Ohio All rights reserved.5115 Parkcenter Avenue Suite 200 Dublin, OH 43017ph: 800.766.6762info@osma.org. 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. Phentermine Monograph for Professionals - Drugs.com | Prescription Drug Sign-up for our weekly newsletter! Phentermine is a sympathomimetic amine with pharmacologic activity similar to the prototype drugs of this class used in obesity, amphetamine (d- and dll-amphetamine). 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. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Therefore, coadministration of Phentermine and these drug products is not recommended. eG)mW`Bq:qq_W#!]WD w">=qtP"&Lb1=D.$MaK'5c'c84@i6j8H:{V6K}sTL N[v})xukk\+3+A{g$q5|zX99{c]Y7l3.dD6[\ U,r ,!,'\N "(%7M$7M_@3&riT~H!IJx$"SC4DiivT69SjH$2 oQ+#?G2 %Jj\ongTRQr$$Ym&" %e"[6X)X\R phIl;ZL#ac All rights reserved. Portions of this document last updated: Feb. 01, 2023. If you are a good candidate for the medication, but your doctor does not prescribe phentermine, ask for a referral.
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