endstream endobj startxref Missed Dose . Phentermine HCl Tablets, USP 37.5 mg For example, it can be be used with healthy eating, physical activity and behavior change. Taking too much Phentermine can be harmful to the patients body. 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. 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. Based on the reported excretion of Phentermine in urine, exposure increases can be expected in patients with renal impairment [see ClinicalPharmacology (12.3)]. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. Required fields are marked *. The initial symptom of PPH is usually dyspnea. The health information contained here is provided for educational purposes only and is not intended to replace discussions with a healthcare provider. Start with your primary care doctor and schedule an appointment to discuss weight. The possible origins of the increased weight loss due to the various drug effects are not established. Your doctor may prescribe both of these drugs separately, or choose to prescribe Qsymia, which is another medication that combines Phentermine and Topamax. 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. Phentermine is related chemically and pharmacologically to the amphetamines. Learn about the benefits and advantages of Phen Caps! As mentioned above, new mothers should avoid using this medication when breastfeeding. Available for Android and iOS devices. Medically reviewed by Drugs.com. Based on Ohio's opioid prescribing guidelines, we developed an opioid prescribing rule that applies to all BWC-certified prescribers. 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. 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. Click here for an email preview. Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. Specializes in Cardiology, Research, Family Practice. (2019, June 20). information submitted for this request. The CPG determination is specific to Qsymin, Belviq and Contrave only. They are usually real doctors who prescribe real phentermine without the now-mandatory face-to-face consultation. She is passionate about promoting health at any size. 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 OSMA is actively following this issue and we are hopeful that the medical board will make changes to Ohios rules that will enable physicians to utilize their training and professional judgment, instead of restrictive time limits, when treating some of Ohios most vulnerable patients. If you are a good candidate for the medication, but your doctor does not prescribe phentermine, ask for a referral. Alternatively, 18.75 mg twice daily. 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. Some patients experience an increase in sexual interest, while others notice that they have a lower libido. 1 What could be the cause? 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 x\8zS wU^TM;J`Kc=@y\} Blf\3K|xL?D$aesY"_(ceD!s!@P,?K&Bd8cKS~zq=7'kiw\dqL:A ?O0O@+}y"z[?Os/Kht;[SN4h9c31{8Eh7dPc\BFE(e&9;!PUqK\aD 7) &\1!j-_Y7jD,Sp)AWc/igg?v{5\%a'd9"D0=gRGEZgpbMQJD *k*;1'w24w, d r d?&8xeEj`\2C6xrhq2@-{P5CbBL(/0m8&8Ltnvf};y852q*+I%l=+rwGUv*:!80|>tb?U?L,zG8%K`n]+:,LCE")Xz\^):{~{=vu=Qg`A\6qT=WCZ TcR%mi,OV_RtK1e&:By~i~!nu ): Most people get their phentermine from a family or primary care doctor ( Apart from these brand names, other brands that contain the drug as part of their multi-ingredient formula also exist and the most popular one is Qsymia. 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. (2009, April 06). As a reminder, Ohio law requires physicians who prescribe any controlled substances, not just opioids, to submit an ICD-10 code with that prescription. Concomitant use of alcohol with phentermine may result in an adverse drug reaction. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ADIPEX-P safely and effectively. Abuse of amphetamines and related drugs may be associated with intense psychological dependence and severe social dysfunction. 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. Many patients find that if their doctor gradually lowers their dose, for example from 37.5mg per day down to 15mg per day for the last few days, they experience fewer withdrawal symptoms and are able to keep the weight off later. Instead of simply quitting the program, a patient should rather consult a healthcare provider about quitting. Doctors often combined the use of Phentermine with diuretics, thyroid hormone medicines and digitalis. Also, it may cause certain side effects to become much worse. 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. Other brands of this drug include Suprenza, Phentercot, Acxion, Elvenir, Terflamex, Panbesy, Duromine, Fentermina, Phentermin, PHentermine and Lomaira. Adipex-P (phentermine hydrochloride) capsules label, Greater than 27 kg/m2 + one or more weight-related condition, Vitals (heart rate, blood pressure, etc. All rights reserved. Opioid Prescribing Guidelines - Ohio Losing weight during pregnancy can harm both a mother and her baby. Package insert / product label 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. Dr. Lazarus, we will discuss combination phentermine therapy later in this roundtable discussion. Because pediatric obesity is a chronic condition requiring long-term treatment, the use of this product, approved for short-term therapy, is not recommended. I wonder whose pockets got lined with that one. If you are a Mayo Clinic patient, this could The drug is also available in regular capsules that are taken orally with a glass of water. The least amount feasible should be prescribed or dispensed at one time in order to minimize the possibility of overdosage. The medical boards ICD-10 Committee is tasked with reviewing ICD-10 data that physicians submit to the OARRS system when prescribing controlled substances. ). endstream endobj startxref PDF State Medical Board of Ohio https://www.micromedexsolutions.com. The goal of the drug is to help patients lose weight and increase energy since the withdrawal symptoms of include fatigue and weight gain through an increase in appetite, the product is rendered a waste of the patients time and money. Children 16 years of age and youngerUse is not recommended. You may opt-out of email communications at any time by clicking on LiverTox National Institutes of Health. 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. Overdosage of pharmacologically similar compounds has resulted in fatal poisoning usually terminates in convulsions and coma. Get the best fitness, food, and weight loss tips to succeed on your journey! %PDF-1.6 % Taking Phentermine depends on the brand and preparation of the drug. ohio.gov under the Practice APRN link.Although the Formulary allows CTP holders to prescribe these three drugs under the circumstances documented by their respective standard care arrangement, there are other factors that must be considered by the CTP holder prior to initiating Qsymin, Belviq or Contrave prescriptions for patients. 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. 6 Adipex-P: Package Insert / Prescribing Information - Drugs.com Tachyphylaxis and tolerance have been demonstrated with all drugs of this class in which these phenomena have been looked for. Advertising revenue supports our not-for-profit mission. It can help weight loss by making you less hungry. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. 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. It is not known if Phentermine is excreted in human milk; however, other amphetamines are present in human milk. Gastrointestinal symptoms include nausea, vomiting, diarrhea and abdominal cramps. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. If not, additional education or an additional certification may be needed. 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. If a patient would like to take other supplements, they should consult their doctor first. Bariatric doctors are doctors that specialize in weight management. Implementation of the Ryan Haight Online Pharmacy Consumer Protection Act of 2008. Create well-written care plans that meets your patient's health goals. The Ohio Emergency and Acute Care Facility Opioids and Other Controlled Substances Prescribing Guidelines offer clinical guidance for the acute care environment where there is no established patient-doctor relationship. Use of Phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis. There is a problem with The FDA has categorized this drug as X for pregnancy, which means it should not be used during pregnancy under any circumstances. allnurses is a Nursing Career & Support site for Nurses and Students. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Portions of this document last updated: Feb. 01, 2023. 5 The possibility of an association between valvular heart disease and the use of Phentermine alone cannot be ruled out; there have been rare cases of valvular heart disease in patients who reportedly have taken Phentermine alone. 100 TABLETS Dosage should be individualized to obtain an adequate response with the lowest effective dose. Use caution when administering Phentermine to patients with renal impairment. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. So some health care providers might order it for longer use. Primary Pulmonary Hypertension (PPH) a rare, frequently fatal disease of the lungs has been reported to occur in patients receiving a combination of Phentermine with fenfluramine or dexfenfluramine. This medication has been linked to physical dependence, which means a patient may become addicted to it. 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 138 0 obj <>stream At January's meeting, the board discussed the rules and elected to investigate what other states are doing to regulate weight loss medication. After the tablet has melted, swallow or take a sip of water. Review/update the Adults and children 17 years of age and older15 to 30 milligrams (mg) once a day, taken at approximately 2 hours after breakfast. Mayo Clinic Proceedings. However, it caused a chronic condition known as pulmonary hypertension, which led to the death of many patients. If your dose is different, do not change it unless your doctor tells you to do so. Take the disintegrating tablet with or without food. Telehealth Guidance - Ohio Encourage prescribers to incorporate best clinical practices when prescribing opioids for treating Ohio . Phentermine is not a miracle drug taken daily and the body simply starts losing weight all by itself. phentermine, one tablet daily, #30 on September 1, 2013. Trends in Prescribing and Dispensing Patterns . Acidification of the urine increases Phentermine excretion. The combined drug is approved for long-term use. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. << /Length 5 0 R /Filter /FlateDecode >> The dosage varies from 15mg to 37.5mg per day. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. 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. Patients must be instructed on how much Phentermine to take, and when and how to take it [see Dosage and Administration (2)]. 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. Phentermine 4 0 obj The recommended maximum dosage of Phentermine is 15 mg daily for patients with severe renal impairment (eGFR 15 to 29 mL/min/1.73m2). When performing prospective DUR, the pharmacist notices a 30-day gap in treatment. Place the tablet on the top of your tongue right after removing it from the bottle. Follow your doctor's orders or the directions on the label. Rule 4731-11-04 - Ohio Administrative Code | Ohio Laws Even patients who are overweight and pregnant at the same time are not allowed to use this product. Do not keep outdated medicine or medicine no longer needed. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Some weight loss clinics also insist that patients take additional supplements, such as vitamin B12 shots and 5-HTP, to boost phentermine despite the supplements unproven effectiveness. The following adverse reactions are described, or described in greater detail, in other sections: The following adverse reactions to Phentermine have been identified: Primary pulmonary hypertension and/or regurgitant cardiac valvular disease, palpitation, tachycardia, elevation of blood pressure, ischemic events. The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. % You may opt-out of email communications at any time by clicking on Tablets: 37.5 mg phentermine hydrochloride, USP (equivalent to 30 mg phentermine base). BMI is calculated by taking the patients weight, in kilograms (kg), divided by the patients height, in meters (m), squared. Press Releases. PDF Mid-Level Practitioners Authorization by State Specializes in NICU, PICU, Transport, L&D, Hospice. Some people also receive a phentermine prescription from their gynecologist (OB-GYN). Phentermine is a popular prescription drug that is often used to treat obesity. 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). Typical actions of amphetamines include central nervous system stimulation and elevation of blood pressure. Prescribing phentermine - Medical Protection 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)]. Make sure your hands are dry before touching the tablet. Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. Phentermine is contraindicated during pregnancy because weight loss offers no potential benefit to a pregnant woman and may result in fetal harm. ). Unpublished raw data. 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. PDF What Every Pharmacist Needs to Know About Controlled Substances in 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. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. However in the presence of topiramate, Phentermine Cmax and AUC increase 13% and 42%, respectively. ). (5) A treatment plan based upon the clinical information obtained, to include all of the following components: (a) Diagnosis; (b) Objective goals for treatment; (c) Rationale for the medication choice and dosage; and (d) Planned duration of treatment and steps for further assessment and follow-up. Phentermine is a popular prescription drug that is often used to treat obesity. With more than 4 million prescriptions written in the United States each year, phentermine is an undeniably popular weight loss medication ( , Our mission is to Empower, Unite, and Advance every nurse, student, and educator. One of the most important things to consider is the fact that the drug should never be accompanied by an MAO inhibitor. Of course, it is taken orally. the unsubscribe link in the e-mail. Phentermine: Package Insert / Prescribing Information - Drugs.com If you take too much of this medicine, it may become habit-forming (causing mental or physical dependence). (2019). If this drug is used during pregnancy, or if the patient becomes pregnant while taking this drug, the patient should be apprised of the potential hazard to a fetus. 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. All rights reserved. Click here for an email preview. Or it can help you feel full longer. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Here are the results of a recent poll that asked current phentermine patients where they received their phentermine prescription ( Many people live far away from their nearest weight loss clinic, which can make follow-ups complicated. All rights reserved. Any knowledge would be most appreciated.
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