0 Some of these include: As with many other prescription drugs, Phentermine can also interact with certain medications. grants the Board of Medicine the authority to adopt rules to establish the practice guidelines for drugs used to treat obesity. Phentermine: Package Insert - Drugs.com They inhibit the activity of an entire enzyme family known as monoamine oxidase. (1) A pharmacist, in good faith and in the course of professional practice only, may dispense controlled substances upon a written, oral, or electronic prescription of a practitioner, under the following conditions: (a) Oral prescriptions must be promptly reduced to writing by the pharmacist or recorded . This documentation contains information regarding prescribing in Florida and is an effort to highlight Florida laws and rules related to prescribing in one doc ument. Phentermine is a Schedule IV controlled substance. 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. Duromine is not funded by Pharmac, so patients pay $160-$200 per month when they present a standard prescription of 30mg daily - in addition to the GP consultation fee. Thus, in order to make the most of this drug, patients need make some effort too. L^%0:T'xHGi,KGyVfZ5WI6&ZU1/VqM4.ct\i2gTAtQV%[$*/tbn"xS8JU$bljsI2)bs_/FouVGwCqX';z{0REZbSX,bXWPS#Bf|il#o'y`?jv{;!bS F#vPGzD"1~5~F%mW9YlGIQVYOS~kojbdQS!>|@Ph 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. @ d Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. 2020; doi:10.4093/dmj.2020.0258. information submitted for this request. Precaution should be taken if a patient has any existing health concerns as the drug may cause further harm to their body. endstream endobj startxref hX}(I 138 0 obj <>stream Children 15 years of age and youngerUse is not recommended. Taking Phentermine depends on the brand and preparation of the drug. Code R. 64B8-11.001 Advertising weight loss treatment shall be considered false, deceptive, or misleading if it contains representations that: (e) Suggest that weight loss is effortless or magical. All rights reserved. Copyright 2000- 2023 State of Florida. Different brands manufacture, distribute and sell Phentermine drugs. The doctor may advise the patient to complete the remaining period of the program or help him/her end the program safely. If your dose is different, do not change it unless your doctor tells you to do so. The drug has two primary functions in the human body, which is the reason why it is always accompanied by these lifestyle changes. The name of the patient for whom, or of the owner and species of the animal for which, the controlled substance is prescribed. %PDF-1.6 % This brand is manufacturedby Teva Pharmaceuticals (formerly GATE Pharmaceuticals). REGULATION OF PROFESSIONS AND OCCUPATIONS. Patients who have been on a Phentermine program should not suddenly stop using the drug. If the time is too close to the next dose, it is recommended to skip the dose they have missed. As mentioned above, new mothers should avoid using this medication when breastfeeding. Opioid settlement billions flow to states, as advocates worry about Unfortunately, patients experienced a variety of side effects, which included severe heart toxicity and hypertension. . Low dose + low risk factors . The Complete Guide To Phentermine (2021) - Patient's Guide + Resources Rule 4731-11-04 - Ohio Administrative Code | Ohio Laws Required fields are marked *. Phentermine (as resin complex): Usual dosage is 15 or 30 mg once daily. 893.04 Pharmacist and practitioner.. For a more comprehensive list of drug and nutraceuticals which interact with phentermine hydrochloride, refer to our phentermine drug interactions data. Phentermine is approved for use for up to 12 . Statutes, Video Broadcast %%EOF law states . 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. Acidification of the urine increases Phentermine excretion. If we combine this information with your protected If the federal government fails to oversee how the money is spent, advocates worry it will be wasted. Prescribing Controlled Substances via Telehealth under Florida and 0000003240 00000 n <]>> Instead of simply quitting the program, a patient should rather consult a healthcare provider about quitting. Talk with your doctor before starting an exercise program. Rule 4731-11-04. Copyright 2000- 2023 State of Florida. All rights reserved. Pharmacist and practitioner. Phentermine is a schedule IV drug that requires a consultation with the doctor and a prescription. Yes, you need a prescription for phentermine. To avoid trouble with sleeping, take the last dose of the day about 4 to 6 hours before bedtime, unless your doctor tells you otherwise. Make sure your hands are dry before touching the tablet. Phentermine is approved for use for up to 12 weeks. Controlled substances for the treatment of obesity. It is not known if Phentermine is excreted in human milk; however, other amphetamines are present in human milk. By doing this, the metabolism is revved up along with an . 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. 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, Biliopancreatic diversion with duodenal switch (BPD/DS), Endoscopic Sleeve Gastroplasty (Gastric Sleeve), Biliopancreatic diversion with duodenal switch. If the drug is taken too late in the day, it may also cause insomnia. PDF Volume 25, Number 8 September 2011 Drugs & Therapy 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. health information, we will treat all of that information as protected health Based on the reported excretion of Phentermine in urine, exposure increases can be expected in patients with renal impairment [see ClinicalPharmacology (12.3)]. Drug information provided by: Merative, Micromedex. the unsubscribe link in the e-mail. The prescription shall be retained on file by the proprietor of the pharmacy in which it is filled for a period of 2 years. 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. information is beneficial, we may combine your email and website usage information with Florida Board of Medicine Where can I find the laws and rules This medication has been linked to physical dependence, which means a patient may become addicted to it. (1) 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 . In some cases, patients have also found that Phentermine interacts with drugs that contain Tranylcypromine, Henelzine, Isocarboxazid, Diethylpropion, Phendimetrazine, Amphetamine, and Benzphetamine. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. While the drug is considered to be relatively safe for individuals who are older than 16, the recommended age is 18. - 7 Generic name: Phentermine hydrochloride 21 15 Drugs to treat obesity; rules establishing guidelines. 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/m2, or 27 kg/m2 in the presence of other risk factors (e.g., controlled hypertension, diabetes, hyperlipidemia). Fatigue and depression usually follow the central stimulation. 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. The medication has been classified as a controlled substance in most countries and is also classified as a schedule IV prescription drug. One should bear in mind that Phentermine is not only a drug to help reduce the baseline body weight of patients, but it also reduces a patients risk of developing certain health diseases. 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. This content does not have an Arabic version. Intravenous phentolamine (Regitine, CIBA) has been suggested on pharmacologic grounds for possible acute, severe hypertension, if this complicates overdosage. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Phentermine is related chemically and pharmacologically to the amphetamines. 0000001488 00000 n 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. But the rate of misuse seems to be low. Dosage should be individualized to obtain an adequate response with the lowest effective dose. Initial U.S. Approval: 1959 -----INDICATIONS AND USAGE----- Suprenza is a sympathomimetic amine anorectic indicated as a short-term adjunct (a few weeks) in a regimen of . Numerous side effects have been linked to the use of Phentermine. Publications, Help Searching The use of Topamax and Phentermine is actually an FDA-approved combination. 2019; doi:10.1016/j.mayocp.2018.11.020. There shall appear on the face of the prescription or written record thereof for the controlled substance the following information: The full name and address of the person for whom, or the owner of the animal for which, the controlled substance is dispensed. 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. 1558 0 obj <>/Filter/FlateDecode/ID[<7182559B062CF74D9CEE71C953F61692>]/Index[1530 62]/Info 1529 0 R/Length 121/Prev 89015/Root 1531 0 R/Size 1592/Type/XRef/W[1 2 1]>>stream Existing health conditions that may act as a problem include diabetes, thyroid disorders, hypertension and kidney disease. It can help weight loss by making you less hungry. 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. A reduction in insulin or oral hypoglycemic medications in patients with diabetes mellitus may be required. Adults and children 17 years of age and older. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. A prescription for a controlled substance listed in Schedule II may not be refilled. Patients should be advised to report immediately any deterioration in exercise tolerance. If a patient would like to take other supplements, they should consult their doctor first. Swallow the extended-release capsule whole. Phentermine is a schedule IV medication (only available by prescription) frequently used for generalized weight loss by acting as an appetite suppressant. Schedule. The full name and address of the prescribing practitioner and the practitioners federal controlled substance registry number shall be printed thereon. Use of Phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis. Children 16 years of age and youngerUse is not recommended. 0000002493 00000 n Tachyphylaxis and tolerance have been demonstrated with all drugs of this class in which these phenomena have been looked for. Advise pregnant women and nursing mothers not to use Phentermine [see Use in Specific Populations (8.1, 8.3)]. 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. There is a problem with Phentermine (Oral Route) Proper Use - Mayo Clinic In order to help patients reduce their risk of developing these diseases when they are obese, doctors usually prescribe Phentermine. Florida Regulations 64B8-9.012: Standards for the Prescription of Drugs %PDF-1.4 % The MAO inhibitors (Monoamine Oxidase Inhibitors) are used to treat depression, especially a specific type called atypical depression. The name of the prescribing practitioner. 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. This content does not have an Arabic version. It is obvious that these symptoms can make the entire program useless. Medically reviewed by Drugs.com. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. information and will only use or disclose that information as set forth in our notice of Diabetes & Metabolism Journal. But weight management can take time. Phentermine also is offered combined with topiramate for weight loss (Qsymia). PDF Prescribing Laws and Rules for Florida Licensed Physicians 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. The written prescription must be dated and signed by the prescribing practitioner on the day when issued. There is a problem with Phentermine also is offered combined with topiramate for weight loss (Qsymia). . Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother. A clear, concise warning that it is a crime to transfer the controlled substance to any person other than the patient for whom prescribed. Do not crush, break, or chew it. Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. It has the chemical name of ,,-Dimethylphenethylamine hydrochloride. BMI is calculated by taking the patients weight, in kilograms (kg), divided by the patients height, in meters (m), squared. Use caution when administering Phentermine to patients with renal impairment. PDF Reference ID: 3115694 - Food and Drug Administration The 2022 Florida Statutes (including 2022 Special Session A and 2023 Special Session B) 458.336 Drugs to treat obesity; rules establishing guidelines.. Of course, it is taken orally. 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. Such prescriptions must contain the date of the oral authorization. Prescribing controlled substances via telehealth - HHS.gov Copyright: Merative US L.P. 1973, 2023. %%EOF The possible origins of the increased weight loss due to the various drug effects are not established. They help the body produce a larger amount of energy from fat cells, which further reduces body fat percentage. Portions of this document last updated: Feb. 01, 2023. Please consult with your physician before you make any decisions regarding your health. Adjust dosage according to individual response and tolerance; use the smallest dosage required to produce the desired response. i h,T h,T +h,T h,T 6B*CJ aJ mH nH ph u+h,T h,T B*CJ H*aJ mH nH ph u(h,T h,T B*CJ aJ mH nH ph u +h,T h,T 5B*CJ aJ mH nH ph u ~ P r 2 i $ hhhh hd 1$ 5$ 7$ 8$ 9D H$ `ha$gd,T $d 1$ 5$ 7$ 8$ 9D H$ a$gd,T " $ hhhh hd 1$ 5$ 7$ 8$ 9D @&H$ `ha$gd,T i gd,T $d x 1$ 5$ 7$ 8$ 9D H$ a$gd,T 2 1h:p,T / =!"#$% @ @ @ N o r m a l CJ _HaJ mH sH tH D A@ D D e f a u l t P a r a g r a p h F o n t R i R T a b l e N o r m a l 4 Other brands of this drug include Suprenza, Phentercot, Acxion, Elvenir, Terflamex, Panbesy, Duromine, Fentermina, Phentermin, PHentermine and Lomaira. In some cases, the use of Phentermine has also led to the development of symptoms that are related to erectile dysfunction. Phentermine Hydrochloride Tablets, USP 37.5 mg are white oval shaped bisected tablet with blue specs, debossed with 810 on bisected side. The initials of the pharmacist filling the prescription and the date filled. Review/update the IBM Micromedex. Your doctor may prescribe both of these drugs separately, or choose to prescribe Qsymia, which is another medication that combines Phentermine and Topamax.