Contraindications 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 Hyperthyroidism 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. Before you schedule your first appointment, do some research to find out how much the whole process costs and if you can use outside coupons like prescription discount cards. Your email address will not be published. health information, we will treat all of that information as protected health %PDF-1.6 % However, if it is almost time for your next dose, skip the missed dose and go back to your . Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. 4 Doctors used it to help patients who experience certain health issues caused by obesity to lose weight and improve the symptoms they are experiencing. Your doctor may prescribe both of these drugs separately, or choose to prescribe Qsymia, which is another medication that combines Phentermine and Topamax. Learn more about popular brands, dosage, side effects, results, and weight loss alternatives. Phentermine Adipex-P (phentermine hydrochloride) capsules label, Greater than 27 kg/m2 + one or more weight-related condition, Vitals (heart rate, blood pressure, etc. This content does not have an Arabic version. Taking more than the prescribed amount of Phentermine can lead to an overdose, which means if a patient misses a dose, they should never try to make up for it by taking more than the prescribed amount at the next dose. But it isn't a good choice for people with heart disease, high blood pressure, an overactive thyroid gland or glaucoma. << /Length 5 0 R /Filter /FlateDecode >> At its May 18, 2015 meeting, the Committee on Prescriptive Governance (CPG) determined that three medications approved by the FDA for long-term weight management may be prescribed by APRNs with a CTP (CTP holder) if agreed to by the CTP holder and his/her collaborating physician and stated within the CTP holders standard care arrangement. Prescribing Phentermine in ohio - Nurse Practitioners, NP - allnurses The patient brings in a prescription for the same drug on November 1, 2013. Phentermine hydrochloride/topiramate. Swallow the extended-release capsule whole. The initial symptom of PPH is usually dyspnea. include protected health information. 2019; doi:10.1016/j.mayocp.2018.11.020. Precaution should be taken if a patient has any existing health concerns as the drug may cause further harm to their body. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. 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 The CPG determination is specific to Qsymin, Belviq and Contrave only. Moreover, it is strongly recommended to avoid or limit the alcohol intake. 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. The medical board would like to work with the pharmacy board to make OARRS reports more available and helpful to physicians. 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. Medically reviewed by Drugs.com. This combination of ingredients was branded as Fen-Phen. It is an appetite suppressant with the added ability to help the body produce more energy from fat cells. Common side effects of phentermine include: Phentermine is one of the most prescribed weight-loss medicines. ): Most people get their phentermine from a family or primary care doctor ( This site complies with the HONcode standard for trustworthy health information: verify here. The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. Weight Loss Prescribing Rules Ohio Administrative Code 4731-11-04 and 4731-11-04.1 The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. 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. Facts & Comparisons eAnswers. Dosage form: tablet At January's meeting, the board discussed the rules and elected to investigate what other states are doing to regulate weight loss medication. The drug has two primary functions in the human body, which is the reason why it is always accompanied by these lifestyle changes. 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. PDF PA Prescriptive Authority Guidance Document - Ohio The combined drug is approved for long-term use. (phentermine hydrochloride) orally disintegrating tablet C IV . Many physicians who currently receive the reports have found that the reports help them better understand, and possibly alter, their prescribing practices. 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. This content does not have an English version. 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 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. Thus, in order to make the most of this drug, patients need make some effort too. Opioid Prescribing Guidelines - Ohio Dr. Lazarus, we will discuss combination phentermine therapy later in this roundtable discussion. 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. Long-term Phentermine Pharmacotherapy: An Investigation for Symptoms of CIV Or it can help you feel full longer. 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. Keep from freezing. They are usually real doctors who prescribe real phentermine without the now-mandatory face-to-face consultation. The State Medical Board of Ohio met on January 13, 2021. It is important to follow these instructions religiously. Phentermine doctors network. Specializes in Med nurse in med-surg., float, HH, and PDN. (1981, February 4). All rights reserved. (2019, May 03). the unsubscribe link in the e-mail. It is often prescribed to be taken in the morning, before or after breakfast. 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. This content does not have an English version. Tablets containing 37.5 mg Phentermine hydrochloride (equivalent to 30 mg Phentermine base). Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. Use caution when administering Phentermine to patients with renal impairment. Patients must be informed about the risks of use of Phentermine (including the risks discussed in Warnings and Precautions), about the symptoms of potential adverse reactions and when to contact a physician and/or take other action. With more than 4 million prescriptions written in the United States each year, phentermine is an undeniably popular weight loss medication ( Studies do not permit conclusions as to the relative importance of the drug and non-drug factors on weight loss. Here are the results of a recent poll that asked current phentermine patients where they received their phentermine prescription ( NDC 42806-810-01 After the tablet has melted, swallow or take a sip of water. However, weight loss clinics are not the perfect solution. Talk with your doctor before starting an exercise program. https://med.ohio.gov/LinkClick.aspx?fileticket=Q2JmI7o-3HI%3d&portalid=0. If obesity is impacting your fertility or reproductive health, or if you have a specific condition that affects weight (such as PCOS), your gynecologist may consider prescribing phentermine as a short-term weight management strategy. Phentermine, an amphetamine congener, is the most widely used anti-obesity drug in the U.S. "@Hw4`tqCA\+ q [AF]` b L ! Today, Phentermine can still be obtained through the doctors prescription in the majority of countries around the world. Phentermine also has many potential drug interactions (e.g., with MAOIs), so the prescribing doctor and pharmacist know about ALL other medications and supplements taken within the last two weeks. Phentermine hydrochloride (phentermine HCL) is the active ingredient in phentermine weight loss pills. Different brands manufacture, distribute and sell Phentermine drugs. 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. The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. Some people also receive a phentermine prescription from their gynecologist (OB-GYN). 4 0 obj Ask your healthcare professional how you should dispose of any medicine you do not use. APRNs Prescribing Weight Loss Medications. Phentermine may decrease the hypotensive effect of adrenergic neuron blocking drugs. All rights reserved. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. They inhibit the activity of an entire enzyme family known as monoamine oxidase. This search engine indexes the Drug Enforcement Administration Diversion Control Program Web Site (www.deadiversion.usdoj.gov) only. As mentioned above, new mothers should avoid using this medication when breastfeeding. This study guide will help you focus your time on what's most important. Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. Adults and children 17 years of age and older. Phentermine is not a miracle drug taken daily and the body simply starts losing weight all by itself. All rights reserved. Use of Phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis. 2021; doi:10.1007/s13679-020-00422-w. The natural history of obesity is measured over several years, whereas the studies cited are restricted to a few weeks duration; thus, the total impact of drug-induced weight loss over that of diet alone must be considered clinically limited. Click here for an email preview. State Medical Board of Ohio On Wednesday, February 8, the board voted to adopt new telehealth rules. 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. The dosage varies from 15mg to 37.5mg per day. Before taking phentermine, tell your doctor and pharmacist if you are allergic to phentermine, any other medications, or any of the ingredients in phentermine tablets. endstream endobj 108 0 obj <>stream Before starting with consumption of this medication, patients should get informed about potential adverse effects to be able to determine whether a newly-developed symptom is a sign of a health issue or just a side effect associated with Phentermine. 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)]. Take this medicine only as directed by your doctor. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). %%EOF There is a problem with The first use of Phentermine as a drug to help treat obesity dates back to 1938. 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. RPYcn@b[%XYK'Q %[.()GTkJ WCf.-i>n-oIzE*D40f#Gp'LcddmE8;>u?X"tO 1]M={4,ReC8E8Z Q1Lt$-XpFCrTJ The prescribing designation for anorexiants can be located on page 15 of The Formulary Developed by the Committee on Prescriptive Governance (The Formulary). % (2019). N;d0)zQ|,]8EtXy(En"GX omjU3Y3>kfkYHYi]-zhm{= o`i$G1BK%?9Z+(dm`mKt,?;6K@Q 7}}*Tw>7BkKsJ;E|Viexb T-3j%5QB%wI5'$5oB :h*C"Q7yjTzLO%6QS/u>HX 4DGz*A!1*p"7$-joX2YF8ht@\l[&LS$FU=udM&y.l_ Create well-written care plans that meets your patient's health goals. To provide you with the most relevant and helpful information, and understand which This includes Chapter 4731-11, OAC, Controlled Substances pertaining to the prescribing of schedule II, III, and IV medications for purposes of weight loss. ADIPEX-P (phentermine hydrochloride) tablets, for oral use CIV ADIPEX-P (phentermine hydrochloride) capsules, for oral use CIV Initial U.S. Approval: 1959 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)]. The Topamax is added to Phentermine in order to intensify its effects and to help patients lose weight faster. However, the medication does have a considerable street value. Drug information provided by: IBM Micromedex. OSMA has historically had concerns with the limitations that these rules place on physicians who treat patients with obesity. PDF State Medical Board of Ohio Accessed Oct. 11, 2022. A reduction in insulin or oral hypoglycemic medications in patients with diabetes mellitus may be required. Metric conversions are as follows: pounds 2.2 = kg; inches x 0.0254 = meters. 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. (2012). 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. iQJG\If6CuoG^|&qXegM,+vmC [To w{`[email protected] B;H _BfHPXK#Q Concomitant use of alcohol with phentermine may result in an adverse drug reaction. Tell patients to keep Phentermine in a safe place to prevent theft, accidental overdose, misuse or abuse. The magnitude of increased weight loss of drug-treated patients over placebo-treated patients is only a fraction of a pound a week. Phendimetrazine Prescribing Information - Drugs.com Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. 3 Later on, between 1940 and 1960, Phentermine was combined with other medications to improve its effectiveness. Some patients experience an increase in sexual interest, while others notice that they have a lower libido. Because pediatric obesity is a chronic condition requiring long-term treatment, the use of this product, approved for short-term therapy, is not recommended. Phentermine is a Schedule 4 drug. Get the best fitness, food, and weight loss tips to succeed on your journey! Phentermine has pharmacologic activity similar to amphetamine (d- and dll-amphetamine) [see Clinical Pharmacology (12.1)]. Manifestations of acute overdosage include restlessness, tremor, hyperreflexia, rapid respiration, confusion, assaultiveness, hallucinations, and panic states. 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. Phentermine also is offered combined with topiramate for weight loss (Qsymia). Advertising revenue supports our not-for-profit mission. Mayo Clinic does not endorse companies or products. 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. Metabolism Phentermine has two metabolic pathways; hydroxylation and oxidation. Phentermine is a popular prescription drug that is often used to treat obesity. 1-612-816-8773. 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. If your dose is different, do not change it unless your doctor tells you to do so. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Between the consultation, labs, prescription, and supplements (if applicable), weight loss clinics are also an expensive option. 0 100 TABLETS Obesity has been linked to many different diseases, including type 2 diabetes and cardiovascular disease. JC. The most common brand of Phentermine is a product known as Adipex, but officially called Adipex-P. Phentermine is pregnancy category X, so it should never be taken while pregnant or nursing ( Find out everything you need to know about weight loss drugs in our prescription weight loss pill guide. Adults and children 17 years of age and older15 to 30 milligrams (mg) once a day, taken at approximately 2 hours after breakfast. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ADIPEX-P safely and effectively.