phentermine prescribing guidelines floridaoceanside bar and grill hilton head menu
the prescription is dispensed directly to a member of the United States armed forces serving outside the United States. Adults and children 17 years of age and older. information is beneficial, we may combine your email and website usage information with 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. A prescription for a controlled substance listed in Schedule II may not be refilled. Phentermine is not recommended for use in pediatric patients 16 years of age. Prescribing Standards: In addition to the laws and rules directly related to the prescription and prescribing, there are other standards which should be followed as well. 75-18; s. 12, ch. Phentermine is used as part of a short-term plan, along with a low calorie diet, for weight reduction. 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). This combination of ingredients was branded as Fen-Phen. Portions of this document last updated: Feb. 01, 2023. 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. (In combination with a healthy diet and exercise plan). The use of Topamax and Phentermine is actually an FDA-approved combination. 0000000828 00000 n Or it can help you feel full longer. Tablets are packaged in bottles of 100 (NDC 42806-810-01); and 1000 (NDC 42806-810-10). the unsubscribe link in the e-mail. 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. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. However in the presence of topiramate, Phentermine Cmax and AUC increase 13% and 42%, respectively. Tablets are packaged in bottles of 100 (NDC 42806-810-01); and 1000 (NDC 42806-810-10). Use caution in prescribing Phentermine for patients with even mild hypertension (risk of increase in blood pressure). 893.04 Pharmacist and practitioner.. The possibility of an association between PPH and the use of Phentermine alone cannot be ruled out; there have been rare cases of PPH in patients who reportedly have taken Phentermine alone. 99-8; s. 2, ch. Your doctor may prescribe both of these drugs separately, or choose to prescribe Qsymia, which is another medication that combines Phentermine and Topamax. 21 15 %%EOF 0000002493 00000 n When tolerance to the anorectant effect develops, the recommended dose should not be exceeded in an attempt to increase the effect; rather, the drug should be discontinued. Phentermine has pharmacologic activity similar to amphetamine (d- and dll-amphetamine) [see Clinical Pharmacology (12.1)]. It also isn't for people who are pregnant, may become pregnant or are breastfeeding. Late evening medication should be avoided because of the possibility of resulting insomnia. Therefore, coadministration of Phentermine and these drug products is not recommended. Skip to Navigation | Skip to Main Content | Skip to Site Map. 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. All rights reserved. This content does not have an English version. Registration is accomplished by completing and returning the dispensing physician registration form. You may opt-out of email communications at any time by clicking on If a prescription includes a numerical notation of the quantity of the controlled substance or date, but does not include the quantity or date written out in textual format, the pharmacist may dispense the controlled substance without verification by the prescriber of the quantity or date if the pharmacy previously dispensed another prescription for the person to whom the prescription was written. Phentermine Hydrochloride Tablets, USP 37.5 mg are white oval shaped bisected tablet with blue specs, debossed with 810 on bisected side. Being extremely irritable and confused, or experienced unusual behavior or thoughts. 1530 0 obj <> endobj 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. 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. Tak YJ, et al. 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. 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. The number of such prescription, as recorded in the prescription files of the pharmacy in which it is filled. Phentermine (as resin complex): Usual dosage is 15 or 30 mg once daily. 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)]. Affixed to the original container in which a controlled substance is delivered upon a prescription or authorized refill thereof, as hereinafter provided, there shall be a label bearing the following information: The name and address of the pharmacy from which such controlled substance was dispensed. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. 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 <]>> Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. It is not known if Phentermine is excreted in human milk; however, other amphetamines are present in human milk. ]^Ng8\!HqX 'nR l# w! {A6.q=0G: S:nR-`\ |%Tx F5z :^EU\)|\eyt0F Find out everything you need to know about weight loss drugs in our prescription weight loss pill guide. 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. Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. 14 The directions for the use of the controlled substance prescribed in the prescription. Dryness of the mouth, unpleasant taste, diarrhea, constipation, other gastrointestinal disturbances. As much as 33% of the U.S. adult population are considered to be obese. It has the chemical name of ,,-Dimethylphenethylamine hydrochloride. Based on the reported excretion of Phentermine in urine, exposure increases can be expected in patients with renal impairment [see ClinicalPharmacology (12.3)]. 0000001488 00000 n These are all promoted as weight loss pills that assist obese individuals. The dosage varies from 15mg to 37.5mg per day. Other initial symptoms may include angina pectoris, syncope or lower extremity edema. The magnitude of increased weight loss of drug-treated patients over placebo-treated patients is only a fraction of a pound a week. https://fco.factsandcomparisons.com/. When breastfeeding, the drug may enter the breast milk and travel into the nursing babys body, which may cause harm to them. Advertising revenue supports our not-for-profit mission. 893.049(1)(d), (e),f.s. 2012 Florida Statutes. Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. Skip to Navigation | Skip to Main Content | Skip to Site Map. 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. Also, it may cause certain side effects to become much worse. 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). RPYcn@b[%XYK'Q %[.()GTkJ WCf.-i>n-oIzE*D40f#Gp'LcddmE8;>u?X"tO 1]M={4,ReC8E8Z Q1Lt$-XpFCrTJ If the prescription is for an animal, the species of animal for which the controlled substance is prescribed. Phentermine may decrease the hypotensive effect of adrenergic neuron blocking drugs. As phentermine is similar to amphetamine, it is a controlled drug (class C5) and has the potential for abuse. 138 0 obj <>stream This content does not have an English version. 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)]. other information we have about you. Of course, it is taken orally. The Drug Enforcement Administration (DEA) has made 2 changes related to . It is often prescribed to be taken in the morning, before or after breakfast. Notwithstanding subsection (1), a pharmacist may dispense a one-time emergency refill of up to a 72-hour supply of the prescribed medication for any medicinal drug other than a medicinal drug listed in Schedule II, in compliance with the provisions of s. The legal owner of any stock of controlled substances in a pharmacy, upon discontinuance of dealing in controlled substances, may sell said stock to a manufacturer, wholesaler, or pharmacy. l 4 a ( k ( N o L i s t ( z ) . 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. Javascript must be enabled for site search. Management of acute Phentermine hydrochloride intoxication is largely symptomatic and includes lavage and sedation with a barbiturate. The aforementioned statute and rule do not specifically rule out a patient evaluation taking place . Phentermine is a Schedule IV controlled substance. Phentermine also is offered combined with topiramate for weight loss (Qsymia). Statutes, Video Broadcast (phentermine hydrochloride) orally disintegrating tablet C IV . Some patients experience an increase in sexual interest, while others notice that they have a lower libido. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. @ d One of the most important things to consider is the fact that the drug should never be accompanied by an MAO inhibitor. The usual adult dose is one tablet (37.5 mg) daily, as prescribed by the physician, administered before breakfast or 1 to 2 hours after breakfast. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use . The PDMP was created in the 2009 session of the Florida legislature to encourage safer prescribing of controlled substances and reduce drug abuse and diversion within the state. Copyright 2000- 2023 State of Florida. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. 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. Abrupt cessation following prolonged high dosage administration results in extreme fatigue and mental depression; changes are also noted on the sleep EEG. Law Implemented Florida Statutes 458.336. Any controlled substance listed in Schedule III or Schedule IV may be dispensed by a pharmacist upon an oral prescription if, before filling the prescription, the pharmacist reduces it to writing or records the prescription electronically if permitted by federal law. . https://www.uptodate.com/contents/search. Thus, in order to make the most of this drug, patients need make some effort too. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Instead of simply quitting the program, a patient should rather consult a healthcare provider about quitting. other information we have about you. hb```e````a`d`@ f(fcfILLvL~. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Apart from not combining Phentermine with the MAO inhibitors, a patient should also first ensure they are not allergic to Phentermine before they take it. Some of the studies that have linked Phentermine to positive results in humans include: The main active ingredient is known as Phentermine Hydrochloride. All trademarks are the property of their respective owners. Long-term efficacy and safety of anti-obesity treatment: Where do we stand? In some cases, the use of Phentermine has also led to the development of symptoms that are related to erectile dysfunction. Perreault L. Obesity in adults: Drug therapy. If you are a Mayo Clinic patient, this could Facts & Comparisons eAnswers. If the prescriber is not available to verify a prescription, the pharmacist may dispense the controlled substance but may insist that the person to whom the controlled substance is dispensed provide valid photographic identification. Florida has received national attention for the large num- 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. It is a class IV controlled substance because of its serious side effects and addiction potential. In 1968, three years after its release, Aminorex was withdrawn. Requirements may be altered [see Warnings and Precautions (5.9)]. The drug is also available in regular capsules that are taken orally with a glass of water. All rights reserved. In fact, one study conducted at the Duke University School of Medicine found that apart from the Phentermines ability to effectively reduce body weight, it can also help improve a patients health-related quality of life. 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. Schedule. The dose of this medicine will be different for different patients. House Bill 831 (2019), Electronic Prescribing, was signed into law by Governor DeSantis. Prescribing Information - Qsymia (Phentermine and Topiramate extended . Gastrointestinal symptoms include nausea, vomiting, diarrhea and abdominal cramps. The dosage may be adjusted to the patients need. The pharmacist may dispense the controlled substance, in the exercise of her or his professional judgment, when the pharmacist or pharmacists agent has obtained satisfactory patient information from the patient or the patients agent. Take this medicine only as directed by your doctor. Disclaimer: The information on this system is unverified. FULL PRESCRIBING of the risk of hypertensive crisis. The name of the prescribing practitioner. Of course, it is taken orally. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. %%EOF 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. The journals or printed bills of the respective chambers should be consulted for official purposes. Acidification of the urine increases Phentermine excretion. 2007-156; s. 5, ch. This was often referred to as Rainbow Pills as all four drugs were often provided to a patient at the same time. %PDF-1.4 % The most severe manifestation of chronic intoxications is psychosis, often clinically indistinguishable from schizophrenia. Current Obesity Reports. 90-2; s. 1436, ch. information is beneficial, we may combine your email and website usage information with 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. 0000002736 00000 n hWmo8+jE'"m{F Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.