@ d 1 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Not only can losing weight harm an unborn baby during pregnancy, but the drug may also cause adverse effects. Choosing a specialty can be a daunting task and we made it easier. The FDA has categorized this drug as X for pregnancy, which means it should not be used during pregnancy under any circumstances. Here are the results of a recent poll that asked current phentermine patients where they received their phentermine prescription ( United States of America, Drug Enforcement Administration, Federal Register. 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. This does not only include prescription drugs but also: Common drugs that are known to interact with Phentermine include Dopamine, Venlafaxine, Linezolid, Ephedrine, Isoproterenol, Epinephrine, Norepinephrine and a Phenylephrine injection. Ideally, patients should take it on an empty stomach. 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. This website is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. A weight loss doctor will be more familiar with the research on phentermine for weight loss and, in many cases, more likely to prescribe it. It is illegal and unsafe to buy phentermine without a prescription. Special Populations Geriatric Patients Select dosage with caution, starting at lower end of dosage range. As a reminder, Ohio law requires physicians who prescribe any controlled substances, not just opioids, to submit an ICD-10 code with that prescription. W0Qxe {>x??}# cGCSGGC[G(P A@3'i~ (2[n! The board expressed concerns that removing the prescribing restrictions could lead to misuse of weight loss drugs such as phentermine. For some patients, half tablet (18.75 mg) daily may be adequate, while in some cases it may be desirable to give half tablets (18.75 mg) two times a day. % The most severe manifestation of chronic intoxications is psychosis, often clinically indistinguishable from schizophrenia. Phen Caps is recommended by over 30,000 people like you who want to lose weight fast and effectively without the drawbacks of prescription medications. information highlighted below and resubmit the form. 100 TABLETS Or it can help you feel full longer. 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. Taking Phentermine depends on the brand and preparation of the drug. All trademarks are the property of their respective owners. Or it can help you feel full longer. For example, it can be be used with healthy eating, physical activity and behavior change. information submitted for this request. It also isn't for people who are pregnant, may become pregnant or are breastfeeding. There are reports of patients who have increased the dosage of these drugs to many times than recommended. 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). 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. Even patients who are overweight and pregnant at the same time are not allowed to use this product. 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. 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. The overdose symptoms include: The side effects of Phentermine can lead to several symptoms that may impair certain functions in the patients body. hb``````>X,K10wdjdZ(`l Ro4' b2h>$:-9.AKL1}c$vEP;-@c=en`Y %YQh` &^ Selling or giving away Phentermine may harm others and is against the law. Tablets containing 37.5 mg Phentermine hydrochloride (equivalent to 30 mg Phentermine base). endstream endobj 108 0 obj <>stream A reduction in insulin or oral hypoglycemic medications in patients with diabetes mellitus may be required. %PDF-1.6 % Press Releases. In some cases, patients have also found that Phentermine interacts with drugs that contain Tranylcypromine, Henelzine, Isocarboxazid, Diethylpropion, Phendimetrazine, Amphetamine, and Benzphetamine. However in the presence of topiramate, Phentermine Cmax and AUC increase 13% and 42%, respectively. After 12 weeks, the patient needs to take a break from the product as it may lead to physical dependence. Place the tablet on the top of your tongue right after removing it from the bottle. ). Clinics specializing in weight loss often employ bariatric specialists who have additional training in obesity management. Since 1997, allnurses is trusted by nurses around the globe. JC. 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. 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)]. Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. When breastfeeding, the drug may enter the breast milk and travel into the nursing babys body, which may cause harm to them. Before writing a phentermine prescription, he or she will evaluate your: While any doctor can prescribe phentermine, not all doctors feel comfortable doing so. The following information includes only the average doses of this medicine. Specializes in Cardiology, Research, Family Practice. The drug is mainly an appetite suppressant, thus making a patient feel fuller after (and between) meals and making the patient more likely to consume foods that have lower amounts of calories. How Is Phentermine Dosed? However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Take this medicine only as directed by your doctor. Animal reproduction studies have not been conducted with Phentermine. Rule 4731-11-03 | Utilization of anabolic steroids, schedule II controlled substance cocaine hydrochloride, and schedule II controlled substance stimulants. ). 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. In addition to its function as an appetite suppressant, Phentermine drugs also act as energy boosters. More specifically, this medication is an option for people with a body mass index (BMI): Greater than 30 kg/m2 Greater than 27 kg/m2 + one or more weight-related condition Concomitant use of alcohol with phentermine may result in an adverse drug reaction. Phentermine is approved for short-term weight loss therapy. Succeed on your weight loss journey with our curated resources! Facts & Comparisons eAnswers. As a result, they may be more open to the idea of prescribing phentermine. 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 This site complies with the HONcode standard for trustworthy health information: verify here. 4 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. Phentermine is not a miracle drug taken daily and the body simply starts losing weight all by itself. Abrupt cessation following prolonged high dosage administration results in extreme fatigue and mental depression; changes are also noted on the sleep EEG. Phentermine HCl Tablets, USP 37.5 mg Bariatric doctors are doctors that specialize in weight management. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Phentermine is a sympathomimetic amine with pharmacologic activity similar to the prototype drugs of this class used in obesity, amphetamine (d- and dll-amphetamine). include protected health information. To provide you with the most relevant and helpful information, and understand which Patients who have been on a Phentermine program should not suddenly stop using the drug. iQJG\If6CuoG^|&qXegM,+vmC [To w{`F@kMxVBrH7.1g B;H _BfHPXK#Q You may opt-out of email communications at any time by clicking on Broad St., 3 rd Floor GUIDANCE DOCUMENT: Physician Assistant Prescriptive Authority Effective 10/15/15 The following information is provided as guidance, and may not reference all statutes and rules All rights reserved.5115 Parkcenter Avenue Suite 200 Dublin, OH 43017ph: 800.766.6762info@osma.org. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. In some cases, the use of this drug in combination with other pills may cause the effects of other drugs to increase. 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. Adults and children 17 years of age and older. This content does not have an Arabic version. Phentermine is a popular prescription drug that is often used to treat obesity. 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. The initial symptom of PPH is usually dyspnea. Advertising revenue supports our not-for-profit mission. 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. The first use of Phentermine as a drug to help treat obesity dates back to 1938. Learn about the benefits and advantages of Phen Caps! In patients with severe renal impairment (eGFR 15 to 29 mL/min/1.73m2), limit the dosage of Phentermine to 15 mg daily [see Dosage and Administration (2.2)]. the unsubscribe link in the e-mail. Sign-up for our weekly newsletter! It is often prescribed to be taken in the morning, before or after breakfast. 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. I hold a DEA cert. If you miss a dose of this medicine, take it as soon as possible. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. NDC 42806-810-01 Fatigue and depression usually follow the central stimulation. %PDF-1.3 Losing weight during pregnancy can harm both a mother and her baby.