endstream endobj startxref Phentermine also is offered combined with topiramate for weight loss (Qsymia). Selling or giving away Phentermine may harm others and is against the law. 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 Board of Medicine shall adopt rules to establish practice guidelines for physicians to safely prescribe phentermine, fenfluramine, and other drugs used to treat obesity. The overdose symptoms include: The side effects of Phentermine can lead to several symptoms that may impair certain functions in the patients body. 188, ch. Drugs to treat obesity; rules establishing guidelines. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Phentermine was later provided to patients in combination with dexfenfluramine and fenfluramine as a more powerful appetite suppressant that could also act as a fat burner. Click here for an email preview. Requirements may be altered [see Warnings and Precautions (5.9)]. The possible role of Phentermine in the etiology of these valvulopathies has not been established and their course in individuals after the drugs are stopped is not known. Adjust dosage according to individual response and tolerance; use the smallest dosage required to produce the desired response. Taking Phentermine depends on the brand and preparation of the drug. 35 0 obj <>stream This website is a resource which lists doctors and clinics who may offer phentermine or appetite suppressants for patients they deem qualified. A pharmacist may, upon verification by the prescriber, document any information required by this paragraph. the prescription is dispensed directly to a member of the United States armed forces serving outside the United States. ]c,'303:20/) @d` )2 Dosage form: tablet Children 16 years of age and youngerUse is not recommended. JC. 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. PDF Prescribing Laws and Rules for Florida Licensed Physicians potentially hazardous activities such as operating machinery or driving FULL PRESCRIBING INFORMATION in the presence of other risk factors (e.g., controlled hypertension, 333-33-100411 Tasks 35 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. Disclaimer: The information on this system is unverified. 75-18; s. 12, ch. Phentermine is a Schedule 4 drug. hbbd``b` @IHpA\> . It also isn't for people who are pregnant, may become pregnant or are breastfeeding. . The following information includes only the average doses of this medicine. Comprehensive review of current and upcoming anti-obesity drugs. BMI is calculated by taking the patients weight, in kilograms (kg), divided by the patients height, in meters (m), squared. The medication has been classified as a controlled substance in most countries and is also classified as a schedule IV prescription drug. 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. Taking Phentermine depends on the brand and preparation of the drug. The risks include, but are not limited to: See also, for example, Adverse Reactions (6) and Use in SpecificPopulations (8). Children 15 years of age and youngerUse is not recommended. Section 458.336, F.S. Based on the reported excretion of Phentermine in urine, exposure increases can be expected in patients with renal impairment [see ClinicalPharmacology (12.3)]. Rulemaking Authority 458.336 FS. The possible origins of the increased weight loss due to the various drug effects are not established. 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. 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. Last updated on Mar 22, 2023. History.s. Common side effects of phentermine include: Phentermine is one of the most prescribed weight-loss medicines. 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. Concomitant use of alcohol with phentermine may result in an adverse drug reaction. 0000000596 00000 n The combined drug is approved for long-term use. Mayo Clinic does not endorse companies or products. Review/update the 0000001146 00000 n IBM Micromedex. One of the most important things to consider is the fact that the drug should never be accompanied by an MAO inhibitor. Phentermine is a popular prescription drug that is often used to treat obesity. The initial symptom of PPH is usually dyspnea. ZeS{$d!YS,|C~E;h4DJS?|{x}~ ?`2F. 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. 0000001488 00000 n 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. Intravenous phentolamine (Regitine, CIBA) has been suggested on pharmacologic grounds for possible acute, severe hypertension, if this complicates overdosage. The dosage varies from 15mg to 37.5mg per day. Doctors often advise patients that in the case of more serious side effects, they should immediately call for assistance. Florida Statutes Definitions Index (2022), Table Tracing Session Laws to Florida Statutes (2022), Index to Special and Local Laws (1971-2022), Index to Special and Local Laws (1845-1970). Taking too much Phentermine can be harmful to the patients body. information submitted for this request. Cardiovascular effects include arrhythmia, hypertension or hypotension, and circulatory collapse. The doctor may advise the patient to complete the remaining period of the program or help him/her end the program safely. Do not crush, break, or chew it. Studies do not permit conclusions as to the relative importance of the drug and non-drug factors on weight loss. Available for Android and iOS devices. 0000000828 00000 n Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Phentermine - Henry Meds 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. 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. Phentermine doctors network. Serious regurgitant cardiac valvular disease, primarily affecting the mitral, aortic and/or tricuspid valves, has been reported in otherwise healthy persons who had taken a combination of Phentermine with fenfluramine or dexfenfluramine for weight loss. - 7 Doctors often combined the use of Phentermine with diuretics, thyroid hormone medicines and digitalis. A total of 24 patients developed heart valve disease while taking this drug, which led the FDA to withdraw the product from the market in 1997. 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. Mayo Clinic does not endorse companies or products. In 1968, three years after its release, Aminorex was withdrawn. 893.049(1)(d), (e),f.s. Package insert / product label Generic name: Phentermine hydrochloride Committee Later on, between 1940 and 1960, Phentermine was combined with other medications to improve its effectiveness. information is beneficial, we may combine your email and website usage information with Law Implemented Florida Statutes 458.336. %%EOF For example, it can be be used with healthy eating, physical activity and behavior change. The rate of weight loss is greatest in the first weeks of therapy for both drug and placebo subjects and tends to decrease in succeeding weeks. Because pediatric obesity is a chronic condition requiring long-term treatment, the use of this product, approved for short-term therapy, is not recommended. Do not crush, break, or chew it. 0 Lomaira: One tablet three times a day, taken 30 minutes before meals. All rights reserved. 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. health information, we will treat all of that information as protected health CIV Advertising revenue supports our not-for-profit mission. It is vital to talk with the doctor before using Phentermine with other products. The name of the prescribing practitioner. Each written prescription prescribed by a practitioner in this state for a controlled substance listed in Schedule II, Schedule III, or Schedule IV must include both a written and a numerical notation of the quantity of the controlled substance prescribed on the face of the prescription and a notation of the date, with the abbreviated month written out on the face of the prescription. This content does not have an Arabic version. Chapter 893 DRUG ABUSE PREVENTION AND CONTROL Entire Chapter. Each tablet contains the following inactive ingredients: starch, lactose anhydrous, microcrystalline cellulose, colloidal silicon dioxide, stearic acid, magnesium stearate and blue sugar spheres. 2007-156; s. 5, ch. Obesity has been linked to many different diseases, including type 2 diabetes and cardiovascular disease. SE, which stands for Electronic Florida Online Reporting of Controlled Sub-stances Evaluation program. Fatigue and depression usually follow the central stimulation. health information, we will treat all of that information as protected health Yes, you need a prescription for phentermine. In order to use Phentermine, the doctor needs to prescribe the drug for a specific patient. Also, it may cause certain side effects to become much worse. 0 Concomitant use of alcohol with Phentermine may result in an adverse drug reaction. While these are the most common side effects of the drug, they are not the only consequences associated with the intake of this medication. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. Use of Phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis. Phentermine is one of the most effective prescription weight loss medications, with FDA approval since 1959. This is a label given to drugs that can be misused. 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. 97-102; s. 301, ch. Existing health conditions that may act as a problem include diabetes, thyroid disorders, hypertension and kidney disease. 21 15 Drugs to treat obesity; rules establishing guidelines. The journals or printed bills of the respective chambers should be consulted for official purposes. 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.