<< /Length 5 0 R /Filter /FlateDecode >> 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 The prescribing designation for anorexiants can be located on page 15 of The Formulary Developed by the Committee on Prescriptive Governance (The Formulary). 1530 0 obj <> endobj Sally Cohen holds a degree in nutrition sciences from Alcorn State University. As a reminder, Ohio law requires physicians who prescribe any controlled substances, not just opioids, to submit an ICD-10 code with that prescription. 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. Keep from freezing. It is illegal and unsafe to buy phentermine without a prescription. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Implementation of the Ryan Haight Online Pharmacy Consumer Protection Act of 2008. The first use of Phentermine as a drug to help treat obesity dates back to 1938. It is vital to talk with the doctor before using Phentermine with other products. United Nations Office on Drugs and Crime. This medication has been linked to physical dependence, which means a patient may become addicted to it. https://www.uptodate.com/contents/search. Based on the reported excretion of Phentermine in urine, exposure increases can be expected in patients with renal impairment [see ClinicalPharmacology (12.3)]. Perreault L. Obesity in adults: Drug therapy. 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. Concomitant use of alcohol with Phentermine may result in an adverse drug reaction. To provide you with the most relevant and helpful information, and understand which https://med.ohio.gov/LinkClick.aspx?fileticket=Q2JmI7o-3HI%3d&portalid=0. They are usually real doctors who prescribe real phentermine without the now-mandatory face-to-face consultation. Phentermine is approved for short-term weight loss therapy. 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 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. As mentioned above, new mothers should avoid using this medication when breastfeeding. Copyright 2023 IBM Watson Health. 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. Studies have not been performed with Phentermine to determine the potential for carcinogenesis, mutagenesis or impairment of fertility. These include, but are not limited to:Whether the care and treatment of obese patients and weight management is new to the APRNs existing practice, and whether this aspect of practice is within the APRNs national certification and patient population specialty, meeting the scope of practice requirements in Section 4723.43, ORC. Phentermine Hydrochloride Tablets, USP 37.5 mg are white oval shaped bisected tablet with blue specs, debossed with 810 on bisected side. Phentermine is a sympathomimetic amine with pharmacologic activity similar to the prototype drugs of this class used in obesity, amphetamine (d- and dll-amphetamine). It is important to follow these instructions religiously. Numerous side effects have been linked to the use of Phentermine. Do not crush, break, or chew it. Doctors often advise patients that in the case of more serious side effects, they should immediately call for assistance. Take 1 tablet or capsule once a day before breakfast or 1-2 hours after breakfast. include protected health information. 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. Rule 4731-11-01 | Definitions. Phentermine is not recommended for use in pediatric patients 16 years of age. The State Medical Board of Ohio met on January 13, 2021. State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127 (614) 466-3934 med.ohio.gov If you miss a dose of this medicine, take it as soon as possible. Accessed Oct. 11, 2022. information is beneficial, we may combine your email and website usage information with Carefully follow your doctor's instructions for a reduced-calorie diet plan and regular exercise. The recommended maximum dosage of Phentermine is 15 mg daily for patients with severe renal impairment (eGFR 15 to 29 mL/min/1.73m2). The medical board would like to work with the pharmacy board to make OARRS reports more available and helpful to physicians. What You Should Know Before Taking Phentermine, Frequently Asked Questions About Phentermine, refer to our phentermine drug interactions data, Frequently Asked Questions about phentermine, https://www.drugs.com/ingredient/phentermine.html, http://www.rxlist.com/adipex-p-drug/patient-avoid-while-taking.htm, http://www.everydayhealth.com/drugs/phentermine, https://www.ncbi.nlm.nih.gov/pubmed/27664021, https://www.ncbi.nlm.nih.gov/pubmed/26584649, https://www.ncbi.nlm.nih.gov/pubmed/26446094, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4560177/, https://www.ncbi.nlm.nih.gov/pubmed/25911503, Feeling like they are going to faint, often accompanied by chest pain, Fluttering in the patients chest, as well as pounding heartbeats. Adults and children 17 years of age and older. Some of the most common withdrawal symptoms include weight gain, fatigue, insomnia and a bad mood. However, if it is almost time for your next dose, skip the missed dose and go back to your . The amount of medicine that you take depends on the strength of the medicine. Even patients who are overweight and pregnant at the same time are not allowed to use this product. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use . Required fields are marked *. Should the collaborating physician have restrictions on his/her ability to prescribe controlled substances including controlled substance weight loss medications, the CTP holder would be limited by the same restrictions.The administrative rules, Advanced Practice Registered Nurse Certification and Practice, contained in Chapter 4723-8, of Ohio Administrative Code (OAC), require all APRNs to utilize and incorporate into the nurses practice knowledge of Chapter 4731.,ORC, and rules adopted under that chapter by the State Medical Board that govern the practice of the nurses collaborating physician. All rights reserved. information submitted for this request. Tablets are packaged in bottles of 100 (NDC 42806-810-01); and 1000 (NDC 42806-810-10). For more information, the rule package submitted to the Common Sense Initiative (CSI) office for review can be found here:https://med.ohio.gov/LinkClick.aspx?fileticket=Q2JmI7o-3HI%3d&portalid=0, 2023 The Ohio State Medical Association. Dosage form: tablet 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Gastrointestinal symptoms include nausea, vomiting, diarrhea and abdominal cramps. More specifically, this medication is an option for people with a body mass index (BMI): Weight-related conditions that may qualify a lower-BMI patient for phentermine include: type 2 diabetes, high cholesterol (hyperlipidemia), and controlled high blood pressure (hypertension) ( Ideally, patients should take it on an empty stomach. This combination of ingredients was branded as Fen-Phen. Use caution in prescribing Phentermine for patients with even mild hypertension (risk of increase in blood pressure). 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. (1981, February 4). https://www.micromedexsolutions.com. Wait, so NPs may prescribe Qsymia, but not phentermine? Each tablet contains the following inactive ingredients: starch, lactose anhydrous, microcrystalline cellulose, colloidal silicon dioxide, stearic acid, magnesium stearate and blue sugar spheres. \ Detailed Phentermine dosage information Related/similar drugs Losing weight during pregnancy can harm both a mother and her baby. They inhibit the activity of an entire enzyme family known as monoamine oxidase. information highlighted below and resubmit the form. Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. Nationwide Efforts to Combat the Problem Questions To Discuss At the completion of this block of instruction you will be able to answer the following questions: 1. Common side effects of phentermine include: Phentermine is one of the most prescribed weight-loss medicines. ). The Topamax is added to Phentermine in order to intensify its effects and to help patients lose weight faster. Accessed Oct. 11, 2022. LiverTox National Institutes of Health. Press Releases. This content does not have an Arabic version. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. Intravenous phentolamine (Regitine, CIBA) has been suggested on pharmacologic grounds for possible acute, severe hypertension, if this complicates overdosage. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Swallow the extended-release capsule whole. Comprehensive review of current and upcoming anti-obesity drugs. Phentermine is not a miracle drug taken daily and the body simply starts losing weight all by itself. ]^Ng8\!HqX 'nR l# w! {A6.q=0G: S:nR-`\ |%Tx F5z :^EU\)|\eyt0F The use of Topamax and Phentermine is actually an FDA-approved combination. iQJG\If6CuoG^|&qXegM,+vmC [To w{`F@kMxVBrH7.1g B;H _BfHPXK#Q The additional boost in energy will also increase the physical activity levels, thereby providing an additional method for them to lose weight and gain overall health benefits. The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. It can help weight loss by making you less hungry. Adipex-P (phentermine hydrochloride) capsules label, Greater than 27 kg/m2 + one or more weight-related condition, Vitals (heart rate, blood pressure, etc. Encourage prescribers to incorporate best clinical practices when prescribing opioids for treating Ohio . 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. United States of America, Drug Enforcement Administration, Federal Register. For more FAQs, please see our full archive of Frequently Asked Questions about phentermine and related prescription appetite suppressants. Other initial symptoms may include angina pectoris, syncope or lower extremity edema. Doctors used it to help patients who experience certain health issues caused by obesity to lose weight and improve the symptoms they are experiencing. When performing prospective DUR, the pharmacist notices a 30-day gap in treatment. These lifestyle changes often include participating in regular exercise and physical activities, as well as eating a well-balanced diet that does not contain large amounts of calories or harmful substances. Taking Phentermine depends on the brand and preparation of the drug. 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)]. 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. If the time is too close to the next dose, it is recommended to skip the dose they have missed. 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. health information, we will treat all of that information as protected health Lomaira: One tablet three times a day, taken 30 minutes before meals. 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. 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 plasma protein binding decreases as blood topiramate increases. https://fco.factsandcomparisons.com/. Talk with your doctor before starting an exercise program. information and will only use or disclose that information as set forth in our notice of In addition to its function as an appetite suppressant, Phentermine drugs also act as energy boosters. Learn about the benefits and advantages of Phen Caps! Columbus, Ohio 43215 Phone: (614) 466-3934 Web: www.med.ohio.gov State Medical Board of Ohio 30 E . ohio.gov under the Practice APRN link.Although the Formulary allows CTP holders to prescribe these three drugs under the circumstances documented by their respective standard care arrangement, there are other factors that must be considered by the CTP holder prior to initiating Qsymin, Belviq or Contrave prescriptions for patients. Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. This site complies with the HONcode standard for trustworthy health information: verify here. Cumulative urinary excretion of Phentermine under uncontrolled urinary pH conditions was 62% to 85%. More, these sites also operate pharmacies that are not VIPPS-accredited, so you may also be putting your personal information and or money at-risk ( Do not double doses. This content does not have an Arabic version. Click here for an email preview. Carefully follow the dosing instructions for the form you are using. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. After the tablet has melted, swallow or take a sip of water. I am finding limited information. Le81g Of Rdb-YR!bLEbfYo9(e 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. It can help weight loss by making you less hungry. One of the most important things to consider is the fact that the drug should never be accompanied by an MAO inhibitor. Learn more about popular brands, dosage, side effects, results, and weight loss alternatives. It is an appetite suppressant with the added ability to help the body produce more energy from fat cells. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient. Metric conversions are as follows: pounds 2.2 = kg; inches x 0.0254 = meters. Animal reproduction studies have not been conducted with Phentermine. If you are a good candidate for the medication, but your doctor does not prescribe phentermine, ask for a referral. ). While this drug may sound like a wonder pill, patients should ensure they know are familiar with the precautions, interactions, side effects and other important details before they start taking it. Phentermine. Existing health conditions that may act as a problem include diabetes, thyroid disorders, hypertension and kidney disease. In addition, Section 4723.431(A), ORC, requires the APRNs collaborating physician to be practicing in Ohio in a specialty that is the same or similar to the nurses nursing specialty.Section 4723.481(B), ORC, prohibits the prescriptive authority of the CTP holder from exceeding the prescriptive authority of the collaborating physician. As much as 33% of the U.S. adult population are considered to be obese. But weight management can take time. hbbd``b`z$@D`]"@DeX- Bb V ``LA\F*? 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). 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. It is important not to perform activities that require a patient to be alert while experiencing mental impairment as an adverse effect. If you miss a dose of this medicine, take it as soon as possible. Other brands of this drug include Suprenza, Phentercot, Acxion, Elvenir, Terflamex, Panbesy, Duromine, Fentermina, Phentermin, PHentermine and Lomaira. Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. National Association of Boards of Pharmacy. The FDA has categorized this drug as X for pregnancy, which means it should not be used during pregnancy under any circumstances. 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. The initial symptom of PPH is usually dyspnea. 1-612-816-8773. 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. Yes, you need a prescription for phentermine. 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. Phentermine is a schedule IV drug that requires a consultation with the doctor and a prescription. Since it may lead to such symptoms, it also has the potential to cause severe withdrawal symptoms, especially when a patient goes cold turkey. The patient could have had the prescription for the month of October filled at another pharmacy. For example, it can be be used with healthy eating, physical activity and behavior change. Overdosage of pharmacologically similar compounds has resulted in fatal poisoning usually terminates in convulsions and coma. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. JC. 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. 2021; doi:10.1007/s13679-020-00422-w. Phentermine hydrochloride USP is a sympathomimetic amine anorectic. 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. In most cases, the drug is prescribed to users in periods of 12 weeks. Phentermine is contraindicated during pregnancy because weight loss offers no potential benefit to a pregnant woman and may result in fetal harm. 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. 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 Yes, phentermine is a federally controlled substance because it may be abused or lead to Mayo Clinic does not endorse companies or products. Or it can help you feel full longer. Instead of simply quitting the program, a patient should rather consult a healthcare provider about quitting. Advertising revenue supports our not-for-profit mission. (phentermine hydrochloride) orally disintegrating tablet C IV . 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. Specializes in NICU, PICU, Transport, L&D, Hospice. 100 TABLETS The final option is online doctors who prescribe phentermine. %%EOF Taking too much Phentermine can be harmful to the patients body. He or she may prescribe the medication him/herself if you are an appropriate candidate, or he/she may choose to refer you to a specialist for further evaluation and follow-up. Unpublished raw data. Phentermine has pharmacologic activity similar to amphetamine (d- and dll-amphetamine) [see Clinical Pharmacology (12.1)]. Bariatric doctors are doctors that specialize in weight management. After 12 weeks, the patient needs to take a break from the product as it may lead to physical dependence. While discussing the use of Phentermine with the doctor, a patient is provided a list of lifestyle changes to implement while using this product. Package insert / product label Phentermine also is offered combined with topiramate for weight loss (Qsymia). Amphetamines and other stimulant drugs have been extensively abused and 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.