phentermine prescribing guidelines florida
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. In some cases, the use of this drug in combination with other pills may cause the effects of other drugs to increase. Phentermine is most commonly prescribed to patients who experience negative health effects to excessive amounts of body weight. Review/update the Diabetes & Metabolism Journal. This drug is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. 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. Drugs to treat obesity; rules establishing guidelines. Low dose + low risk factors . 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 includes prescription and nonprescription (over-the-counter) medicines, dietary supplements, herbal remedies, or medicines for appetite control, asthma, colds, cough, hay fever, and sinus problems. The following information includes only the average doses of this medicine. 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. health information, we will treat all of that information as protected health Chapter 893 DRUG ABUSE PREVENTION AND CONTROL Entire Chapter. Ideally, patients should take it on an empty stomach. The bill provides important new requirements for prescribers to generate and transmit all prescriptions electronically upon licensure renewal or by July 1, 2021, whichever is earlier. The journals or printed bills of the respective chambers should be consulted for official purposes. Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. Drugs of this class used in obesity are commonly known as anorectics or anorexigenics. It has not been established that the primary action of such drugs in treating obesity is one of appetite suppression since other central nervous system actions, or metabolic effects, may also be involved. Schedule. Click here for an email preview. Phentermine is related chemically and pharmacologically to the amphetamines. Y$iqzZz\vlt1a;svw&aBS8Z(HGCkr&_Qxt97t,GWceTL^QqX(%8_A2'"%tD'DNz"G*"Tc. hYr ~{L(QdK4^bdsO_d;a BXO--p,!4!,WhfM/@c Click here for an email preview. Copyright: Merative US L.P. 1973, 2023. A severe manifestation of chronic intoxication is psychosis, often clinically indistinguishable from schizophrenia. = 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. Copyright 2000- 2023 State of Florida. 100 TABLETS Publications, Help Searching The written prescription must be dated and signed by the prescribing practitioner on the day when issued. Perreault L. Obesity in adults: Drug therapy. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. But it isn't a good choice for people with heart disease, high blood pressure, an overactive thyroid gland or glaucoma. . 90-2; s. 1436, ch. You may opt-out of email communications at any time by clicking on 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. As phentermine is similar to amphetamine, it is a controlled drug (class C5) and has the potential for abuse. See DrugAbuse and Dependence (9.3). Instead of simply quitting the program, a patient should rather consult a healthcare provider about quitting. Phentermine is a popular prescription drug that is often used to treat obesity. If this drug is used during pregnancy, or if the patient becomes pregnant while taking this drug, the patient should be apprised of the potential hazard to a fetus. (1) A pharmacist, in good faith and in the course of professional practice only, may dispense controlled substances upon a written or oral prescription of a practitioner . One of the most important things to consider is the fact that the drug should never be accompanied by an MAO inhibitor. It is a class IV controlled substance because of its serious side effects and addiction potential. . 0000021285 00000 n BMI is calculated by taking the patients weight, in kilograms (kg), divided by the patients height, in meters (m), squared. The name of the prescribing practitioner. 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. The doctor also looks at the patients medical history for any pre-existing medical conditions that the medication should not be taken with. 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. This equates to a weight loss of 10-20 pounds for a 200 pound . trailer Acidification of the urine increases Phentermine excretion. The drug has two primary functions in the human body, which is the reason why it is always accompanied by these lifestyle changes. For a more comprehensive list of drug and nutraceuticals which interact with phentermine hydrochloride, refer to our phentermine drug interactions data. information and will only use or disclose that information as set forth in our notice of The magnitude of increased weight loss of drug-treated patients over placebo-treated patients is only a fraction of a pound a week. (1) A pharmacist, in good faith and in the course of professional practice only, may dispense controlled substances upon a written, oral, or electronic prescription of a practitioner, under the following conditions: (a) Oral prescriptions must be promptly reduced to writing by the pharmacist or recorded . Phentermine is approved for use for up to 12 weeks. 127: VA Prescription Monitoring Program. 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. https://www.uptodate.com/contents/search. Mid-range score: large amounts of medication in accordance with recommended guidelines.Low dose + high risk factors . Do not crush, break, or chew it. The aforementioned statute and rule do not specifically rule out a patient evaluation taking place . JC. 188 . 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. If you are a Mayo Clinic patient, this could 0000005652 00000 n Therefore, coadministration of Phentermine and these drug products is not recommended. It depends on supplements a patient would like to take. Six years after the approval, a similar drug, called Aminorex, were released in Europe with the same purpose of helping obese individuals. The name of the patient for whom, or of the owner and species of the animal for which, the controlled substance is prescribed. Make sure your hands are dry before touching the tablet. 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). The combined drug is approved for long-term use. The drug is always accompanied by increased physical activity and a diet that includes a lower amount of calories. This bill allows ARNPs and PAs to prescribe controlled substances under existing supervision and protocol requirements, and subject to a formulary to be developed by a committee under the Board of Nursing. Dispense in a tight container as defined in the USP, with a child-resistant closure (as required). House Bill 831 (2019), Electronic Prescribing, was signed into law by Governor DeSantis. 2007-156; s. 5, ch. A pharmacist may not knowingly fill a prescription that has been forged for a controlled substance listed in Schedule II, Schedule III, or Schedule IV. 458.336, Florida Statutes - Drugs to treat obesity; rules establishing guidelines; Rule 64B8-9.012, Florida Administrative Code - Standards for the Prescription of Obesity . Rx only. Package insert / product label Follow your doctor's dosing instructions very carefully. It is important to follow these instructions religiously. Lomaira: One tablet three times a day, taken 30 minutes before meals. 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 combined drug is approved for long-term use. Pharmacists may order the medicinal drug products set forth in each rule subject to the following terms and limitations: . 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. Dryness of the mouth, unpleasant taste, diarrhea, constipation, other gastrointestinal disturbances. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 0000002736 00000 n 99-8; s. 2, ch. 0000001488 00000 n 2019; doi:10.1016/j.mayocp.2018.11.020. If the federal government fails to oversee how the money is spent, advocates worry it will be wasted. law states . 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. ]c,'303:20/) @d` )2 Intravenous phentolamine (Regitine, CIBA) has been suggested on pharmacologic grounds for possible acute, severe hypertension, if this complicates overdosage. NDC 42806-810-01 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. Phentermine is approved for use for up to 12 . The dosage varies from 15mg to 37.5mg per day. 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)]. Numerous side effects have been linked to the use of Phentermine. Some patients experience an increase in sexual interest, while others notice that they have a lower libido. The use of Topamax and Phentermine is actually an FDA-approved combination. Some of the studies that have linked Phentermine to positive results in humans include: The main active ingredient is known as Phentermine Hydrochloride. 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. information highlighted below and resubmit the form. 0000000596 00000 n The 2022 Florida Statutes (including 2022 Special Session A and 2023 Special Session B) 458.336 Drugs to treat obesity; rules establishing guidelines.. See Drug Abuse and Dependence (9) and Overdosage (10). FULL PRESCRIBING of the risk of hypertensive crisis. The name of the controlled substance prescribed and the strength, quantity, and directions for use thereof. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Ask your healthcare professional how you should dispose of any medicine you do not use. The date on which the prescription for such controlled substance was filled. 97-102; s. 301, ch. The possible origins of the increased weight loss due to the various drug effects are not established. A pharmacist may not dispense a controlled substance listed in Schedule II, Schedule III, or Schedule IV to any patient or patients agent without first determining, in the exercise of her or his professional judgment, that the order is valid. endstream endobj startxref Skip to Navigation | Skip to Main Content | Skip to Site Map. Statutes, Video Broadcast Tablets are packaged in bottles of 100 (NDC 42806-810-01); and 1000 (NDC 42806-810-10). Average users lose 3-5% of their initial body weight as shown in studies. Taking Phentermine depends on the brand and preparation of the drug. 458.336 Drugs to treat obesity; rules establishing guidelines.. All rights reserved. Phentermine is a Schedule 4 drug. Available for Android and iOS devices. The promotion of this brand as a diet pill started in 1990. hb``````>X,K10wdjdZ(`l Ro4' b2h>$:-9.AKL1}c$vEP;-@c=en`Y %YQh` &^ The dosage may be adjusted to the patients need. Phentermine is related chemically and pharmacologically to amphetamine (d- and dll-amphetamine) and other related stimulant drugs have been extensively abused. 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 the unsubscribe link in the e-mail. 0000001146 00000 n Publications, Help Searching This content does not have an Arabic version. Based on the reported excretion of Phentermine in urine, exposure increases can be expected in patients with renal impairment [see ClinicalPharmacology (12.3)]. 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. Phentermine hydrochloride (phentermine HCL) is the active ingredient in phentermine weight loss pills. Take the disintegrating tablet with or without food. In some cases, the side effects were life-threatening and led to the death of a patient. Some brands use a dissolving tablet that is placed under the tongue, which allows the body to absorb the chemicals in the drug faster. 75-18; s. 12, ch. In some cases, the use of Phentermine has also led to the development of symptoms that are related to erectile dysfunction. Due to its status as a controlled substance, the sale, distribution, and possession of this drug . Phentermine is a sympathomimetic amine with pharmacologic activity similar to the prototype drugs of this class used in obesity, amphetamine (d- and dll-amphetamine).
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