As much as 33% of the U.S. adult population are considered to be obese. 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. In some cases, the doctor may prescribe Phentermine in smaller doses and advise the patient to take it up to three times in a single day. This was often referred to as Rainbow Pills as all four drugs were often provided to a patient at the same time. 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. Systemic exposure of Phentermine may increase up to 91%, 45%, and 22% in patients with severe, moderate, and mild renal impairment, respectively [see Dosage and Administration (2.2) and Use in Specific Populations (8.6)]. endstream endobj 105 0 obj <> endobj 106 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/Type/Page>> endobj 107 0 obj <>stream Patients with a larger body weight may need to take a larger dose, depending on whether they have any health concerns that may be worsened by the usage of a larger dose. Do not keep outdated medicine or medicine no longer needed. LZ(6&JQKU5@5_M.~#p = yLgzP"Z90* v~1iu0pV (s:J&Q,. } }& 8}q>u@y)dO|fRmknw huA0@6-%&k-1qI6fSt4#>=sHMk>8fztq9_ nw:>NxHfib Lx.c QEWg\@y@ ~[*+-Dze~Ej+%.E`|IdW#o~#` MM Phentermine. Manifestations of acute overdosage include restlessness, tremor, hyperreflexia, rapid respiration, confusion, assaultiveness, hallucinations, and panic states. The FDA has categorized this drug as X for pregnancy, which means it should not be used during pregnancy under any circumstances. Click here for an email preview. Of course, it is taken orally. Later on, between 1940 and 1960, Phentermine was combined with other medications to improve its effectiveness. Accessed Oct. 11, 2022. information is beneficial, we may combine your email and website usage information with grants the Board of Medicine the authority to adopt rules to establish the practice guidelines for drugs used to treat obesity. Unfortunately, patients experienced a variety of side effects, which included severe heart toxicity and hypertension. Taking Phentermine depends on the brand and preparation of the drug. These practice guidelines can be found in Rule 64B8-9.012, F.A.C. ]c,'303:20/) @d` )2 Publications, Help Searching However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Phentermine is related chemically and pharmacologically to the amphetamines. 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. The Drug Enforcement Administration (DEA) has made 2 changes related to . It isnt prescribed on request, but rather when a healthcare provider notices it may be beneficial for a specific patient to lose weight in order to improve their overall health or to decrease the risk of certain health concerns. https://www.uptodate.com/contents/search. This equates to a weight loss of 10-20 pounds for a 200 pound . The 2022 Florida Statutes (including 2022 Special Session A and 2023 Special Session B) 458.336 Drugs to treat obesity; rules establishing guidelines.. xb```f``ZAb 1av K3gI{$*i p400t UD J@X$Ybv k=:,fb[ a`x @ ! 104 0 obj <> endobj The most common brand of Phentermine is a product known as Adipex, but officially called Adipex-P. Adjust dosage according to individual response and tolerance; use the smallest dosage required to produce the desired response. (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 . The amount of medicine that you take depends on the strength of the medicine. 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)]. Dosage should be individualized to obtain an adequate response with the lowest effective dose. Precaution should be taken if a patient has any existing health concerns as the drug may cause further harm to their body. include protected health information. Lomaira: One tablet three times a day, taken 30 minutes before meals. endstream endobj 108 0 obj <>stream 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. HVMs8WQl eLg*&{dd $_;lm |NggK6,M]gu\.BNB. Phentermine is not to be used while pregnant or breastfeeding under any circumstances. The limited usefulness of agents of this class, including Phentermine, [see Clinical Pharmacology (12.1, 12.2)] should be measured against possible risk factors inherent in their use such as those described below. 121 0 obj <>/Filter/FlateDecode/ID[<5D80FCFEE48BF540827EEA7155FB4128>]/Index[104 35]/Info 103 0 R/Length 85/Prev 180155/Root 105 0 R/Size 139/Type/XRef/W[1 2 1]>>stream 458.336, Florida Statutes - Drugs to treat obesity; rules establishing guidelines; Rule 64B8-9.012, Florida Administrative Code - Standards for the Prescription of Obesity . In order to help patients reduce their risk of developing these diseases when they are obese, doctors usually prescribe Phentermine. Studies have not been performed with Phentermine to determine the potential for carcinogenesis, mutagenesis or impairment of fertility. The risks include, but are not limited to: See also, for example, Adverse Reactions (6) and Use in SpecificPopulations (8). The combined drug is approved for long-term use. Apart from these brand names, other brands that contain the drug as part of their multi-ingredient formula also exist and the most popular one is Qsymia. The amount of weight loss associated with the use of an anorectic drug varies from trial to trial, and the increased weight loss appears to be related in part to variables other than the drugs prescribed, such as the physician-investigator, the population treated and the diet prescribed. RPYcn@b[%XYK'Q %[.()GTkJ WCf.-i>n-oIzE*D40f#Gp'LcddmE8;>u?X"tO 1]M={4,ReC8E8Z Q1Lt$-XpFCrTJ endstream endobj startxref FULL PRESCRIBING of the risk of hypertensive crisis. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Dryness of the mouth, unpleasant taste, diarrhea, constipation, other gastrointestinal disturbances. Taking Phentermine depends on the brand and preparation of the drug. Children 16 years of age and youngerUse is not recommended. 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. ]^Ng8\!HqX 'nR l# w! {A6.q=0G: S:nR-`\ |%Tx F5z :^EU\)|\eyt0F While these are the most common side effects of the drug, they are not the only consequences associated with the intake of this medication. 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. If a patient would like to take other supplements, they should consult their doctor first. 0000021285 00000 n Rule 4731-11-04. 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. Phentermine has been linked to many complications; knowing these details will help patients minimize their risk of experiencing such unwanted scenarios. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. IBM Micromedex. It is advised to stay in strict adherence with the instructions and dosage information a doctor prescribes to the patient in order to avoid dangerous side effects. Some patients experience an increase in sexual interest, while others notice that they have a lower libido. Take this medicine only as directed by your doctor. Such controlled substances may be sold only upon an order form, when such an order form is required for sale by the drug abuse laws of the United States or this state, or regulations pursuant thereto. 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. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. OR mail to: Attn: Dispensing Physician Registration, PO Box 946, Montgomery AL 36101-0946. other information we have about you. BMI is calculated by taking the patients weight, in kilograms (kg), divided by the patients height, in meters (m), squared. Mayo Clinic does not endorse companies or products. 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. 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. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. If the federal government fails to oversee how the money is spent, advocates worry it will be wasted. 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. Patients must be instructed on how much Phentermine to take, and when and how to take it [see Dosage and Administration (2)]. 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 https://fco.factsandcomparisons.com/. To avoid trouble with sleeping, take the last dose of the day about 4 to 6 hours before bedtime, unless your doctor tells you otherwise. information and will only use or disclose that information as set forth in our notice of Keep from freezing. Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. Ask your healthcare professional how you should dispose of any medicine you do not use.
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