Do You Need a Prescription for Phentermine? The medication has been classified as a controlled substance in most countries and is also classified as a schedule IV prescription drug. Phentermine also has many potential drug interactions (e.g., with MAOIs), so the prescribing doctor and pharmacist know about ALL other medications and supplements taken within the last two weeks. Precaution should be taken if a patient has any existing health concerns as the drug may cause further harm to their body. But the rate of misuse seems to be low. ADIPEX-P (phentermine hydrochloride) tablets, for oral use CIV ADIPEX-P (phentermine hydrochloride) capsules, for oral use CIV Initial U.S. Approval: 1959 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. 1591 0 obj <>stream The patient could have had the prescription for the month of October filled at another pharmacy. The patient brings in a prescription for the same drug on November 1, 2013. (2019, May 03). Overdosage of pharmacologically similar compounds has resulted in fatal poisoning usually terminates in convulsions and coma. Or it can help you feel full longer. Drug information provided by: IBM Micromedex. The most common side effects that patients experience include tremors, headaches, dizziness, dry mouth, diarrhea, constipation, upset stomach, feeling restless and being hyperactive. information highlighted below and resubmit the form. 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. Learn about the benefits and advantages of Phen Caps! This site complies with the HONcode standard for trustworthy health information: verify here. Lomaira: One tablet three times a day, taken 30 minutes before meals. A doctor that sees you regularly is in a unique position to assess the pros and cons of a phentermine prescription because he/she is familiar with your medical history, as well as other medications, allergies, and weight trends over time. Phendimetrazine tartrate is a white, odorless crystalline powder. The use of Topamax and Phentermine is actually an FDA-approved combination. A single copy of these materials may be reprinted for noncommercial personal use only. Tachyphylaxis and tolerance have been demonstrated with all drugs of this class in which these phenomena have been looked for. x8FvuN3il&_t%(af?uE7wRu\BbK. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. Phentermine has been linked to many complications; knowing these details will help patients minimize their risk of experiencing such unwanted scenarios. The usual adult dose is one tablet (37.5 mg) daily, as prescribed by the physician, administered before breakfast or 1 to 2 hours after breakfast. If we combine this information with your protected 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. The most severe manifestation of chronic intoxications is psychosis, often clinically indistinguishable from schizophrenia. x\8zS wU^TM;J`Kc=@y\} Blf\3K|xL?D$aesY"_(ceD!s!@P,?K&Bd8cKS~zq=7'kiw\dqL:A ?O0O@+}y"z[?Os/Kht;[SN4h9c31{8Eh7dPc\BFE(e&9;!PUqK\aD 7) &\1!j-_Y7jD,Sp)AWc/igg?v{5\%a'd9"D0=gRGEZgpbMQJD *k*;1'w24w, d r d?&8xeEj`\2C6xrhq2@-{P5CbBL(/0m8&8Ltnvf};y852q*+I%l=+rwGUv*:!80|>tb?U?L,zG8%K`n]+:,LCE")Xz\^):{~{=vu=Qg`A\6qT=WCZ TcR%mi,OV_RtK1e&:By~i~!nu Late evening medication should be avoided because of the possibility of resulting insomnia. It is illegal and unsafe to buy phentermine without a prescription. In some cases, especially when the health concern is not too serious, the doctor may prescribe the drug at lower doses spread throughout the day, instead of advising the patient to take one single dose every day. 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. Numerous side effects have been linked to the use of Phentermine. I am looking for information/advice/links to prescribing Phentermine (adipex ) in conjunction with diet and exercise in My private PCP business in the state of Ohio. , 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. Moreover, it is strongly recommended to avoid or limit the alcohol intake. %%EOF ). The goal of the drug is to help patients lose weight and increase energy since the withdrawal symptoms of include fatigue and weight gain through an increase in appetite, the product is rendered a waste of the patients time and money. JC. Phentermine HCl Tablets, USP 37.5 mg health information, we will treat all of that information as protected health Phentermine is a popular prescription drug that is often used to treat obesity. If not, additional education or an additional certification may be needed. Phentermine is a Schedule 4 drug. Later on, between 1940 and 1960, Phentermine was combined with other medications to improve its effectiveness. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. The magnitude of increased weight loss of drug-treated patients over placebo-treated patients is only a fraction of a pound a week. 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. Y$iqzZz\vlt1a;svw&aBS8Z(HGCkr&_Qxt97t,GWceTL^QqX(%8_A2'"%tD'DNz"G*"Tc. It is impossible for them to complete the necessary physical evaluation (and follow-up) that is required to ensure that phentermine will not cause you undue harm. Phentermine is approved for use for up to 12 . These are both major barriers to optimal medical care. Won Son J, et al. This search engine indexes the Drug Enforcement Administration Diversion Control Program Web Site (www.deadiversion.usdoj.gov) only. But regarding phentermine monotherapy, phentermine hydrochloride (HCl) is a sympathomimetic Drug Enforcement Agency (DEA) scheduled IV drug approved as an anti-obesity medication and marketed in the US since 1959 (See Table 1).The reported weight reduction efficacy of phentermine [10] derived from . If you are a Mayo Clinic patient, this could It is contraindicated for patients with current or past: cardiovascular disease (heart problems), hyperthyroidism, glaucoma, agitated states, drug/alcohol abuse, or reactions to sympathomimetic amines. They help the body produce a larger amount of energy from fat cells, which further reduces body fat percentage. It is freely soluble in water; sparingly soluble in warm alcohol, insoluble in chloroform, acetone, ether and benzene. Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. 100 TABLETS United States of America, Drug Enforcement Administration, Federal Register. With respect to the care and treatment of patients with obesity, APRNs are required to incorporate the State Medical Board rules applicable to physicians and prescribing practices. Current Obesity Reports. Tablets containing 37.5 mg Phentermine hydrochloride (equivalent to 30 mg Phentermine base). As a result, they may be more open to the idea of prescribing phentermine. According to the medical board, at this time, only physicians who prescribe opioids are receiving benchmark style reports and the board thinks that all prescribers who report into OARRS should receive the same information. Selling or giving away Phentermine may harm others and is against the law. The Formulary can be accessed on the Board of Nursing website: www.nursing. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Any knowledge would be most appreciated. Missed Dose . When breastfeeding, the drug may enter the breast milk and travel into the nursing babys body, which may cause harm to them. She is passionate about promoting health at any size. For example, it can be be used with healthy eating, physical activity and behavior change. 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)]. Why is phentermine a controlled substance? Requirements may be altered [see Warnings and Precautions (5.9)]. information and will only use or disclose that information as set forth in our notice of Create well-written care plans that meets your patient's health goals. iQJG\If6CuoG^|&qXegM,+vmC [To w{`F@kMxVBrH7.1g B;H _BfHPXK#Q information submitted for this request. Highlighted below are the topics discussed at the meeting that OSMA is closely following. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Biliopancreatic diversion with duodenal switch (BPD/DS), Endoscopic Sleeve Gastroplasty (Gastric Sleeve), Biliopancreatic diversion with duodenal switch. The CPG determination is specific to Qsymin, Belviq and Contrave only. How Is Phentermine Dosed? Thus, in order to make the most of this drug, patients need make some effort too. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. 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. 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 popular prescription drug that is often used to treat obesity. 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. Medically reviewed by Drugs.com. This medicine is available in four forms: capsules, disintegrating tablets, extended-release capsules, and tablets. 0 Each tablet contains the following inactive ingredients: starch, lactose anhydrous, microcrystalline cellulose, colloidal silicon dioxide, stearic acid, magnesium stearate and blue sugar spheres. << /Length 5 0 R /Filter /FlateDecode >> Other brands of this drug include Suprenza, Phentercot, Acxion, Elvenir, Terflamex, Panbesy, Duromine, Fentermina, Phentermin, PHentermine and Lomaira. Phentermine is not recommended for use in pediatric patients 16 years of age. Alternatively, 18.75 mg twice daily. Before you schedule your first appointment, do some research to find out how much the whole process costs and if you can use outside coupons like prescription discount cards. As mentioned above, new mothers should avoid using this medication when breastfeeding. Rx only. 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. These are all promoted as weight loss pills that assist obese individuals. It is important to follow these instructions religiously. It is an appetite suppressant with the added ability to help the body produce more energy from fat cells. The safety and efficacy of combination therapy with Phentermine and any other drug products for weight loss including prescribed drugs, over-the-counter preparations, and herbal products, or serotonergic agents such as selective serotonin reuptake inhibitors (e.g., fluoxetine, sertraline, fluvoxamine, paroxetine), have not been established. Phentermine.com is a property of: Careworld LLC. Studies have not been performed with Phentermine to determine the potential for carcinogenesis, mutagenesis or impairment of fertility. Cumulative urinary excretion of Phentermine under uncontrolled urinary pH conditions was 62% to 85%. 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. Despite the initial draw of saving time and money by completing your consultation online and receiving weight loss pills in the mail, using these online phentermine doctors is not safe. In order to help patients reduce their risk of developing these diseases when they are obese, doctors usually prescribe Phentermine. They are usually real doctors who prescribe real phentermine without the now-mandatory face-to-face consultation. It should also not be taken within 14 days after taking an MAO inhibitor. It also isn't for people who are pregnant, may become pregnant or are breastfeeding. %%EOF However, phentermine is not appropriate or safe for everyone. We comply with the HONcode standard for trustworthy health information. Press Releases. But weight management can take time. As much as 33% of the U.S. adult population are considered to be obese. U.S. Food and Drug Administration. Is Phentermine a Controlled Substance? Adults and children 17 years of age and older. There are reports of patients who have increased the dosage of these drugs to many times than recommended. Mayo Clinic does not endorse companies or products. The possible origins of the increased weight loss due to the various drug effects are not established. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Below is a chart of body mass index (BMI) based on various heights and weights. ). 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. While the drug is considered to be relatively safe for individuals who are older than 16, the recommended age is 18. Specializes in Cardiology, Research, Family Practice. Get the best fitness, food, and weight loss tips to succeed on your journey! Phentermine may decrease the hypotensive effect of adrenergic neuron blocking drugs. , Children 16 years of age and youngerUse is not recommended. This combination of ingredients was branded as Fen-Phen. Losing weight during pregnancy can harm both a mother and her baby. endstream endobj startxref Mayo Clinic does not endorse companies or products. 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 drug is also available in regular capsules that are taken orally with a glass of water. Dosage should be individualized to obtain an adequate response with the lowest effective dose. Before taking phentermine, tell your doctor and pharmacist if you are allergic to phentermine, any other medications, or any of the ingredients in phentermine tablets. 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 MAO inhibitors (Monoamine Oxidase Inhibitors) are used to treat depression, especially a specific type called atypical depression. Since Phentermine is a drug that contains chemical compounds, it is important to know about all of the risks that are involved with its use and precautions a person should be aware of before the consumption. ]^Ng8\!HqX 'nR l# w! {A6.q=0G: S:nR-`\ |%Tx F5z :^EU\)|\eyt0F ). 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. 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. State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127 (614) 466-3934 med.ohio.gov A link to Chapter 4731-11, OAC, is also provided on page 15 of the Formulary.The nursing law and rules are available for review on the Boards website www.nursing.ohio.gov under the Law and Rules link.The website for State Medical Board of Ohio is: www.med.ohio.gov. A doctor is the only person who can determine if phentermine is right for you. Children 16 years of age and youngerUse is not recommended. Phentermine Hydrochloride Tablets are indicated only as short-term (a few weeks) monotherapy for the management of exogenous obesity. %PDF-1.3 Phentermine is contraindicated during pregnancy because weight loss offers no potential benefit to a pregnant woman and may result in fetal harm. 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. 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 Your doctor may prescribe both of these drugs separately, or choose to prescribe Qsymia, which is another medication that combines Phentermine and Topamax. Advertising revenue supports our not-for-profit mission. 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. In order to determine the effectiveness of certain pharmaceuticals, supplements and other substances, clinical trials and scientific research are often conducted among a group of volunteers. Phentermine hydrochloride/topiramate. What could be the cause? (1/19/2016) Ohio Strenthens Opioid Prescribing Guidlines to Further Prevent Prescription Drug Abuse and Save . Encourage prescribers to incorporate best clinical practices when prescribing opioids for treating Ohio . Tablets: 37.5 mg phentermine hydrochloride, USP (equivalent to 30 mg phentermine base). 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 most cases, the drug is prescribed to users in periods of 12 weeks. 5 This content does not have an English version. In 1968, three years after its release, Aminorex was withdrawn. information highlighted below and resubmit the form. Phentermine doctors network. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. Phentermine is not a miracle drug taken daily and the body simply starts losing weight all by itself. The dosage varies from 15mg to 37.5mg per day. If your dose is different, do not change it unless your doctor tells you to do so. Ask your healthcare professional how you should dispose of any medicine you do not use. Acidification of the urine increases Phentermine excretion. other information we have about you. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. The strength and dosage of Phentermine depend on the brand that is prescribed and the patients specific condition. See full prescribing information for ADIPEX-P. hYr ~{L(QdK4^bdsO_d;a BXO--p,!4!,WhfM/@c The initial symptom of PPH is usually dyspnea. Typical actions of amphetamines include central nervous system stimulation and elevation of blood pressure. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. privacy practices. 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. If the doctor finds that the patient is a good candidate for Phentermine, they may prescribe a certain dose and provide specific details on dosage and lifestyle choices that should accompany the use of this medicine. BMI is calculated by taking the patients weight, in kilograms (kg), divided by the patients height, in meters (m), squared. Ideally, patients should take it on an empty stomach. Metric conversions are as follows: pounds 2.2 = kg; inches x 0.0254 = meters. Of course, it is taken orally. 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 ( 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. Start with your primary care doctor and schedule an appointment to discuss weight. The combined drug is approved for long-term use. information is beneficial, we may combine your email and website usage information with The dosage may be adjusted to the patients need. 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 Swallow the tablet whole. Taking too much Phentermine can be harmful to the patients body. 0 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/m 2, or 27 kg/m 2 in the presence of other risk factors (e.g., 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. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Click here for an email preview. 2 State Medical Board of Ohio On Wednesday, February 8, the board voted to adopt new telehealth rules. I wonder whose pockets got lined with that one. CIV Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. 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. It should melt quickly. The least amount feasible should be prescribed or dispensed at one time in order to minimize the possibility of overdosage. While these are the most common side effects of the drug, they are not the only consequences associated with the intake of this medication. ]c,'303:20/) @d` )2 OSMA has historically had concerns with the limitations that these rules place on physicians who treat patients with obesity. If you are a good candidate for the medication, but your doctor does not prescribe phentermine, ask for a referral. A reduction in insulin or oral hypoglycemic medications in patients with diabetes mellitus may be required. Special Populations Geriatric Patients Select dosage with caution, starting at lower end of dosage range. Some preparations of the formula, however, have been classified as schedule II drugs. Concomitant use of alcohol with Phentermine may result in an adverse drug reaction. 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. Use caution when administering Phentermine to patients with renal impairment. LiverTox National Institutes of Health. (phentermine hydrochloride) orally disintegrating tablet C IV . Phentermine. 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. - 7 This brand is manufacturedby Teva Pharmaceuticals (formerly GATE Pharmaceuticals). Sign-up for our weekly newsletter! Therefore, coadministration of Phentermine and these drug products is not recommended. 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. What to offer the 99% of patients with severe obesity who do not undergo bariatric surgery? include protected health information. Trends in Prescribing and Dispensing Patterns . 4 Dryness of the mouth, unpleasant taste, diarrhea, constipation, other gastrointestinal disturbances. 2021; doi:10.1007/s13679-020-00422-w. It has the chemical name of ,,-Dimethylphenethylamine hydrochloride. Review/update the Or it can help you feel full longer. Ohio Administrative Code 4731-11-04 and 4731-11-04.1. 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. privacy practices. Each brand has its own way of manufacturing the drug and, in some cases, combines it with other chemicals to make it more effective or to add additional features to its use. Management of acute Phentermine hydrochloride intoxication is largely symptomatic and includes lavage and sedation with a barbiturate. hbbd``b` @IHpA\> . Dispense in a tight container as defined in the USP, with a child-resistant closure (as required). 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 Some brands use a dissolving tablet that is placed under the tongue, which allows the body to absorb the chemicals in the drug faster. RPYcn@b[%XYK'Q %[.()GTkJ WCf.-i>n-oIzE*D40f#Gp'LcddmE8;>u?X"tO 1]M={4,ReC8E8Z Q1Lt$-XpFCrTJ Carefully follow the dosing instructions for the form you are using. 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. https://www.uptodate.com/contents/search. Wait, so NPs may prescribe Qsymia, but not phentermine? Mid-Level Practitioners Authorization by State Pursuant to Title 21, Code of Federal Regulations, Section 1300.01(b28), the term mid-level practitioner means an individual The Topamax is added to Phentermine in order to intensify its effects and to help patients lose weight faster. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Concomitant use of alcohol with phentermine may result in an adverse drug reaction. The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. One of the most important things to consider is the fact that the drug should never be accompanied by an MAO inhibitor. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. 1 All rights reserved.5115 Parkcenter Avenue Suite 200 Dublin, OH 43017ph: 800.766.6762info@osma.org. FULL PRESCRIBING of the risk of hypertensive crisis. It can help weight loss by making you less hungry. It is important not to perform activities that require a patient to be alert while experiencing mental impairment as an adverse effect. 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 Specializes in Med nurse in med-surg., float, HH, and PDN. This content does not have an English version. The doctor also looks at the patients medical history for any pre-existing medical conditions that the medication should not be taken with. Some weight loss clinics also insist that patients take additional supplements, such as vitamin B12 shots and 5-HTP, to boost phentermine despite the supplements unproven effectiveness. = National Association of Boards of Pharmacy. Phentermine also is offered combined with topiramate for weight loss (Qsymia). However, the medication does have a considerable street value. The risks include, but are not limited to: See also, for example, Adverse Reactions (6) and Use in SpecificPopulations (8). Due to its status as a controlled substance, the sale, distribution, and possession of this drug is tightly regulated by the DEA and international regulatory authorities ( (2019). Click here for an email preview. The drug is usually prescribed at the lowest possible dose to new users, which is 15mg per day. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
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