Gastrointestinal symptoms include nausea, vomiting, diarrhea and abdominal cramps. It can help weight loss by making you less hungry. 104 0 obj <> endobj 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. This site complies with the HONcode standard for trustworthy health information: verify here. However, it caused a chronic condition known as pulmonary hypertension, which led to the death of many patients. 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. A reduction in insulin or oral hypoglycemic medications in patients with diabetes mellitus may be required. 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. 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. W0Qxe {>x??}# cGCSGGC[G(P A@3'i~ (2[n! Rule 4731-11-01 | Definitions. 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. https://med.ohio.gov/LinkClick.aspx?fileticket=Q2JmI7o-3HI%3d&portalid=0. Perreault L. Obesity in adults: Drug therapy. A physician is the only person who can prescribe phentermine. Tablets containing 37.5 mg Phentermine hydrochloride (equivalent to 30 mg Phentermine base). 1-612-816-8773. For oral dosage form (disintegrating tablets): Adults and children 17 years of age and olderOne tablet once a day, taken in the morning. Phentermine has been linked to many complications; knowing these details will help patients minimize their risk of experiencing such unwanted scenarios. 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. This content does not have an Arabic version. 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. This search engine indexes the Drug Enforcement Administration Diversion Control Program Web Site (www.deadiversion.usdoj.gov) only. 4 Plus, the doctors are not familiar with your overall health status, instead relying entirely on self-reported information, which is often incomplete or inaccurate. 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. Doctors often advise patients that in the case of more serious side effects, they should immediately call for assistance. Phentermine also is offered combined with topiramate for weight loss (Qsymia). Concomitant use of alcohol with phentermine may result in an adverse drug reaction. These are two schedule- IV medications, phentermine/topiramate (Qsymia), and locaserin (Belviq), as well as non-controlled naltrexone hydrochloride/ buproprion hydrochloride (Contrave). Phentermine is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. In some cases, the use of this drug in combination with other pills may cause the effects of other drugs to increase. Portions of this document last updated: Feb. 01, 2023. Chapter 4731-11 - Ohio Administrative Code | Ohio Laws "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. Manifestations of acute overdosage include restlessness, tremor, hyperreflexia, rapid respiration, confusion, assaultiveness, hallucinations, and panic states. They help the body produce a larger amount of energy from fat cells, which further reduces body fat percentage. 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. A doctor is the only person who can determine if phentermine is right for you. Implementation of the Ryan Haight Online Pharmacy Consumer Protection Act of 2008. The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. She is passionate about promoting health at any size. See Drug Abuse and Dependence (9) and Overdosage (10). It is a class IV controlled substance because of its serious side effects and addiction potential. 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. Click here for an email preview. State Medical Board of Ohio > Resources > Weight Loss Drugs It should melt quickly. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. PDF Phentermine Patient Information - American Association of Clinical Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Phendimetrazine Prescribing Information - Drugs.com the unsubscribe link in the e-mail. Phentermine is not recommended for use in pediatric patients 16 years of age. Alternatively, 18.75 mg twice daily. Phentermine has not been studied in patients with eGFR less than 15 mL/min/1.73m2, including end-stage renal disease requiring dialysis; avoid use in these populations. Patients who have been on a Phentermine program should not suddenly stop using the drug. Patients are advised to report any symptoms or diseases they may have before the doctor prescribes the drug this may include high blood pressure and kidney problems, as well as any type of diabetes and thyroid disorders. Learn about the most popular weight loss medications. United Nations Office on Drugs and Crime. Medically reviewed by Drugs.com. 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. Losing weight during pregnancy can harm both a mother and her baby. Swallow the tablet whole. Studies have not been performed with Phentermine to determine the potential for carcinogenesis, mutagenesis or impairment of fertility. Advertising revenue supports our not-for-profit mission. Experience with hemodialysis or peritoneal dialysis is inadequate to permit recommendations in this regard. Columbus, Ohio 43215 Phone: (614) 466-3934 Web: www.med.ohio.gov State Medical Board of Ohio 30 E . Learn about phentermine and succeed in your weight loss journey. 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. All rights reserved. The following adverse reactions are described, or described in greater detail, in other sections: The following adverse reactions to Phentermine have been identified: Primary pulmonary hypertension and/or regurgitant cardiac valvular disease, palpitation, tachycardia, elevation of blood pressure, ischemic events. endstream endobj 1531 0 obj <>/Metadata 26 0 R/Pages 1528 0 R/StructTreeRoot 41 0 R/Type/Catalog>> endobj 1532 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/TrimBox[0.0 0.0 630.0 702.0]/Type/Page>> endobj 1533 0 obj <>stream Comprehensive review of current and upcoming anti-obesity drugs. 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. The prescribing designation for anorexiants can be located on page 15 of The Formulary Developed by the Committee on Prescriptive Governance (The Formulary). 138 0 obj <>stream Phentermine. 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. Phentermine: MedlinePlus Drug Information If the drug is taken too late in the day, it may also cause insomnia. The State Medical Board of Ohio met on January 13, 2021. To provide you with the most relevant and helpful information, and understand which Ohio Administrative Code 4731-11-04 and 4731-11-04.1. %PDF-1.6 % Long-term Phentermine Pharmacotherapy: An Investigation for Symptoms of Dr. Lazarus, we will discuss combination phentermine therapy later in this roundtable discussion. allnurses, LLC, 175 Pearl St Ste 355, Brooklyn NY 11201 The medical boards ICD-10 Committee is tasked with reviewing ICD-10 data that physicians submit to the OARRS system when prescribing controlled substances. If we combine this information with your protected Obesity has been linked to many different diseases, including type 2 diabetes and cardiovascular disease. Common side effects of phentermine include: Phentermine is one of the most prescribed weight-loss medicines. The dosage varies from 15mg to 37.5mg per day. Bariatric doctors are doctors that specialize in weight management. , . We comply with the HONcode standard for trustworthy health information. Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. 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 a patient would like to take other supplements, they should consult their doctor first. Phentermine doctors network. 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. 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. I hold a DEA cert. At January's meeting, the board discussed the rules and elected to investigate what other states are doing to regulate weight loss medication. Dosage form: tablet When performing prospective DUR, the pharmacist notices a 30-day gap in treatment. 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. 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. IBM Micromedex. Precaution should be taken if a patient has any existing health concerns as the drug may cause further harm to their body. 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. 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. Use caution when administering Phentermine to patients with renal impairment. Sign-up for our weekly newsletter! 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)]. Start with your primary care doctor and schedule an appointment to discuss weight. endstream endobj 108 0 obj <>stream The amount of medicine that you take depends on the strength of the medicine. Rule 4731-11-02 | General provisions. RPYcn@b[%XYK'Q %[.()GTkJ WCf.-i>n-oIzE*D40f#Gp'LcddmE8;>u?X"tO 1]M={4,ReC8E8Z Q1Lt$-XpFCrTJ Do not crush, break, or chew it. << /Length 5 0 R /Filter /FlateDecode >> https://www.uptodate.com/contents/search. Other brands of this drug include Suprenza, Phentercot, Acxion, Elvenir, Terflamex, Panbesy, Duromine, Fentermina, Phentermin, PHentermine and Lomaira. Current Obesity Reports. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient. 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 a Schedule 4 drug. Tablets are packaged in bottles of 100 (NDC 42806-810-01); and 1000 (NDC 42806-810-10). privacy practices. Six years after the approval, a similar drug, called Aminorex, were released in Europe with the same purpose of helping obese individuals. 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. Phentermine is related chemically and pharmacologically to amphetamine (d- and dll-amphetamine) and other related stimulant drugs have been extensively abused. But it isn't a good choice for people with heart disease, high blood pressure, an overactive thyroid gland or glaucoma. The Topamax is added to Phentermine in order to intensify its effects and to help patients lose weight faster. Learn about the benefits and advantages of Phen Caps! Phentermine Monograph for Professionals - Drugs.com | Prescription Drug 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. Cumulative urinary excretion of Phentermine under uncontrolled urinary pH conditions was 62% to 85%. Accessed Oct. 11, 2022. Along with Ohio's telehealth law in Sub. I wonder whose pockets got lined with that one. Initial U.S. Approval: 1959 -----INDICATIONS AND USAGE----- Suprenza is a sympathomimetic amine anorectic indicated as a short-term adjunct (a few weeks) in a regimen of . All rights reserved.5115 Parkcenter Avenue Suite 200 Dublin, OH 43017ph: 800.766.6762info@osma.org. Succeed on your weight loss journey with our curated resources! It is vital to talk with the doctor before using Phentermine with other products. 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. The first use of Phentermine as a drug to help treat obesity dates back to 1938. As mentioned above, new mothers should avoid using this medication when breastfeeding. It can help weight loss by making you less hungry. Won Son J, et al. It is illegal and unsafe to buy phentermine without a prescription. Following the administration of Phentermine, Phentermine reaches peak concentrations (Cmax) after 3 to 4.4 hours. information is beneficial, we may combine your email and website usage information with 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 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. In 1968, three years after its release, Aminorex was withdrawn. Safety and effectiveness in pediatric patients have not been established. Ohio has some of the strictest rules in the country andthe current rules place time limitations on prescriptions that, many times, force physicians to stop a medication that is showing positive weight loss results. Rx only. Phentermine Hydrochloride Tablets are indicated only as short-term (a few weeks) monotherapy for the management of exogenous obesity. hYr ~{L(QdK4^bdsO_d;a BXO--p,!4!,WhfM/@c At its May 18, 2015 meeting, the Committee on Prescriptive Governance (CPG) determined that three medications approved by the FDA for long-term weight management may be prescribed by APRNs with a CTP (CTP holder) if agreed to by the CTP holder and his/her collaborating physician and stated within the CTP holders standard care arrangement. BMI is calculated by taking the patients weight, in kilograms (kg), divided by the patients height, in meters (m), squared. 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 hb```e````a`d`@ f(fcfILLvL~. 3 Accessed Oct. 11, 2022. You may opt-out of email communications at any time by clicking on By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. https://fco.factsandcomparisons.com/. Keep from freezing. 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. The drug has two primary functions in the human body, which is the reason why it is always accompanied by these lifestyle changes. But the rate of misuse seems to be low. Some of these include: As with many other prescription drugs, Phentermine can also interact with certain medications. Adults and children 17 years of age and older15 to 30 milligrams (mg) once a day, taken at approximately 2 hours after breakfast. All trademarks are the property of their respective owners. However, weight loss clinics are not the perfect solution. 5 ]c,'303:20/) @d` )2 Phentermine: Package Insert / Prescribing Information - Drugs.com To provide you with the most relevant and helpful information, and understand which Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Choosing a specialty can be a daunting task and we made it easier. Existing health conditions that may act as a problem include diabetes, thyroid disorders, hypertension and kidney disease. Burguera B, et al. Children 15 years of age and youngerUse is not recommended. 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. Doctors used it to help patients who experience certain health issues caused by obesity to lose weight and improve the symptoms they are experiencing. 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. Tak YJ, et al. Phentermine also is offered combined with topiramate for weight loss (Qsymia). Review/update the A severe manifestation of chronic intoxication is psychosis, often clinically indistinguishable from schizophrenia. PDF Reference ID: 3115694 - Food and Drug Administration 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. Some of the most common withdrawal symptoms include weight gain, fatigue, insomnia and a bad mood. As much as 33% of the U.S. adult population are considered to be obese. Get the best fitness, food, and weight loss tips to succeed on your journey! endstream endobj startxref While these are the most common side effects of the drug, they are not the only consequences associated with the intake of this medication. Some preparations of the formula, however, have been classified as schedule II drugs. More specifically, this medication is an option for people with a body mass index (BMI): Greater than 30 kg/m2 Greater than 27 kg/m2 + one or more weight-related condition This is a label given to drugs that can be misused. Ideally, patients should take it on an empty stomach. The doctor also looks at the patients medical history for any pre-existing medical conditions that the medication should not be taken with. hbbd``b` @IHpA\> . ). They are usually real doctors who prescribe real phentermine without the now-mandatory face-to-face consultation. Cardiovascular effects include arrhythmia, hypertension or hypotension, and circulatory collapse. Late evening medication should be avoided because of the possibility of resulting insomnia. Medical Board Update - OSMA While the drug is considered to be relatively safe for individuals who are older than 16, the recommended age is 18. Special Populations Geriatric Patients Select dosage with caution, starting at lower end of dosage range. What could be the cause? However in the presence of topiramate, Phentermine Cmax and AUC increase 13% and 42%, respectively. For more FAQs, please see our full archive of Frequently Asked Questions about phentermine and related prescription appetite suppressants. The most common brand of Phentermine is a product known as Adipex, but officially called Adipex-P. PDF Mid-Level Practitioners Authorization by State 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. Even after the period that the drug has been prescribed for, the doctor will often recommend to gradually stop using the Phentermine to avoid the withdrawal symptoms. 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. Rule 4731-11-03 | Utilization of anabolic steroids, schedule II controlled substance cocaine hydrochloride, and schedule II controlled substance stimulants.