phentermine prescribing guidelines florida

Law Implemented Florida Statutes 458.336. Thus, in order to make the most of this drug, patients need make some effort too. Doctors often advise patients that in the case of more serious side effects, they should immediately call for assistance. The Board of Medicine shall adopt rules to establish practice guidelines for physicians to safely prescribe phentermine, fenfluramine, and other drugs used to treat obesity. 0000000016 00000 n Schedule. Won Son J, et al. Mayo Clinic does not endorse companies or products. Or it can help you feel full longer. The risks include, but are not limited to: See also, for example, Adverse Reactions (6) and Use in SpecificPopulations (8). BMI is calculated by taking the patients weight, in kilograms (kg), divided by the patients height, in meters (m), squared. %PDF-1.4 % If we combine this information with your protected Medically reviewed by Drugs.com. Dosage should be individualized to obtain an adequate response with the lowest effective dose. 0000002493 00000 n This search engine indexes the Drug Enforcement Administration Diversion Control Program Web Site (www.deadiversion.usdoj.gov) only. the prescription is dispensed directly to a member of the United States armed forces serving outside the United States. This content does not have an Arabic version. IBM Micromedex. Phentermine also is offered combined with topiramate for weight loss (Qsymia). hb``````>X,K10wdjdZ(`l Ro4' b2h>$:-9.AKL1}c$vEP;-@c=en`Y %YQh` &^ Patients must be instructed on how much Phentermine to take, and when and how to take it [see Dosage and Administration (2)]. Phentermine is a Schedule 4 drug. Click here for an email preview. Advertising revenue supports our not-for-profit mission. Talk with your doctor before starting an exercise program. include protected health information. It is an appetite suppressant with the added ability to help the body produce more energy from fat cells. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. OR mail to: Attn: Dispensing Physician Registration, PO Box 946, Montgomery AL 36101-0946. 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. Doses are normally taken before breakfast, or 1 to 2 hours after breakfast. You may opt-out of email communications at any time by clicking on 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. Later on, between 1940 and 1960, Phentermine was combined with other medications to improve its effectiveness. Tell patients to keep Phentermine in a safe place to prevent theft, accidental overdose, misuse or abuse. A clear, concise warning that it is a crime to transfer the controlled substance to any person other than the patient for whom prescribed. The MAO inhibitors (Monoamine Oxidase Inhibitors) are used to treat depression, especially a specific type called atypical depression. Phentermine may decrease the hypotensive effect of adrenergic neuron blocking drugs. %%EOF Selling or giving away Phentermine may harm others and is against the law. Based on the reported excretion of Phentermine in urine, exposure increases can be expected in patients with renal impairment [see ClinicalPharmacology (12.3)]. Yes, you need a prescription for phentermine. Do not keep outdated medicine or medicine no longer needed. (A) A prescriber may utilize a schedule III or IV controlled substance for the treatment of obesity only if it has an F.D.A approved indication for this purpose and then only in accordance with all of the . HB 423 (by Rep. Pigman) was signed into law on April 14, 2016. 0000002991 00000 n 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. 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. 2019; doi:10.1016/j.mayocp.2018.11.020. Use of Phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis. Such prescriptions must contain the date of the oral authorization. Intravenous phentolamine (Regitine, CIBA) has been suggested on pharmacologic grounds for possible acute, severe hypertension, if this complicates overdosage. Swallow the tablet whole. During the COVID-19 public health emergency (PHE), authorized providers can prescribe controlled substances via telehealth, without the need for an in-person medical evaluation. Children 16 years of age and youngerUse is not recommended. History-New 12-4-97, Amended 2-17-98, 8-8-22. @ d Section 458.336, F.S. The most common side effects that patients experience include tremors, headaches, dizziness, dry mouth, diarrhea, constipation, upset stomach, feeling restless and being hyperactive. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. endstream endobj 22 0 obj <> endobj 23 0 obj <> endobj 24 0 obj <>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 25 0 obj <> endobj 26 0 obj <> endobj 27 0 obj <> endobj 28 0 obj <> endobj 29 0 obj <> endobj 30 0 obj <> endobj 31 0 obj <> endobj 32 0 obj <>stream 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. law states . Code R. 64B8-11.001 Advertising weight loss treatment shall be considered false, deceptive, or misleading if it contains representations that: (e) Suggest that weight loss is effortless or magical. 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 related chemically and pharmacologically to the amphetamines. 893.04 Pharmacist and practitioner.. It is not known if Phentermine is excreted in human milk; however, other amphetamines are present in human milk. 2012 Florida Statutes. Or it can help you feel full longer. The doctor may advise the patient to complete the remaining period of the program or help him/her end the program safely. Please consult with your physician before you make any decisions regarding your health. 0000021285 00000 n 0000001039 00000 n 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. 2020; doi:10.4093/dmj.2020.0258. All rights reserved. Mid-range score: large amounts of medication in accordance with recommended guidelines.Low dose + high risk factors . If a prescription includes a numerical notation of the quantity of the controlled substance or date, but does not include the quantity or date written out in textual format, the pharmacist may dispense the controlled substance without verification by the prescriber of the quantity or date if the pharmacy previously dispensed another prescription for the person to whom the prescription was written. Phentermine Hydrochloride Tablets are indicated only as short-term (a few weeks) monotherapy for the management of exogenous obesity. 458.336, Florida Statutes - Drugs to treat obesity; rules establishing guidelines; Rule 64B8-9.012, Florida Administrative Code - Standards for the Prescription of Obesity . Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. Patients should be advised to report immediately any deterioration in exercise tolerance. History.s. 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. After 12 weeks, the patient needs to take a break from the product as it may lead to physical dependence. %PDF-1.6 % 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. All rights reserved. hYr ~{L(QdK4^bdsO_d;a BXO--p,!4!,WhfM/@c If the federal government fails to oversee how the money is spent, advocates worry it will be wasted. 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 0000001488 00000 n It is vital to talk with the doctor before using Phentermine with other products. The use of Topamax and Phentermine is actually an FDA-approved combination. 79-12; s. 2, ch. In patients with severe renal impairment (eGFR 15 to 29 mL/min/1.73m2), limit the dosage of Phentermine to 15 mg daily [see Dosage and Administration (2.2)]. 35 0 obj <>stream It is a class IV controlled substance because of its serious side effects and addiction potential. All rights reserved. The journals or printed bills of the respective chambers should be consulted for official purposes. Place the tablet on the top of your tongue right after removing it from the bottle. include protected health information. Adults Exogenous Obesity Oral. What to offer the 99% of patients with severe obesity who do not undergo bariatric surgery? 1530 0 obj <> endobj The following information includes only the average doses of this medicine. The number of the prescription, as recorded in the prescription files of the pharmacy in which it is filled. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Gastrointestinal symptoms include nausea, vomiting, diarrhea and abdominal cramps. The journals or printed bills of the respective chambers should be consulted for official purposes. Pharmacists may order the medicinal drug products set forth in each rule subject to the following terms and limitations: . The dosage varies from 15mg to 37.5mg per day. This content does not have an English version. History of cardiovascular disease (e.g., coronary artery disease, stroke, arrhythmias, congestive heart failure, uncontrolled hypertension), During or within 14 days following the administration of monoamine oxidase inhibitors, Known hypersensitivity, or idiosyncrasy to the sympathomimetic amines, Effect on the ability to engage in potentially hazardous tasks [see, Withdrawal effects following prolonged high dosage administration [see, Development of primary pulmonary hypertension [see, Development of serious valvular heart disease [see, Effects on the ability to engage in potentially hazardous tasks [see, The risk of an increase in blood pressure [see, the potential for developing tolerance and actions if they suspect development of tolerance [see, the risk of dependence and the potential consequences of abuse [see. Drug information provided by: Merative, Micromedex. 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. Accessed Oct. 11, 2022. 0000003317 00000 n It is often prescribed to be taken in the morning, before or after breakfast. Phentermine Hydrochloride Tablets, USP 37.5 mg are white oval shaped bisected tablet with blue specs, debossed with 810 on bisected side. 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. Average users lose 3-5% of their initial body weight as shown in studies. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Instead of simply quitting the program, a patient should rather consult a healthcare provider about quitting. These are all promoted as weight loss pills that assist obese individuals. Requirements may be altered [see Warnings and Precautions (5.9)]. If a patient would like to take other supplements, they should consult their doctor first. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. This is a label given to drugs that can be misused. 2009-202. All trademarks are the property of their respective owners. = 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. This does not only include prescription drugs but also: Common drugs that are known to interact with Phentermine include Dopamine, Venlafaxine, Linezolid, Ephedrine, Isoproterenol, Epinephrine, Norepinephrine and a Phenylephrine injection. Lomaira: One tablet three times a day, taken 30 minutes before meals. Metric conversions are as follows: pounds 2.2 = kg; inches x 0.0254 = meters. Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. This medication has been linked to physical dependence, which means a patient may become addicted to it. Common side effects of phentermine include: Phentermine is one of the most prescribed weight-loss medicines. Pursuant to Board of Medical Examiners Rule 540-X-4-.05, dispensing physicians are required to register with the Board. There shall appear on the face of the prescription or written record thereof for the controlled substance the following information: The full name and address of the person for whom, or the owner of the animal for which, the controlled substance is dispensed. If the prescription is for an animal, the species of animal for which the controlled substance is prescribed. Ask your healthcare professional how you should dispose of any medicine you do not use. Phentermine is approved for use for up to 12 weeks. (In combination with a healthy diet and exercise plan). Below is a chart of body mass index (BMI) based on various heights and weights. Abuse of amphetamines and related drugs may be associated with intense psychological dependence and severe social dysfunction. Generic name: Phentermine hydrochloride Required fields are marked *. Acidification of the urine increases Phentermine excretion. Phentermine is most commonly prescribed to patients who experience negative health effects to excessive amounts of body weight. hX}(I The medication has been classified as a controlled substance in most countries and is also classified as a schedule IV prescription drug. Follow your doctor's orders or the directions on the label. endstream endobj 108 0 obj <>stream There is a problem with 104 0 obj <> endobj

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