phentermine prescribing guidelines florida

• 8 September 2023

Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. Adults and children 17 years of age and older. It is obvious that these symptoms can make the entire program useless. This website is a resource which lists doctors and clinics who may offer phentermine or appetite suppressants for patients they deem qualified. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 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. There is a problem with Follow all directions on your prescription label and read all medication guides or instruction sheets. These rules and statutes . It can help weight loss by making you less hungry. While discussing the use of Phentermine with the doctor, a patient is provided a list of lifestyle changes to implement while using this product. 1591 0 obj <>stream Phentermine is one of the most effective prescription weight loss medications, with FDA approval since 1959. All trademarks are the property of their respective owners. Phentermine (Oral Route) Proper Use - Mayo Clinic Any time such prescriptions are made for children, the prescribing physician must obtain a written informed consent from the parent or legal guardian of the minor patient in addition to complying with the other guidelines and standards set forth in this rule. 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. Mayo Clinic does not endorse companies or products. 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. In fact, one study conducted at the Duke University School of Medicine found that apart from the Phentermines ability to effectively reduce body weight, it can also help improve a patients health-related quality of life. Phentermine is a Schedule IV controlled substance. Low dose + low risk factors . Copyright 2000- 2023 State of Florida. The directions for the use of the controlled substance prescribed in the prescription. Make sure your hands are dry before touching the tablet. Phentermine HCl Tablets, USP 37.5 mg Phentermine is most commonly prescribed to patients who experience negative health effects to excessive amounts of body weight. A prescription for a controlled substance listed in Schedule II may not be refilled. https://www.micromedexsolutions.com. See Drug Abuse and Dependence (9) and Overdosage (10). Phentermine (Oral Route) Proper Use - Mayo Clinic See DrugAbuse and Dependence (9.3). Use caution when administering Phentermine to patients with renal impairment. Adults Exogenous Obesity Oral. trailer Perreault L. Obesity in adults: Drug therapy. Phentermine is related chemically and pharmacologically to the amphetamines. 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 may decrease the hypotensive effect of adrenergic neuron blocking drugs. Safety and effectiveness in pediatric patients have not been established. 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/m2, or 27 kg/m2 in the presence of other risk factors (e.g., controlled hypertension, diabetes, hyperlipidemia). 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. This content does not have an English version. However in the presence of topiramate, Phentermine Cmax and AUC increase 13% and 42%, respectively. Statutes & Constitution :View Statutes : Online Sunshine Registration is accomplished by completing and returning the dispensing physician registration form. Or it can help you feel full longer. Thus, in order to make the most of this drug, patients need make some effort too. hbbd``b`z$@D`]"@DeX- Bb V ``LA\F*? If we combine this information with your protected (In combination with a healthy diet and exercise plan). Rule 4731-11-04. Dispense in a tight container as defined in the USP, with a child-resistant closure (as required). Chapter 893 DRUG ABUSE PREVENTION AND CONTROL Entire Chapter. 0 Phentermine is not a miracle drug taken daily and the body simply starts losing weight all by itself. If you are allergic to other stimulants, amphetamines, cold medications or diet pills, you have a higher risk of being allergic to these pills too. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Different brands manufacture, distribute and sell Phentermine drugs. . Rulemaking Authority 458.336 FS. Doctors often combined the use of Phentermine with diuretics, thyroid hormone medicines and digitalis. information highlighted below and resubmit the form. Primary Pulmonary Hypertension (PPH) a rare, frequently fatal disease of the lungs has been reported to occur in patients receiving a combination of Phentermine with fenfluramine or dexfenfluramine. These are all promoted as weight loss pills that assist obese individuals. 14 %%EOF This includes prescription and nonprescription (over-the-counter) medicines, dietary supplements, herbal remedies, or medicines for appetite control, asthma, colds, cough, hay fever, and sinus problems. endstream endobj 105 0 obj <> endobj 106 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/Type/Page>> endobj 107 0 obj <>stream A pharmacist may not knowingly fill a prescription that has been forged for a controlled substance listed in Schedule II, Schedule III, or Schedule IV. ]c,'303:20/) @d` )2 Phentermine also is offered combined with topiramate for weight loss (Qsymia). Y$iqzZz\vlt1a;svw&aBS8Z(HGCkr&_Qxt97t,GWceTL^QqX(%8_A2'"%tD'DNz"G*"Tc. History.s. If a patient would like to take other supplements, they should consult their doctor first. Any controlled substance listed in Schedule III or Schedule IV may be dispensed by a pharmacist upon an oral prescription if, before filling the prescription, the pharmacist reduces it to writing or records the prescription electronically if permitted by federal law. What to offer the 99% of patients with severe obesity who do not undergo bariatric surgery? A pharmacist may not dispense more than a 30-day supply of a controlled substance listed in Schedule III upon an oral prescription issued in this state. It should melt quickly. The name of the prescribing practitioner. PDF label - Food and Drug Administration Phentermine hydrochloride/topiramate. A severe manifestation of chronic intoxication is psychosis, often clinically indistinguishable from schizophrenia. https://fco.factsandcomparisons.com/. hWmo8+jE'"m{F privacy practices. Doses are normally taken before breakfast, or 1 to 2 hours after breakfast. While the drug is considered to be relatively safe for individuals who are older than 16, the recommended age is 18. 2021; doi:10.1007/s13679-020-00422-w. The journals or printed bills of the respective chambers should be consulted for official purposes. 0000005652 00000 n The drug has two primary functions in the human body, which is the reason why it is always accompanied by these lifestyle changes. Phentermine was later provided to patients in combination with dexfenfluramine and fenfluramine as a more powerful appetite suppressant that could also act as a fat burner. 2019; doi:10.1016/j.mayocp.2018.11.020. Each tablet contains the following inactive ingredients: starch, lactose anhydrous, microcrystalline cellulose, colloidal silicon dioxide, stearic acid, magnesium stearate and blue sugar spheres. s. 4, ch. Any pharmacist who dispenses by mail a controlled substance listed in Schedule II, Schedule III, or Schedule IV is exempt from the requirement to obtain suitable identification for the prescription dispensed by mail if the pharmacist has obtained the patients identification through the patients prescription benefit plan. Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. The full name and address of the prescribing practitioner and the practitioners federal controlled substance registry number shall be printed thereon. Florida Statutes Definitions Index (2022), Table Tracing Session Laws to Florida Statutes (2022), Index to Special and Local Laws (1971-2022), Index to Special and Local Laws (1845-1970). 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Concomitant use of alcohol with Phentermine may result in an adverse drug reaction. It is an appetite suppressant with the added ability to help the body produce more energy from fat cells. Not only can losing weight harm an unborn baby during pregnancy, but the drug may also cause adverse effects. They inhibit the activity of an entire enzyme family known as monoamine oxidase. Moreover, it is strongly recommended to avoid or limit the alcohol intake. 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. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. Each written prescription prescribed by a practitioner in this state for a controlled substance listed in Schedule II, Schedule III, or Schedule IV must include both a written and a numerical notation of the quantity of the controlled substance prescribed on the face of the prescription and a notation of the date, with the abbreviated month written out on the face of the prescription. 2007-156; s. 5, ch. The first use of Phentermine as a drug to help treat obesity dates back to 1938. information and will only use or disclose that information as set forth in our notice of 0 64b8-9 Another important fact to consider before taking Phentermine is that it should never be used by women who are pregnant or who are currently breastfeeding. Phentermine also is offered combined with topiramate for weight loss (Qsymia). Phentermine is approved for use for up to 12 . This brand is manufacturedby Teva Pharmaceuticals (formerly GATE Pharmaceuticals). 2012 Florida Statutes. It is vital to talk with the doctor before using Phentermine with other products. 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. However, it caused a chronic condition known as pulmonary hypertension, which led to the death of many patients. The drug is mainly an appetite suppressant, thus making a patient feel fuller after (and between) meals and making the patient more likely to consume foods that have lower amounts of calories. Use caution in prescribing Phentermine for patients with even mild hypertension (risk of increase in blood pressure). 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. 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. Some preparations of the formula, however, have been classified as schedule II drugs. health information, we will treat all of that information as protected health Medically reviewed by Drugs.com. 893.04 Pharmacist and practitioner.. Unfortunately, the answer is no in most cases. ZeS{$d!YS,|C~E;h4DJS?|{x}~ ?`2F. Chapter 893 Section 04 - 2012 Florida Statutes - The Florida Senate Accessed Oct. 11, 2022. The effective date is January 1, 2020. But it isn't a good choice for people with heart disease, high blood pressure, an overactive thyroid gland or glaucoma. Last updated on Mar 22, 2023. In 1968, three years after its release, Aminorex was withdrawn. Typical actions of amphetamines include central nervous system stimulation and elevation of blood pressure. Following the administration of Phentermine, Phentermine reaches peak concentrations (Cmax) after 3 to 4.4 hours. Animal reproduction studies have not been conducted with Phentermine. <]>> Schedule. Rule 4731-11-04 - Ohio Administrative Code | Ohio Laws To provide you with the most relevant and helpful information, and understand which Phentermine is approved for use for up to 12 weeks. Tablets are packaged in bottles of 100 (NDC 42806-810-01); and 1000 (NDC 42806-810-10). 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. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. After 12 weeks, the patient needs to take a break from the product as it may lead to physical dependence. 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. Some of the most common withdrawal symptoms include weight gain, fatigue, insomnia and a bad mood. By: Susan St. John Pursuant to Section 456.44(3)(a), Florida Statutes, and Rule 64B-9.013(3)(a), Florida Administrative Code, a practitioner must evaluate a patient by taking a complete medical history and performing a physical examination prior to prescribing a controlled substance to a patient. Chapter 458 Section 336 - 2011 Florida Statutes - The Florida Senate 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

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