phentermine prescribing guidelines florida

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. Publications, Help Searching It also isn't for people who are pregnant, may become pregnant or are breastfeeding. Use caution when administering Phentermine to patients with renal impairment. It has the chemical name of ,,-Dimethylphenethylamine hydrochloride. This medication has been linked to physical dependence, which means a patient may become addicted to it. Long-term efficacy and safety of anti-obesity treatment: Where do we stand? This was often referred to as Rainbow Pills as all four drugs were often provided to a patient at the same time. Manifestations of acute overdosage include restlessness, tremor, hyperreflexia, rapid respiration, confusion, assaultiveness, hallucinations, and panic states. However, it caused a chronic condition known as pulmonary hypertension, which led to the death of many patients. Diabetes & Metabolism Journal. Notwithstanding subsection (1), a pharmacist may dispense a one-time emergency refill of up to a 72-hour supply of the prescribed medication for any medicinal drug other than a medicinal drug listed in Schedule II, in compliance with the provisions of s. The legal owner of any stock of controlled substances in a pharmacy, upon discontinuance of dealing in controlled substances, may sell said stock to a manufacturer, wholesaler, or pharmacy. Phentermine HCl Tablets, USP 37.5 mg If you take too much of this medicine, it may become habit-forming (causing mental or physical dependence). The MAO inhibitors (Monoamine Oxidase Inhibitors) are used to treat depression, especially a specific type called atypical depression. . %PDF-1.6 % 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). Following the administration of Phentermine, Phentermine reaches peak concentrations (Cmax) after 3 to 4.4 hours. Follow your doctor's orders or the directions on the label. 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. The prescription of such weight loss enhancers is not generally appropriate for children. These practice guidelines can be found in Rule 64B8-9.012, F.A.C. 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. Take this medicine only as directed by your doctor. The written prescription must be dated and signed by the prescribing practitioner on the day when issued. Phentermine has pharmacologic activity similar to amphetamine (d- and dll-amphetamine) [see Clinical Pharmacology (12.1)]. Some of the most common withdrawal symptoms include weight gain, fatigue, insomnia and a bad mood. The strength and dosage of Phentermine depend on the brand that is prescribed and the patients specific condition. 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. 64b8-9 Follow all directions on your prescription label and read all medication guides or instruction sheets. Since it may lead to such symptoms, it also has the potential to cause severe withdrawal symptoms, especially when a patient goes cold turkey. Accessed Oct. 11, 2022. Phentermine: Drug Uses, Dosage & Side Effects - Drugs.com 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. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. Tachyphylaxis and tolerance have been demonstrated with all drugs of this class in which these phenomena have been looked for. All rights reserved. Disclaimer: The information on this system is unverified. 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. PDF Reference ID: 3115694 - Food and Drug Administration CRIMES. |. (1) A pharmacist, in good faith and in the course of professional practice only, may dispense controlled substances upon a written or oral prescription of a practitioner . Tablets are packaged in bottles of 100 (NDC 42806-810-01); and 1000 (NDC 42806-810-10). When breastfeeding, the drug may enter the breast milk and travel into the nursing babys body, which may cause harm to them. Drugs to treat obesity; rules establishing guidelines. The drug is classified under a certain chemical class known as amphetamine as it has a similar pharmacology value to other drugs classified in the class. 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. Phentermine is a schedule IV drug that requires a consultation with the doctor and a prescription. Tell patients to keep Phentermine in a safe place to prevent theft, accidental overdose, misuse or abuse. Pursuant to Board of Medical Examiners Rule 540-X-4-.05, dispensing physicians are required to register with the Board. After 12 weeks, the patient needs to take a break from the product as it may lead to physical dependence. Metric conversions are as follows: pounds 2.2 = kg; inches x 0.0254 = meters. 0000002991 00000 n 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. Controlled substances for the treatment of obesity. Such prescriptions must contain the date of the oral authorization. Due to its status as a controlled substance, the sale, distribution, and possession of this drug . - 7 While the drug is considered to be relatively safe for individuals who are older than 16, the recommended age is 18. The magnitude of increased weight loss of drug-treated patients over placebo-treated patients is only a fraction of a pound a week. By doing this, the metabolism is revved up along with an . You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. endstream endobj 108 0 obj <>stream 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 prescription shall be retained on file by the proprietor of the pharmacy in which it is filled for a period of 2 years. Pharmacists may order the medicinal drug products set forth in each rule subject to the following terms and limitations: . Children 16 years of age and youngerUse is not recommended. This content does not have an Arabic version. The drug is usually prescribed at the lowest possible dose to new users, which is 15mg per day. Phentermine hydrochloride USP is a sympathomimetic amine anorectic. 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. 0000021285 00000 n Of course, it is taken orally. It should melt quickly. HB 423 - ARNP/PA Controlled Substance Prescribing. FULL PRESCRIBING of the risk of hypertensive crisis. Advertising revenue supports our not-for-profit mission. It should also not be taken within 14 days after taking an MAO inhibitor. This medicine is available in four forms: capsules, disintegrating tablets, extended-release capsules, and tablets. (phentermine hydrochloride) orally disintegrating tablet C IV . 0 The use of Topamax and Phentermine is actually an FDA-approved combination. information highlighted below and resubmit the form. 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. (3) In any case of dispensing hereunder, the amount or . Obesity has been linked to many different diseases, including type 2 diabetes and cardiovascular disease. 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. Instead of simply quitting the program, a patient should rather consult a healthcare provider about quitting. Children 15 years of age and youngerUse is not recommended. House Bill 831 (2019), Electronic Prescribing, was signed into law by Governor DeSantis. endstream endobj startxref Safety and effectiveness in pediatric patients have not been established. 73-331; s. 2, ch. Or it can help you feel full longer. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). ]^Ng8\!HqX 'nR l# w! {A6.q=0G: S:nR-`\ |%Tx F5z :^EU\)|\eyt0F Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. Make sure your hands are dry before touching the tablet. The Complete Guide To Phentermine (2021) - Patient's Guide + Resources 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. Required fields are marked *. Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. Phentermine is a Schedule 4 drug. PDF Prescription Drug Time and Dosage Limit Laws - CDC Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Cumulative urinary excretion of Phentermine under uncontrolled urinary pH conditions was 62% to 85%. 0000005652 00000 n 1591 0 obj <>stream hWmo8+jE'"m{F 104 0 obj <> endobj Adjust dosage according to individual response and tolerance; use the smallest dosage required to produce the desired response. 100 TABLETS Follow your doctor's dosing instructions very carefully. 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. hbbd``b`z$@D`]"@DeX- Bb V ``LA\F*? Patients with a larger body weight may need to take a larger dose, depending on whether they have any health concerns that may be worsened by the usage of a larger dose. Chapter 893 Section 04 - 2012 Florida Statutes - The Florida Senate Patients must be informed about the risks of use of Phentermine (including the risks discussed in Warnings and Precautions), about the symptoms of potential adverse reactions and when to contact a physician and/or take other action. Facts & Comparisons eAnswers. This bill allows ARNPs and PAs to prescribe controlled substances under existing supervision and protocol requirements, and subject to a formulary to be developed by a committee under the Board of Nursing. Prescribing Standards: In addition to the laws and rules directly related to the prescription and prescribing, there are other standards which should be followed as well. RPYcn@b[%XYK'Q %[.()GTkJ WCf.-i>n-oIzE*D40f#Gp'LcddmE8;>u?X"tO 1]M={4,ReC8E8Z Q1Lt$-XpFCrTJ BMI is calculated by taking the patients weight, in kilograms (kg), divided by the patients height, in meters (m), squared. 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. 893.049(1)(d), (e),f.s. PDF Prescribing in Florida (Guidance Provided by the Florida Department of SE, which stands for Electronic Florida Online Reporting of Controlled Sub-stances Evaluation program. Statutes & Constitution :View Statutes : Online Sunshine Some patients experience an increase in sexual interest, while others notice that they have a lower libido. 75-18; s. 12, ch. Like other weight-loss medicines ordered by providers, phentermine is meant to be only part of a weight-loss plan. Different brands manufacture, distribute and sell Phentermine drugs. The dosage may be adjusted to the patients need. Javascript must be enabled for site search. In some cases, the use of Phentermine has also led to the development of symptoms that are related to erectile dysfunction. Treatment should be discontinued in patients who develop new, unexplained symptoms of dyspnea, angina pectoris, syncope or lower extremity edema, and patients should be evaluated for the possible presence of pulmonary hypertension. Advise pregnant women and nursing mothers not to use Phentermine [see Use in Specific Populations (8.1, 8.3)]. Precaution should be taken if a patient has any existing health concerns as the drug may cause further harm to their body. It is important not to perform activities that require a patient to be alert while experiencing mental impairment as an adverse effect. Mid-range score: large amounts of medication in accordance with recommended guidelines.Low dose + high risk factors . Do not double doses. 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 combined drug is approved for long-term use. Statutes, Video Broadcast Phentermine hydrochloride/topiramate. 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). Phentermine is one of the substances that have been researched thoroughly, thus its effects have been proven effective and the claims that are made about this drug are backed by scientific evidence. The promotion of this brand as a diet pill started in 1990. information submitted for this request. Phentermine is a popular prescription drug that is often used to treat obesity. 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. Common side effects of phentermine include: Phentermine is one of the most prescribed weight-loss medicines. %%EOF OR mail to: Attn: Dispensing Physician Registration, PO Box 946, Montgomery AL 36101-0946. Many patients find that if their doctor gradually lowers their dose, for example from 37.5mg per day down to 15mg per day for the last few days, they experience fewer withdrawal symptoms and are able to keep the weight off later. 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. 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. While these are the most common side effects of the drug, they are not the only consequences associated with the intake of this medication. If the prescription is for an animal, the species of animal for which the controlled substance is prescribed. Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. Do not crush, break, or chew it. 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. Advertising revenue supports our not-for-profit mission. Doctors used it to help patients who experience certain health issues caused by obesity to lose weight and improve the symptoms they are experiencing. However in the presence of topiramate, Phentermine Cmax and AUC increase 13% and 42%, respectively. All trademarks are the property of their respective owners. If you are a Mayo Clinic patient, this could Prescribing phentermine - Medical Protection Accessed Oct. 11, 2022. The overdose symptoms include: The side effects of Phentermine can lead to several symptoms that may impair certain functions in the patients body. 2021; doi:10.1007/s13679-020-00422-w. Phentermine Monograph for Professionals - Drugs.com privacy practices. In 1968, three years after its release, Aminorex was withdrawn. Animal reproduction studies have not been conducted with Phentermine. In order to use Phentermine, the doctor needs to prescribe the drug for a specific patient. 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. The natural history of obesity is measured over several years, whereas the studies cited are restricted to a few weeks duration; thus, the total impact of drug-induced weight loss over that of diet alone must be considered clinically limited. Copyright 2000- 2023 State of Florida. privacy practices. 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. You may opt-out of email communications at any time by clicking on 0000003317 00000 n 0000003240 00000 n 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). For a more comprehensive list of drug and nutraceuticals which interact with phentermine hydrochloride, refer to our phentermine drug interactions data. The name of the controlled substance prescribed and the strength, quantity, and directions for use thereof. Joint Administrative Procedures Committee (JAPC), Joint Committee on Public Counsel Oversight(JCPO), Joint Legislative Auditing Committee (JLAC), Joint Legislative Budget Commission (JLBC), Joint Select Committee on Collective Bargaining (JSCB), Office of Program Policy Analysis & Government Accountability (OPPAGA), Florida Legislative Committee on Intergovernmental Relations (LCIR), Joint Legislative Committee on Everglades Oversight (JCEO), Joint Legislative Sunset Committee (JCSC), Copyright 1995-2023 The Florida Legislature . Committee 188, ch. The doctor may advise the patient to complete the remaining period of the program or help him/her end the program safely. Swallow the extended-release capsule whole. Phentermine. Cardiovascular effects include arrhythmia, hypertension or hypotension, and circulatory collapse. xref Burguera B, et al. 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. But it isn't a good choice for people with heart disease, high blood pressure, an overactive thyroid gland or glaucoma. 0000000016 00000 n They help the body produce a larger amount of energy from fat cells, which further reduces body fat percentage. 79-12; s. 2, ch. %%EOF REGULATION OF PROFESSIONS AND OCCUPATIONS. Fatigue and depression usually follow the central stimulation. Carefully follow the dosing instructions for the form you are using. If the federal government fails to oversee how the money is spent, advocates worry it will be wasted. 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. <]>> Do not crush, break, or chew it. Dispense in a tight container as defined in the USP, with a child-resistant closure (as required). Use of Phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis. Florida Regulations 64B8-9.012: Standards for the Prescription of Drugs Also, it may cause certain side effects to become much worse. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Schedule. (d) each prescription writtenby a practitioner in this statefor a controlledsubstance listed in schedule ii, schedule iii, or schedule iv must include a writtenand a numerical notation of the quantity of the controlled substance prescribed and a notation of the datein numerical, month/day/year format, or with the abbreviated month writtenout, or the month writtenout in . 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)]. hX}(I 0000000909 00000 n As mentioned above, new mothers should avoid using this medication when breastfeeding. Medically reviewed by Drugs.com. Taking Phentermine depends on the brand and preparation of the drug. 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. Phentermine is a schedule IV medication (only available by prescription) frequently used for generalized weight loss by acting as an appetite suppressant. 0000002736 00000 n A prescription for a controlled substance listed in Schedule II may not be refilled. 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 is not a miracle drug taken daily and the body simply starts losing weight all by itself. 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. 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. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. In some cases, the side effects were life-threatening and led to the death of a patient. 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. A clear, concise warning that it is a crime to transfer the controlled substance to any person other than the patient for whom prescribed. Not only can losing weight harm an unborn baby during pregnancy, but the drug may also cause adverse effects. This content does not have an Arabic version. The PDMP was created in the 2009 session of the Florida legislature to encourage safer prescribing of controlled substances and reduce drug abuse and diversion within the state. i h,T h,T +h,T h,T 6B*CJ aJ mH nH ph u+h,T h,T B*CJ H*aJ mH nH ph u(h,T h,T B*CJ aJ mH nH ph u +h,T h,T 5B*CJ aJ mH nH ph u ~ P r 2 i $ hhhh hd 1$ 5$ 7$ 8$ 9D H$ `ha$gd,T $d 1$ 5$ 7$ 8$ 9D H$ a$gd,T " $ hhhh hd 1$ 5$ 7$ 8$ 9D @&H$ `ha$gd,T i gd,T $d x 1$ 5$ 7$ 8$ 9D H$ a$gd,T 2 1h:p,T / =!"#$% @ @ @ N o r m a l CJ _HaJ mH sH tH D A@ D D e f a u l t P a r a g r a p h F o n t R i R T a b l e N o r m a l 4

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