phentermine prescribing guidelines florida
While discussing the use of Phentermine with the doctor, a patient is provided a list of lifestyle changes to implement while using this product. law states . 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. Committee Copyright: Merative US L.P. 1973, 2023. 2007-156; s. 5, ch. History-New 12-4-97, Amended 2-17-98, 8-8-22. Generic name: Phentermine hydrochloride %%EOF But the rate of misuse seems to be low. . Phentermine. When mental impairment is present while taking Phentermine, a patient is also advised not to drive to avoid the risk of being involved in an accident. Javascript must be enabled for site search. The 2022 Florida Statutes (including 2022 Special Session A and 2023 Special Session B) 458.336 Drugs to treat obesity; rules establishing guidelines.. 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. Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. 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. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. 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. 0000002736 00000 n The dosage may be adjusted to the patients need. 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. It is important to follow these instructions religiously. 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. If the prescription is for an animal, the species of animal for which the controlled substance is prescribed. All rights reserved. Cumulative urinary excretion of Phentermine under uncontrolled urinary pH conditions was 62% to 85%. Some of the most common withdrawal symptoms include weight gain, fatigue, insomnia and a bad mood. Publications, Help Searching 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. Ideally, patients should take it on an empty stomach. 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. By doing this, the metabolism is revved up along with an . hbbd``b`z$@D`]"@DeX- Bb V ``LA\F*? 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. 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. Dosage should be individualized to obtain an adequate response with the lowest effective dose. Lomaira: One tablet three times a day, taken 30 minutes before meals. In some cases, the use of Phentermine has also led to the development of symptoms that are related to erectile dysfunction. endstream endobj startxref Metric conversions are as follows: pounds 2.2 = kg; inches x 0.0254 = meters. 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. Phentermine Hydrochloride Tablets, USP 37.5 mg are white oval shaped bisected tablet with blue specs, debossed with 810 on bisected side. Advertising revenue supports our not-for-profit mission. IBM Micromedex. A severe manifestation of chronic intoxication is psychosis, often clinically indistinguishable from schizophrenia. Adults Exogenous Obesity Oral. 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. 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. Today, Phentermine can still be obtained through the doctors prescription in the majority of countries around the world. (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 . 0000000016 00000 n Carefully follow your doctor's instructions for a reduced-calorie diet plan and regular exercise. 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. 99-8; s. 2, ch. information submitted for this request. 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 directions for the use of the controlled substance prescribed in the prescription. Rulemaking Authority 458.336 FS. Rule 4731-11-04. 0 They inhibit the activity of an entire enzyme family known as monoamine oxidase. Phentermine is a sympathomimetic amine with pharmacologic activity similar to the prototype drugs of this class used in obesity, amphetamine (d- and dll-amphetamine). If the prescriber is not available to verify a prescription, the pharmacist may dispense the controlled substance but may insist that the person to whom the controlled substance is dispensed provide valid photographic identification. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. It can help weight loss by making you less hungry. A physician will usually start with a physical examination to determine if the patients health is in a state that will not be negatively affected when taking this drug. Obesity has been linked to many different diseases, including type 2 diabetes and cardiovascular disease. Follow your doctor's dosing instructions very carefully. Also, it may cause certain side effects to become much worse. The least amount feasible should be prescribed or dispensed at one time in order to minimize the possibility of overdosage. 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 aforementioned statute and rule do not specifically rule out a patient evaluation taking place . The name of the patient for whom, or of the owner and species of the animal for which, the controlled substance is prescribed. 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 . Each tablet contains the following inactive ingredients: starch, lactose anhydrous, microcrystalline cellulose, colloidal silicon dioxide, stearic acid, magnesium stearate and blue sugar spheres. The journals or printed bills of the respective chambers should be consulted for official purposes. 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. Even patients who are overweight and pregnant at the same time are not allowed to use this product. Below is a chart of body mass index (BMI) based on various heights and weights. 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. Duromine is not funded by Pharmac, so patients pay $160-$200 per month when they present a standard prescription of 30mg daily - in addition to the GP consultation fee. The possible role of Phentermine in the etiology of these valvulopathies has not been established and their course in individuals after the drugs are stopped is not known. Intravenous phentolamine (Regitine, CIBA) has been suggested on pharmacologic grounds for possible acute, severe hypertension, if this complicates overdosage. Pharmacists may order the medicinal drug products set forth in each rule subject to the following terms and limitations: . This is a label given to drugs that can be misused. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Burguera B, et al. 90-2; s. 1436, ch. Prescribing Standards: In addition to the laws and rules directly related to the prescription and prescribing, there are other standards which should be followed as well. hb``````>X,K10wdjdZ(`l Ro4' b2h>$:-9.AKL1}c$vEP;-@c=en`Y %YQh` &^ 0000001488 00000 n Not only can losing weight harm an unborn baby during pregnancy, but the drug may also cause adverse effects. Some brands use a dissolving tablet that is placed under the tongue, which allows the body to absorb the chemicals in the drug faster. Doctors used it to help patients who experience certain health issues caused by obesity to lose weight and improve the symptoms they are experiencing. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. They help the body produce a larger amount of energy from fat cells, which further reduces body fat percentage. 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 is used as part of a short-term plan, along with a low calorie diet, for weight reduction. Phentermine is approved for use for up to 12 . 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. Last updated on Mar 22, 2023. Some patients experience an increase in sexual interest, while others notice that they have a lower libido. See Drug Abuse and Dependence (9) and Overdosage (10). REGULATION OF PROFESSIONS AND OCCUPATIONS. 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. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. %PDF-1.6 % Selling or giving away Phentermine may harm others and is against the law. 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. Safety and effectiveness in pediatric patients have not been established. 0000003317 00000 n Lomaira: One tablet three times a day, taken 30 minutes before meals. Dispense in a tight container as defined in the USP, with a child-resistant closure (as required). 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)]. 2020; doi:10.4093/dmj.2020.0258. In relatively short-term clinical trials, adult obese subjects instructed in dietary management and treated with anorectic drugs lost more weight on the average than those treated with placebo and diet. Tak YJ, et al. Mayo Clinic does not endorse companies or products. the prescription is dispensed directly to a member of the United States armed forces serving outside the United States. 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. Studies have not been performed with Phentermine to determine the potential for carcinogenesis, mutagenesis or impairment of fertility. Unfortunately, patients experienced a variety of side effects, which included severe heart toxicity and hypertension. 2009-202. 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. Do not keep outdated medicine or medicine no longer needed. If the drug is taken too late in the day, it may also cause insomnia. Concomitant use of alcohol with phentermine may result in an adverse drug reaction. Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. 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. 100 TABLETS 0000003240 00000 n 893.049(1)(d), (e),f.s. The structural formula is as follows: Phentermine hydrochloride is a white, odorless, hygroscopic, crystalline powder which is soluble in water and lower alcohols, slightly soluble in chloroform and insoluble in ether. Advise pregnant women and nursing mothers not to use Phentermine [see Use in Specific Populations (8.1, 8.3)]. Ask your healthcare professional how you should dispose of any medicine you do not use. Phentermine Hydrochloride Tablets are indicated only as short-term (a few weeks) monotherapy for the management of exogenous obesity. 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. The risks include, but are not limited to: See also, for example, Adverse Reactions (6) and Use in SpecificPopulations (8). (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 . The following information includes only the average doses of this medicine.