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. Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. You may opt-out of email communications at any time by clicking on Phentermine. Click here for an email preview. The amount of weight loss associated with the use of an anorectic drug varies from trial to trial, and the increased weight loss appears to be related in part to variables other than the drugs prescribed, such as the physician-investigator, the population treated and the diet prescribed. 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. Instead of simply quitting the program, a patient should rather consult a healthcare provider about quitting. 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. Accessed Oct. 11, 2022. The CPG determination is specific to Qsymin, Belviq and Contrave only. %PDF-1.6 % Review/update the Want to get more tips, information, and motivation? The most common side effects that patients experience include tremors, headaches, dizziness, dry mouth, diarrhea, constipation, upset stomach, feeling restless and being hyperactive. Do You Need a Prescription for Phentermine? Therefore, coadministration of Phentermine and these drug products is not recommended. 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. 4 0 obj 1 Carefully follow your doctor's instructions for a reduced-calorie diet plan and regular exercise. If your primary care physician thinks you are a good candidate for phentermine but does not want to (or cannot) prescribe it, he or she may refer you to a specialist. This drug is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. Search: PHENTERMINE BMI GUIDELINES - United States Department of Justice Click here for an email preview. As much as 33% of the U.S. adult population are considered to be obese. Do not crush, break, or chew it. State Medical Board of Ohio On Wednesday, February 8, the board voted to adopt new telehealth rules. . Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Phentermine is a Schedule IV controlled substance. If the doctor finds that the patient is a good candidate for Phentermine, they may prescribe a certain dose and provide specific details on dosage and lifestyle choices that should accompany the use of this medicine. The weight loss experts who OSMA has consulted with have indicated that misuse of phentermine is unlikely. Is Phentermine a Controlled Substance? Children 15 years of age and youngerUse is not recommended. Some of the studies that have linked Phentermine to positive results in humans include: The main active ingredient is known as Phentermine Hydrochloride. United Nations Office on Drugs and Crime. 5 Later on, between 1940 and 1960, Phentermine was combined with other medications to improve its effectiveness. These include, but are not limited to:Whether the care and treatment of obese patients and weight management is new to the APRNs existing practice, and whether this aspect of practice is within the APRNs national certification and patient population specialty, meeting the scope of practice requirements in Section 4723.43, ORC. Phentermine may impair the ability of the patient to engage in potentially hazardous activities such as operating machinery or driving a motor vehicle; the patient should therefore be cautioned accordingly. One of the most important things to consider is the fact that the drug should never be accompanied by an MAO inhibitor. Diabetes & Metabolism Journal. Drug information provided by: IBM Micromedex. The combined drug is approved for long-term use. Unpublished raw data. Animal reproduction studies have not been conducted with Phentermine. Many physicians who currently receive the reports have found that the reports help them better understand, and possibly alter, their prescribing practices. State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127 (614) 466-3934 med.ohio.gov %PDF-1.3 Phentermine: Package Insert / Prescribing Information - Drugs.com The safety and efficacy of combination therapy with Phentermine and any other drug products for weight loss including prescribed drugs, over-the-counter preparations, and herbal products, or serotonergic agents such as selective serotonin reuptake inhibitors (e.g., fluoxetine, sertraline, fluvoxamine, paroxetine), have not been established. [Who Prescribed Your Phentermine?]. There is a problem with As phentermine is similar to amphetamine, it is a controlled drug (class C5) and has the potential for abuse. 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. See Drug Abuse and Dependence (9) and Overdosage (10). 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. PDF label - Food and Drug Administration 4 The possible origins of the increased weight loss due to the various drug effects are not established. Numerous side effects have been linked to the use of Phentermine. Phentermine It also isn't for people who are pregnant, may become pregnant or are breastfeeding. Create well-written care plans that meets your patient's health goals. 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 medication has been linked to physical dependence, which means a patient may become addicted to it. Prescribing Phentermine in ohio - Nurse Practitioners, NP - allnurses Many people live far away from their nearest weight loss clinic, which can make follow-ups complicated. Phentermine also is offered combined with topiramate for weight loss (Qsymia). 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. "@Hw4`tqCA\+ q [AF]` b L ! Instead, wait until you can go to a local doctor or consider other, over-the-counter weight loss options. Medically reviewed by Drugs.com. Concomitant use of alcohol with Phentermine may result in an adverse drug reaction. Do not keep outdated medicine or medicine no longer needed. 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 . 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. While these are the most common side effects of the drug, they are not the only consequences associated with the intake of this medication. Take this medicine only as directed by your doctor. Studies have not been performed with Phentermine to determine the potential for carcinogenesis, mutagenesis or impairment of fertility. For more FAQs, please see our full archive of Frequently Asked Questions about phentermine and related prescription appetite suppressants. This content does not have an English version. In order to help patients reduce their risk of developing these diseases when they are obese, doctors usually prescribe Phentermine. It is an appetite suppressant with the added ability to help the body produce more energy from fat cells. Abuse of amphetamines and related drugs may be associated with intense psychological dependence and severe social dysfunction. Accessed Oct. 11, 2022. 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. Adipex-P: Package Insert / Prescribing Information - Drugs.com Phentermine.com is a property of: Careworld LLC. Phentermine is not to be used while pregnant or breastfeeding under any circumstances. The FDA in the United States first approved the use of Amphetamine as a drug that can be used to suppress a patients appetite in 1959. Should the collaborating physician have restrictions on his/her ability to prescribe controlled substances including controlled substance weight loss medications, the CTP holder would be limited by the same restrictions.The administrative rules, Advanced Practice Registered Nurse Certification and Practice, contained in Chapter 4723-8, of Ohio Administrative Code (OAC), require all APRNs to utilize and incorporate into the nurses practice knowledge of Chapter 4731.,ORC, and rules adopted under that chapter by the State Medical Board that govern the practice of the nurses collaborating physician. Y$iqzZz\vlt1a;svw&aBS8Z(HGCkr&_Qxt97t,GWceTL^QqX(%8_A2'"%tD'DNz"G*"Tc. 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. %%EOF Doctors often combined the use of Phentermine with diuretics, thyroid hormone medicines and digitalis. Comprehensive review of current and upcoming anti-obesity drugs. Won Son J, et al. The CPG determination is specific to Qsymin, Belviq and Contrave only. Do not crush, break, or chew it. 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. Since Phentermine is a drug that contains chemical compounds, it is important to know about all of the risks that are involved with its use and precautions a person should be aware of before the consumption. 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 Dryness of the mouth, unpleasant taste, diarrhea, constipation, other gastrointestinal disturbances. IBM Micromedex. Nationwide Efforts to Combat the Problem Questions To Discuss At the completion of this block of instruction you will be able to answer the following questions: 1. The patient could have had the prescription for the month of October filled at another pharmacy. Different brands manufacture, distribute and sell Phentermine drugs. 104 0 obj <> endobj Dr. Lazarus, we will discuss combination phentermine therapy later in this roundtable discussion. (1/19/2016) Ohio Strenthens Opioid Prescribing Guidlines to Further Prevent Prescription Drug Abuse and Save . They are usually real doctors who prescribe real phentermine without the now-mandatory face-to-face consultation. OSMA is actively following this issue and we are hopeful that the medical board will make changes to Ohios rules that will enable physicians to utilize their training and professional judgment, instead of restrictive time limits, when treating some of Ohios most vulnerable patients. National Association of Boards of Pharmacy. Due to its status as a controlled substance, the sale, distribution, and possession of this drug is tightly regulated by the DEA and international regulatory authorities (