phentermine prescribing guidelines florida
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. A minimum weight gain, and no weight loss, is currently recommended for all pregnant women, including those who are already overweight or obese, due to obligatory weight gain that occurs in maternal tissues during pregnancy. 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. Place the tablet on the top of your tongue right after removing it from the bottle. . Long-term efficacy and safety of anti-obesity treatment: Where do we stand? Florida has received national attention for the large num- The 2022 Florida Statutes (including 2022 Special Session A and 2023 Special Session B) 458.336 Drugs to treat obesity; rules establishing guidelines.. If the prescription is for an animal, the species of animal for which the controlled substance is prescribed. It is not known if Phentermine is excreted in human milk; however, other amphetamines are present in human milk. The dosage varies from 15mg to 37.5mg per day. 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. 893.049(1)(d), (e),f.s. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use . Please consult with your physician before you make any decisions regarding your health. Phentermine Hydrochloride Tablets, USP 37.5 mg are white oval shaped bisected tablet with blue specs, debossed with 810 on bisected side. There are reports of patients who have increased the dosage of these drugs to many times than recommended. Acidification of the urine increases Phentermine excretion. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Do not crush, break, or chew it. Skip to Navigation | Skip to Main Content | Skip to Site Map. 458.336, Florida Statutes - Drugs to treat obesity; rules establishing guidelines; Rule 64B8-9.012, Florida Administrative Code - Standards for the Prescription of Obesity . The drug is usually prescribed at the lowest possible dose to new users, which is 15mg per day. . 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. information highlighted below and resubmit the form. If you are a Mayo Clinic patient, this could Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, Biliopancreatic diversion with duodenal switch (BPD/DS), Endoscopic Sleeve Gastroplasty (Gastric Sleeve), Biliopancreatic diversion with duodenal switch. Numerous side effects have been linked to the use of Phentermine. The first use of Phentermine as a drug to help treat obesity dates back to 1938. 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. The prescription of such weight loss enhancers is not generally appropriate for children. 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. It is important not to perform activities that require a patient to be alert while experiencing mental impairment as an adverse effect. Follow your doctor's dosing instructions very carefully. Mayo Clinic does not endorse companies or products. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. 0000000016 00000 n 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. Keep from freezing. 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. SECTION 04. Follow your doctor's orders or the directions on the label. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 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 hb``````>X,K10wdjdZ(`l Ro4' b2h>$:-9.AKL1}c$vEP;-@c=en`Y %YQh` &^ 0000000596 00000 n ]^Ng8\!HqX 'nR l# w! {A6.q=0G: S:nR-`\ |%Tx F5z :^EU\)|\eyt0F Pursuant to Board of Medical Examiners Rule 540-X-4-.05, dispensing physicians are required to register with the Board. The bill provides important new requirements for prescribers to generate and transmit all prescriptions electronically upon licensure renewal or by July 1, 2021, whichever is earlier. In some cases, especially when the health concern is not too serious, the doctor may prescribe the drug at lower doses spread throughout the day, instead of advising the patient to take one single dose every day. The magnitude of increased weight loss of drug-treated patients over placebo-treated patients is only a fraction of a pound a week. Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. If the time is too close to the next dose, it is recommended to skip the dose they have missed. . It is not uncommon for patients to experience a change in their sexual interest. Comprehensive review of current and upcoming anti-obesity drugs. 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. @ d The initials of the pharmacist filling the prescription and the date filled. grants the Board of Medicine the authority to adopt rules to establish the practice guidelines for drugs used to treat obesity. CRIMES. 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. 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. The rate of weight loss is greatest in the first weeks of therapy for both drug and placebo subjects and tends to decrease in succeeding weeks. These practice guidelines can be found in Rule 64B8-9.012, F.A.C. See Drug Abuse and Dependence (9) and Overdosage (10). 2009-202. Review/update the Since it may lead to such symptoms, it also has the potential to cause severe withdrawal symptoms, especially when a patient goes cold turkey. Unfortunately, the answer is no in most cases. 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. 104 0 obj <> endobj HVMs8WQl eLg*&{dd $_;lm |NggK6,M]gu\.BNB. History-New 12-4-97, Amended 2-17-98, 8-8-22. 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. The overdose symptoms include: The side effects of Phentermine can lead to several symptoms that may impair certain functions in the patients body. Phentermine is related chemically and pharmacologically to the amphetamines. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. A clear, concise warning that it is a crime to transfer the controlled substance to any person other than the patient for whom prescribed. 0000002991 00000 n 21 0 obj <> endobj When breastfeeding, the drug may enter the breast milk and travel into the nursing babys body, which may cause harm to them. Selling or giving away Phentermine may harm others and is against the law. health information, we will treat all of that information as protected health W0Qxe {>x??}# cGCSGGC[G(P A@3'i~ (2[n! History.s. 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. Below is a chart of body mass index (BMI) based on various heights and weights. Carefully follow the dosing instructions for the form you are using. Current Obesity Reports. Do not double doses. Use caution when administering Phentermine to patients with renal impairment. %%EOF Fatigue and depression usually follow the central stimulation. 138 0 obj <>stream Take the disintegrating tablet with or without food. (In combination with a healthy diet and exercise plan). The following adverse reactions are described, or described in greater detail, in other sections: The following adverse reactions to Phentermine have been identified: Primary pulmonary hypertension and/or regurgitant cardiac valvular disease, palpitation, tachycardia, elevation of blood pressure, ischemic events. In some cases, the use of Phentermine has also led to the development of symptoms that are related to erectile dysfunction.
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