The prescription shall be retained on file by the proprietor of the pharmacy in which it is filled for a period of 2 years. grants the Board of Medicine the authority to adopt rules to establish the practice guidelines for drugs used to treat obesity. the prescription is dispensed directly to a member of the United States armed forces serving outside the United States. It helps patients lose weight by suppressing their appetite and boosting their energy levels, thus leading to a more active lifestyle and greater calorie burn. Prescribing in Florida - The Health Law Firm Pharmacists may order the medicinal drug products set forth in each rule subject to the following terms and limitations: . 2021; doi:10.1007/s13679-020-00422-w. Requirements may be altered [see Warnings and Precautions (5.9)]. Place the tablet on the top of your tongue right after removing it from the bottle. L^%0:T'xHGi,KGyVfZ5WI6&ZU1/VqM4.ct\i2gTAtQV%[$*/tbn"xS8JU$bljsI2)bs_/FouVGwCqX';z{0REZbSX,bXWPS#Bf|il#o'y`?jv{;!bS F#vPGzD"1~5~F%mW9YlGIQVYOS~kojbdQS!>|@Ph Overdosage of pharmacologically similar compounds has resulted in fatal poisoning usually terminates in convulsions and coma. 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. The name of the patient for whom, or of the owner and species of the animal for which, the controlled substance is prescribed. Medically reviewed by Drugs.com. information is beneficial, we may combine your email and website usage information with The drug is always accompanied by increased physical activity and a diet that includes a lower amount of calories. Statutes & Constitution :View Statutes : Online Sunshine Prescribing Controlled Substances via Telehealth under Florida and Dryness of the mouth, unpleasant taste, diarrhea, constipation, other gastrointestinal disturbances. 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. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Phentermine: Package Insert - Drugs.com Typical actions of amphetamines include central nervous system stimulation and elevation of blood pressure. 893.049(1)(d), (e),f.s. We comply with the HONcode standard for trustworthy health information. Concomitant use of alcohol with phentermine may result in an adverse drug reaction. s. 4, ch. A clear, concise warning that it is a crime to transfer the controlled substance to any person other than the patient for whom prescribed. History.s. What to offer the 99% of patients with severe obesity who do not undergo bariatric surgery? Moreover, it is strongly recommended to avoid or limit the alcohol intake. Phentermine (as resin complex): Usual dosage is 15 or 30 mg once daily. 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. hWmo8+jE'"m{F ]c,'303:20/) @d` )2 35 0 obj <>stream Dosage form: tablet These are all promoted as weight loss pills that assist obese individuals. Phentermine is not recommended for use in pediatric patients 16 years of age. (A) A prescriber may utilize a schedule III or IV controlled substance for the treatment of obesity only if it has an F.D.A approved indication for this purpose and then only in accordance with all of the . Skip to Navigation | Skip to Main Content | Skip to Site Map. Like other weight-loss medicines ordered by providers, phentermine is meant to be only part of a weight-loss plan. The directions for the use of the controlled substance prescribed in the prescription. 0000001146 00000 n Abuse of amphetamines and related drugs may be associated with intense psychological dependence and severe social dysfunction. Both the law and the rule for treating obesity outline practice guidelines for the safe use of phentermine, fenfluramine, and ot her drugs used to . 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. Common side effects of phentermine include: Phentermine is one of the most prescribed weight-loss medicines. The number of such prescription, as recorded in the prescription files of the pharmacy in which it is filled. Portions of this document last updated: Feb. 01, 2023. However, the medication does have a considerable street value. Cumulative urinary excretion of Phentermine under uncontrolled urinary pH conditions was 62% to 85%. HB 423 (by Rep. Pigman) was signed into law on April 14, 2016. Schedule. Being extremely irritable and confused, or experienced unusual behavior or thoughts. Phentermine for weight loss - Mayo Clinic For example, it can be be used with healthy eating, physical activity and behavior change. 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. 0000001488 00000 n Numerous side effects have been linked to the use of Phentermine. https://www.micromedexsolutions.com. hYr ~{L(QdK4^bdsO_d;a BXO--p,!4!,WhfM/@c The dose of this medicine will be different for different patients. 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. If we combine this information with your protected Drugs to treat obesity; rules establishing guidelines. Doctors often combined the use of Phentermine with diuretics, thyroid hormone medicines and digitalis. . You may opt-out of email communications at any time by clicking on Of course, it is taken orally. Why is phentermine a controlled substance? the unsubscribe link in the e-mail. This was often referred to as Rainbow Pills as all four drugs were often provided to a patient at the same time. These practice guidelines can be found in Rule 64B8-9.012, F.A.C. 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 magnitude of increased weight loss of drug-treated patients over placebo-treated patients is only a fraction of a pound a week. 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. Phentermine is a schedule IV medication (only available by prescription) frequently used for generalized weight loss by acting as an appetite suppressant. It has the chemical name of ,,-Dimethylphenethylamine hydrochloride. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. If your dose is different, do not change it unless your doctor tells you to do so. 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. 1530 0 obj <> endobj Publications, Help Searching Rule 4731-11-04. Fatigue and depression usually follow the central stimulation. Based on the reported excretion of Phentermine in urine, exposure increases can be expected in patients with renal impairment [see ClinicalPharmacology (12.3)]. As much as 33% of the U.S. adult population are considered to be obese. OR mail to: Attn: Dispensing Physician Registration, PO Box 946, Montgomery AL 36101-0946. Safety and effectiveness in pediatric patients have not been established. A prescription for a controlled substance listed in Schedule II may not be refilled. There is a problem with Copyright 2000- 2023 State of Florida. 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. Phentermine hydrochloride/topiramate. 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. . 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. Florida Board of Medicine Electronic Prescribing Requirements Tachyphylaxis and tolerance have been demonstrated with all drugs of this class in which these phenomena have been looked for. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. https://www.uptodate.com/contents/search. All rights reserved. %%EOF 1591 0 obj <>stream Mayo Clinic does not endorse companies or products. Some preparations of the formula, however, have been classified as schedule II drugs. Phentermine is related chemically and pharmacologically to the amphetamines. 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. Mayo Clinic Proceedings. Make sure your hands are dry before touching the tablet. Statutes, Video Broadcast 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)]. In some cases, the side effects were life-threatening and led to the death of a patient. 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. This website is a resource which lists doctors and clinics who may offer phentermine or appetite suppressants for patients they deem qualified. Taking Phentermine depends on the brand and preparation of the drug. Doctors often prescribe a dose of 5-HTP and vitamin B12 with a Phentermine prescription in order to enhance its effects and to relieve some side effects. You may opt-out of email communications at any time by clicking on Phentermine is most commonly prescribed to patients who experience negative health effects to excessive amounts of body weight. Such controlled substances may be sold only upon an order form, when such an order form is required for sale by the drug abuse laws of the United States or this state, or regulations pursuant thereto. It can help weight loss by making you less hungry. potentially hazardous activities such as operating machinery or driving FULL PRESCRIBING INFORMATION in the presence of other risk factors (e.g., controlled hypertension, 333-33-100411 Tasks 35 These rules and statutes . Law Implemented Florida Statutes 458.336. Your email address will not be published. For a more comprehensive list of drug and nutraceuticals which interact with phentermine hydrochloride, refer to our phentermine drug interactions data. 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. health information, we will treat all of that information as protected health Billions of dollars are headed to state and local governments to address the opioid crisis. PDF Prescribing in Florida (Guidance Provided by the Florida Department of This equates to a weight loss of 10-20 pounds for a 200 pound . Drug classes: Anorexiants, CNS stimulants. 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.
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