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. 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. 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. Succeed on your weight loss journey with our curated resources! Use of Phentermine is contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors because of the risk of hypertensive crisis. Phentermine Hydrochloride Tablets are indicated only as short-term (a few weeks) monotherapy for the management of exogenous obesity. There are reports of patients who have increased the dosage of these drugs to many times than recommended. Children 16 years of age and youngerUse is not recommended. 5 Do not double doses. 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. Rule 4731-11-04 | Controlled substances: Utilization of short term anorexiants for weight reduction. %PDF-1.6
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Avoid use of Phentermine in patients with eGFR less than 15 mL/min/1.73m2 or end-stage renal disease requiring dialysis [see Use in Specific Populations (8.6) and Clinical Pharmacology (12.3)]. Specializes in Cardiology, Research, Family Practice. U.S. Food and Drug Administration. 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. In some cases, the use of this drug in combination with other pills may cause the effects of other drugs to increase. It is impossible for them to complete the necessary physical evaluation (and follow-up) that is required to ensure that phentermine will not cause you undue harm. Before taking phentermine, tell your doctor and pharmacist if you are allergic to phentermine, any other medications, or any of the ingredients in phentermine tablets. 1591 0 obj
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If obesity is impacting your fertility or reproductive health, or if you have a specific condition that affects weight (such as PCOS), your gynecologist may consider prescribing phentermine as a short-term weight management strategy. State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127 (614) 466-3934 med.ohio.gov This content does not have an Arabic version. , How Is Phentermine Dosed? ADIPEX-P (phentermine hydrochloride) tablets, for oral use CIV ADIPEX-P (phentermine hydrochloride) capsules, for oral use CIV Initial U.S. Approval: 1959 At its May 18, 2015 meeting, the Committee on Prescriptive Governance (CPG) determined that three medications approved by the FDA for long-term weight management may be prescribed by APRNs with a CTP (CTP holder) if agreed to by the CTP holder and his/her collaborating physician and stated within the CTP holders standard care arrangement. 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. 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. information submitted for this request. Implementation of the Ryan Haight Online Pharmacy Consumer Protection Act of 2008. Do You Need a Prescription for Phentermine? Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. However, weight loss clinics are not the perfect solution. other information we have about you. Some weight loss clinics also insist that patients take additional supplements, such as vitamin B12 shots and 5-HTP, to boost phentermine despite the supplements unproven effectiveness. the current rules place time limitations on prescriptions that, many times, force physicians to stop a medication that is showing positive weight loss results. 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. Each tablet contains the following inactive ingredients: starch, lactose anhydrous, microcrystalline cellulose, colloidal silicon dioxide, stearic acid, magnesium stearate and blue sugar spheres. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. United States of America, Drug Enforcement Administration, Federal Register. Dosage should be individualized to obtain an adequate response with the lowest effective dose. The CPG determination is specific to Qsymin, Belviq and Contrave only. Some preparations of the formula, however, have been classified as schedule II drugs. OSMA has historically had concerns with the limitations that these rules place on physicians who treat patients with obesity. Requirements may be altered [see Warnings and Precautions (5.9)]. A total of 24 patients developed heart valve disease while taking this drug, which led the FDA to withdraw the product from the market in 1997. Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. Another important fact to consider before taking Phentermine is that it should never be used by women who are pregnant or who are currently breastfeeding. Adults and children 17 years of age and older15 to 30 milligrams (mg) once a day, taken at approximately 2 hours after breakfast. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. Phen Caps is recommended by over 30,000 people like you who want to lose weight fast and effectively without the drawbacks of prescription medications. Apart from not combining Phentermine with the MAO inhibitors, a patient should also first ensure they are not allergic to Phentermine before they take it. 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. stream (2012). Or it can help you feel full longer. Children 15 years of age and youngerUse is not recommended. Ideally, patients should take it on an empty stomach. The promotion of this brand as a diet pill started in 1990. Do not crush, break, or chew it. Different brands manufacture, distribute and sell Phentermine drugs. Overdosage of pharmacologically similar compounds has resulted in fatal poisoning usually terminates in convulsions and coma. The dosage may be adjusted to the patients need. This was often referred to as Rainbow Pills as all four drugs were often provided to a patient at the same time. If the drug is taken too late in the day, it may also cause insomnia. Columbus, Ohio 43215 Phone: (614) 466-3934 Web: www.med.ohio.gov State Medical Board of Ohio 30 E . HVMs8WQl
eLg*&{dd $_;lm |NggK6,M]gu\.BNB. So some health care providers might order it for longer use. Bariatric doctors are doctors that specialize in weight management. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Choosing a specialty can be a daunting task and we made it easier. 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. (2019, June 20). 1530 0 obj
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Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. She is passionate about promoting health at any size. Ask your healthcare professional how you should dispose of any medicine you do not use. Copyright 2023 IBM Watson Health. What You Should Know Before Taking Phentermine, Frequently Asked Questions About Phentermine, refer to our phentermine drug interactions data, Frequently Asked Questions about phentermine, https://www.drugs.com/ingredient/phentermine.html, http://www.rxlist.com/adipex-p-drug/patient-avoid-while-taking.htm, http://www.everydayhealth.com/drugs/phentermine, https://www.ncbi.nlm.nih.gov/pubmed/27664021, https://www.ncbi.nlm.nih.gov/pubmed/26584649, https://www.ncbi.nlm.nih.gov/pubmed/26446094, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4560177/, https://www.ncbi.nlm.nih.gov/pubmed/25911503, Feeling like they are going to faint, often accompanied by chest pain, Fluttering in the patients chest, as well as pounding heartbeats. Weight Loss Prescribing Rules Ohio Administrative Code 4731-11-04 and 4731-11-04.1 The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. Studies have not been performed with Phentermine to determine the potential for carcinogenesis, mutagenesis or impairment of fertility. The weight loss experts who OSMA has consulted with have indicated that misuse of phentermine is unlikely. Y$iqzZz\vlt1a;svw&aBS8Z(HGCkr&_Qxt97t,GWceTL^QqX(%8_A2'"%tD'DNz"G*"Tc. Start with your primary care doctor and schedule an appointment to discuss weight. Trends in Prescribing and Dispensing Patterns . Phentermine doctors network. The medication has been classified as a controlled substance in most countries and is also classified as a schedule IV prescription drug. (1981, February 4). We comply with the HONcode standard for trustworthy health information. As mentioned above, new mothers should avoid using this medication when breastfeeding. Some brands use a dissolving tablet that is placed under the tongue, which allows the body to absorb the chemicals in the drug faster. Gastrointestinal symptoms include nausea, vomiting, diarrhea and abdominal cramps. 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. The initial symptom of PPH is usually dyspnea. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. %PDF-1.6
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). The use of Topamax and Phentermine is actually an FDA-approved combination. The Formulary can be accessed on the Board of Nursing website: www.nursing. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. 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. To provide you with the most relevant and helpful information, and understand which Doctors often advise patients that in the case of more serious side effects, they should immediately call for assistance. It's designed to help prevent opioid dependence for Ohio's injured workers through its three primary goals. Unfortunately, patients experienced a variety of side effects, which included severe heart toxicity and hypertension. Tak YJ, et al. Typical actions of amphetamines include central nervous system stimulation and elevation of blood pressure. Phentermine is pregnancy category X, so it should never be taken while pregnant or nursing ( It is important not to perform activities that require a patient to be alert while experiencing mental impairment as an adverse effect. OSMA has historically had concerns with the limitations that these rules place on physicians who treat patients with obesity. Won Son J, et al. (1/19/2016) Ohio Strenthens Opioid Prescribing Guidlines to Further Prevent Prescription Drug Abuse and Save . 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. Taking Phentermine depends on the brand and preparation of the drug. Some people also receive a phentermine prescription from their gynecologist (OB-GYN). The medical board would like to work with the pharmacy board to make OARRS reports more available and helpful to physicians. (2019, May 03). LiverTox National Institutes of Health. With more than 4 million prescriptions written in the United States each year, phentermine is an undeniably popular weight loss medication ( 1-612-816-8773. Some of the most common withdrawal symptoms include weight gain, fatigue, insomnia and a bad mood. Available for Android and iOS devices. These are all promoted as weight loss pills that assist obese individuals. %PDF-1.3 Even patients who are overweight and pregnant at the same time are not allowed to use this product. Want to get more tips, information, and motivation? 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. Mayo Clinic does not endorse companies or products. A doctor is the only person who can determine if phentermine is right for you. Broad St., 3 rd Floor GUIDANCE DOCUMENT: Physician Assistant Prescriptive Authority Effective 10/15/15 The following information is provided as guidance, and may not reference all statutes and rules Required fields are marked *. Accessed Oct. 11, 2022. For more information, the rule package submitted to the Common Sense Initiative (CSI) office for review can be found here:https://med.ohio.gov/LinkClick.aspx?fileticket=Q2JmI7o-3HI%3d&portalid=0, 2023 The Ohio State Medical Association. 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. Other brands of this drug include Suprenza, Phentercot, Acxion, Elvenir, Terflamex, Panbesy, Duromine, Fentermina, Phentermin, PHentermine and Lomaira. Patients should be advised to report immediately any deterioration in exercise tolerance. Safety and effectiveness in pediatric patients have not been established. Metric conversions are as follows: pounds 2.2 = kg; inches x 0.0254 = meters. Phentermine is a popular prescription drug that is often used to treat obesity. 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 4 Adipex-P (phentermine hydrochloride) capsules label, Greater than 27 kg/m2 + one or more weight-related condition, Vitals (heart rate, blood pressure, etc. They help the body produce a larger amount of energy from fat cells, which further reduces body fat percentage. 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. Why is phentermine a controlled substance? Phentermine is a schedule IV drug that requires a consultation with the doctor and a prescription. Phentermine was later provided to patients in combination with dexfenfluramine and fenfluramine as a more powerful appetite suppressant that could also act as a fat burner. Rule 4731-11-04.1 Controlled substances: utilization for chronic weight management. hWmo8+jE'"m{F 1 See DrugAbuse and Dependence (9.3). ): Most people get their phentermine from a family or primary care doctor ( However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. For oral dosage form (disintegrating tablets): Adults and children 17 years of age and olderOne tablet once a day, taken in the morning. Dryness of the mouth, unpleasant taste, diarrhea, constipation, other gastrointestinal disturbances. If you take too much of this medicine, it may become habit-forming (causing mental or physical dependence). Mayo Clinic Proceedings. This content does not have an English version. All rights reserved. Advertising revenue supports our not-for-profit mission. endstream
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Phentermine hydrochloride/topiramate. Rule 4731-11-01 | Definitions. These are two schedule- IV medications, phentermine/topiramate (Qsymia), and locaserin (Belviq), as well as non-controlled naltrexone hydrochloride/ buproprion hydrochloride (Contrave). You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. All rights reserved. hb``````>X,K10wdjdZ(`l Ro4'
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the unsubscribe link in the e-mail. Tablets containing 37.5 mg Phentermine hydrochloride (equivalent to 30 mg Phentermine base). In order to help patients reduce their risk of developing these diseases when they are obese, doctors usually prescribe Phentermine. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ADIPEX-P safely and effectively. However, phentermine is not appropriate or safe for everyone. National Association of Boards of Pharmacy. Before starting with consumption of this medication, patients should get informed about potential adverse effects to be able to determine whether a newly-developed symptom is a sign of a health issue or just a side effect associated with Phentermine. Obesity has been linked to many different diseases, including type 2 diabetes and cardiovascular disease. The strength and dosage of Phentermine depend on the brand that is prescribed and the patients specific condition. include protected health information. Selling or giving away Phentermine may harm others and is against the law. Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. 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. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. 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. Phentermine is related chemically and pharmacologically to the amphetamines. The limited usefulness of agents of this class, including Phentermine, [see Clinical Pharmacology (12.1, 12.2)] should be measured against possible risk factors inherent in their use such as those described below. The dose of this medicine will be different for different patients. 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. For oral dosage form (extended-release capsules): Adults and children 16 years of age and olderOne capsule once a day, taken before breakfast or 10 to 14 hours before sleeping. Your email address will not be published. Make sure your hands are dry before touching the tablet. Carefully follow your doctor's instructions for a reduced-calorie diet plan and regular exercise. The following information includes only the average doses of this medicine. Some patients experience an increase in sexual interest, while others notice that they have a lower libido. 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. Unpublished raw data. Review/update the 6 Take 1 tablet or capsule once a day before breakfast or 1-2 hours after breakfast. 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. Patients must be informed that Phentermine hydrochloride is a short-term (a few weeks) adjunct in a regimen of weight reduction based on exercise, behavioral modification and caloric restriction in the management of exogenous obesity, and that coadministration of Phentermine with other drugs for weight loss is not recommended [see Indications and Usage (1) and Warnings and Precautions (5.1)]. 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 ( Phentermine hydrochloride (phentermine HCL) is the active ingredient in phentermine weight loss pills. For a more comprehensive list of drug and nutraceuticals which interact with phentermine hydrochloride, refer to our phentermine drug interactions data. When performing prospective DUR, the pharmacist notices a 30-day gap in treatment. It is vital to talk with the doctor before using Phentermine with other products. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. What could be the cause? Instead, wait until you can go to a local doctor or consider other, over-the-counter weight loss options. Find out everything you need to know about weight loss drugs in our prescription weight loss pill guide. the unsubscribe link in the e-mail. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. (2009, April 06). Long-term efficacy and safety of anti-obesity treatment: Where do we stand? health information, we will treat all of that information as protected health The drug is mainly an appetite suppressant, thus making a patient feel fuller after (and between) meals and making the patient more likely to consume foods that have lower amounts of calories. Late evening medication should be avoided because of the possibility of resulting insomnia. information submitted for this request. 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.
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The CPG determination is specific to Qsymin, Belviq and Contrave only. The additional boost in energy will also increase the physical activity levels, thereby providing an additional method for them to lose weight and gain overall health benefits. % 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. Ohio has some of the strictest rules in the country and. Members of Losing Weight with Phentermine Support Group on Facebook. A severe manifestation of chronic intoxication is psychosis, often clinically indistinguishable from schizophrenia. ). Highlighted below are the topics discussed at the meeting that OSMA is closely following. 4 Take this medicine only as directed by your doctor. 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. Systemic exposure of Phentermine may increase up to 91%, 45%, and 22% in patients with severe, moderate, and mild renal impairment, respectively [see Dosage and Administration (2.2) and Use in Specific Populations (8.6)]. -
7
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. Ohio Administrative Code 4731-11-04 and 4731-11-04.1. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Some of the studies that have linked Phentermine to positive results in humans include: The main active ingredient is known as Phentermine Hydrochloride. The MAO inhibitors (Monoamine Oxidase Inhibitors) are used to treat depression, especially a specific type called atypical depression. APRNs Prescribing Weight Loss Medications. The risks include, but are not limited to: See also, for example, Adverse Reactions (6) and Use in SpecificPopulations (8). Following the administration of Phentermine, Phentermine reaches peak concentrations (Cmax) after 3 to 4.4 hours. 2021; doi:10.1007/s13679-020-00422-w. Current Obesity Reports. All rights reserved.5115 Parkcenter Avenue Suite 200 Dublin, OH 43017ph: 800.766.6762info@osma.org. Despite the initial draw of saving time and money by completing your consultation online and receiving weight loss pills in the mail, using these online phentermine doctors is not safe. The plasma protein binding decreases as blood topiramate increases. = Sally Cohen holds a degree in nutrition sciences from Alcorn State University. The patient could have had the prescription for the month of October filled at another pharmacy. As a result, they may be more open to the idea of prescribing phentermine. If we combine this information with your protected 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. (5) A treatment plan based upon the clinical information obtained, to include all of the following components: (a) Diagnosis; (b) Objective goals for treatment; (c) Rationale for the medication choice and dosage; and (d) Planned duration of treatment and steps for further assessment and follow-up. If a patient would like to take other supplements, they should consult their doctor first. In some cases, the use of Phentermine has also led to the development of symptoms that are related to erectile dysfunction. Even after the period that the drug has been prescribed for, the doctor will often recommend to gradually stop using the Phentermine to avoid the withdrawal symptoms. The most common side effects that patients experience include tremors, headaches, dizziness, dry mouth, diarrhea, constipation, upset stomach, feeling restless and being hyperactive. But it isn't a good choice for people with heart disease, high blood pressure, an overactive thyroid gland or glaucoma. "@Hw4`tqCA\+ q [AF]` b L ! Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Phentermine Hydrochloride Tablets are indicated as a short-term (a few weeks) adjunct in a regimen of weight reduction based on exercise, behavioral modification and caloric restriction in the management of exogenous obesity for patients with an initial body mass index 30 kg/m2, or 27 kg/m2 in the presence of other risk factors (e.g., controlled hypertension, diabetes, hyperlipidemia). Any knowledge would be most appreciated. It can help weight loss by making you less hungry. The combined drug is approved for long-term use. Phentermine, an amphetamine congener, is the most widely used anti-obesity drug in the U.S. You may opt-out of email communications at any time by clicking on Phentermine is not to be used while pregnant or breastfeeding under any circumstances. Alternatively, 18.75 mg twice daily. If you are a Mayo Clinic patient, this could One of the most important things to consider is the fact that the drug should never be accompanied by an MAO inhibitor. United Nations Office on Drugs and Crime. These are two schedule- IV medications, phentermine/topiramate (Qsymia), and locaserin (Belviq), as well as non-controlled naltrexone hydrochloride/ buproprion hydrochloride (Contrave). 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.
Advertising revenue supports our not-for-profit mission. Studies do not permit conclusions as to the relative importance of the drug and non-drug factors on weight loss. This medication has been linked to physical dependence, which means a patient may become addicted to it. It is illegal and unsafe to buy phentermine without a prescription. 3 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). The final option is online doctors who prescribe phentermine. 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.
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