phentermine prescribing guidelines ohio phentermine prescribing guidelines ohio

(2012). Phentermine hydrochloride (phentermine HCL) is the active ingredient in phentermine weight loss pills. The most common brand of Phentermine is a product known as Adipex, but officially called Adipex-P. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Management of acute Phentermine hydrochloride intoxication is largely symptomatic and includes lavage and sedation with a barbiturate. Create well-written care plans that meets your patient's health goals. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). The Ohio Emergency and Acute Care Facility Opioids and Other Controlled Substances Prescribing Guidelines offer clinical guidance for the acute care environment where there is no established patient-doctor relationship. It can help weight loss by making you less hungry. ). Other initial symptoms may include angina pectoris, syncope or lower extremity edema. Phentermine Hydrochloride Tablets are indicated only as short-term (a few weeks) monotherapy for the management of exogenous obesity. Phentermine is 17.5% plasma protein-bound, while topiramate is 15 - 41% plasma protein-bound when the blood concentration range is 0.5 to 250 g/mL. 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 is intended to help overweight and obese patients who have already tried losing weight with diet and exercise. 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. The least amount feasible should be prescribed or dispensed at one time in order to minimize the possibility of overdosage. other information we have about you. Learn about the most popular weight loss medications. information and will only use or disclose that information as set forth in our notice of Wait, so NPs may prescribe Qsymia, but not phentermine? 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. If you miss a dose of this medicine, take it as soon as possible. Manifestations of acute overdosage include restlessness, tremor, hyperreflexia, rapid respiration, confusion, assaultiveness, hallucinations, and panic states. Experience with hemodialysis or peritoneal dialysis is inadequate to permit recommendations in this regard. Existing health conditions that may act as a problem include diabetes, thyroid disorders, hypertension and kidney disease. BMI is calculated by taking the patients weight, in kilograms (kg), divided by the patients height, in meters (m), squared. 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. 5 Each capsule, for oral administration, contains 105 mg Phendimetrazine tartrate manufactured in a special base designed for prolonged release. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Phentermine also is offered combined with topiramate for weight loss (Qsymia). Take 1 tablet or capsule once a day before breakfast or 1-2 hours after breakfast. Place the tablet on the top of your tongue right after removing it from the bottle. Tablets: 37.5 mg phentermine hydrochloride, USP (equivalent to 30 mg phentermine base). 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. I am looking for information/advice/links to prescribing Phentermine (adipex ) in conjunction with diet and exercise in My private PCP business in the state of Ohio. Trends in Prescribing and Dispensing Patterns . Gastrointestinal symptoms include nausea, vomiting, diarrhea and abdominal cramps. Mayo Clinic does not endorse companies or products. It has the chemical name of ,,-Dimethylphenethylamine hydrochloride. Obesity has been linked to many different diseases, including type 2 diabetes and cardiovascular disease. Tell patients to keep Phentermine in a safe place to prevent theft, accidental overdose, misuse or abuse. @ d 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)]. For more FAQs, please see our full archive of Frequently Asked Questions about phentermine and related prescription appetite suppressants. The amount of medicine that you take depends on the strength of the medicine. Of course, it is taken orally. When breastfeeding, the drug may enter the breast milk and travel into the nursing babys body, which may cause harm to them. 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. IBM Micromedex. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. The combined drug is approved for long-term use. 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. [Who Prescribed Your Phentermine?]. 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. Special Populations Geriatric Patients Select dosage with caution, starting at lower end of dosage range. 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. OSMA has historically had concerns with the limitations that these rules place on physicians who treat patients with obesity. 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. 2019; doi:10.1016/j.mayocp.2018.11.020. Phentermine has pharmacologic activity similar to amphetamine (d- and dll-amphetamine) [see Clinical Pharmacology (12.1)]. 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. While discussing the use of Phentermine with the doctor, a patient is provided a list of lifestyle changes to implement while using this product. 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. But the rate of misuse seems to be low. Rule 4731-11-04 | Controlled substances: Utilization of short term anorexiants for weight reduction. Plus, the doctors are not familiar with your overall health status, instead relying entirely on self-reported information, which is often incomplete or inaccurate. Tak YJ, et al. (phentermine hydrochloride) orally disintegrating tablet C IV . ). %PDF-1.3 Doctors used it to help patients who experience certain health issues caused by obesity to lose weight and improve the symptoms they are experiencing. See DrugAbuse and Dependence (9.3). The doctor also looks at the patients medical history for any pre-existing medical conditions that the medication should not be taken with. 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. %PDF-1.6 % The risks include, but are not limited to: See also, for example, Adverse Reactions (6) and Use in SpecificPopulations (8). Read more here: How much does phentermine cost? The plasma protein binding decreases as blood topiramate increases. 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. Drug classes: Anorexiants, CNS stimulants. The CPG determination is specific to Qsymin, Belviq and Contrave only. This site complies with the HONcode standard for trustworthy health information: verify here. "@Hw4`tqCA\+ q [AF]` b L ! << /Length 5 0 R /Filter /FlateDecode >> This website is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. 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. ). Metabolism Phentermine has two metabolic pathways; hydroxylation and oxidation. 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. Dryness of the mouth, unpleasant taste, diarrhea, constipation, other gastrointestinal disturbances. 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. The board expressed concerns that removing the prescribing restrictions could lead to misuse of weight loss drugs such as phentermine. Dispense in a tight container as defined in the USP, with a child-resistant closure (as required). Losing weight during pregnancy can harm both a mother and her baby. (2019). Review/update the Studies do not permit conclusions as to the relative importance of the drug and non-drug factors on weight loss. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. Doctors often combined the use of Phentermine with diuretics, thyroid hormone medicines and digitalis. Phentermine.com is a property of: Careworld LLC. State Medical Board of Ohio On Wednesday, February 8, the board voted to adopt new telehealth rules. 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. https://www.micromedexsolutions.com. Find out everything you need to know about weight loss drugs in our prescription weight loss pill guide. The recommended maximum dosage of Phentermine is 15 mg daily for patients with severe renal impairment (eGFR 15 to 29 mL/min/1.73m2). Below we explain how to get phentermine, including why you need a prescription, who can take this medication, and how to get your doctor to prescribe phentermine. Do not crush, break, or chew it. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. To provide you with the most relevant and helpful information, and understand which This brand is manufacturedby Teva Pharmaceuticals (formerly GATE Pharmaceuticals). However, it caused a chronic condition known as pulmonary hypertension, which led to the death of many patients. 2020; doi:10.4093/dmj.2020.0258. 4 0 obj Being extremely irritable and confused, or experienced unusual behavior or thoughts. Swallow the tablet whole. information is beneficial, we may combine your email and website usage information with If the time is too close to the next dose, it is recommended to skip the dose they have missed. In some cases, the use of this drug in combination with other pills may cause the effects of other drugs to increase. Yes, phentermine is a federally controlled substance because it may be abused or lead to Review/update the Following the administration of Phentermine, Phentermine reaches peak concentrations (Cmax) after 3 to 4.4 hours. Phendimetrazine tartrate is a white, odorless crystalline powder. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Moreover, it is strongly recommended to avoid or limit the alcohol intake. Your doctor may prescribe both of these drugs separately, or choose to prescribe Qsymia, which is another medication that combines Phentermine and Topamax. Phentermine is contraindicated during pregnancy because weight loss offers no potential benefit to a pregnant woman and may result in fetal harm. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Biliopancreatic diversion with duodenal switch (BPD/DS), Endoscopic Sleeve Gastroplasty (Gastric Sleeve), Biliopancreatic diversion with duodenal switch. You may opt-out of email communications at any time by clicking on Instead, wait until you can go to a local doctor or consider other, over-the-counter weight loss options. Based on Ohio's opioid prescribing guidelines, we developed an opioid prescribing rule that applies to all BWC-certified prescribers. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); This website is a resource which lists doctors and clinics who may offer phentermine or appetite suppressants for patients they deem qualified. They inhibit the activity of an entire enzyme family known as monoamine oxidase. 5 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)]. . the unsubscribe link in the e-mail. (2009, April 06). Today, Phentermine can still be obtained through the doctors prescription in the majority of countries around the world. The drug is always accompanied by increased physical activity and a diet that includes a lower amount of calories. ). 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. Tablets containing 37.5 mg Phentermine hydrochloride (equivalent to 30 mg Phentermine base). 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 I am finding limited information. 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. 100 TABLETS At January's meeting, the board discussed the rules and elected to investigate what other states are doing to regulate weight loss medication. It's designed to help prevent opioid dependence for Ohio's injured workers through its three primary goals. 138 0 obj <>stream Advise pregnant women and nursing mothers not to use Phentermine [see Use in Specific Populations (8.1, 8.3)]. Carefully follow the dosing instructions for the form you are using. This study guide will help you focus your time on what's most important. Since it may lead to such symptoms, it also has the potential to cause severe withdrawal symptoms, especially when a patient goes cold turkey. Selling or giving away Phentermine may harm others and is against the law. More specifically, this medication is an option for people with a body mass index (BMI): Weight-related conditions that may qualify a lower-BMI patient for phentermine include: type 2 diabetes, high cholesterol (hyperlipidemia), and controlled high blood pressure (hypertension) ( 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. information highlighted below and resubmit the form. Requirements may be altered [see Warnings and Precautions (5.9)]. 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. endstream endobj 108 0 obj <>stream Advertising revenue supports our not-for-profit mission. Phentermine also has many potential drug interactions (e.g., with MAOIs), so the prescribing doctor and pharmacist know about ALL other medications and supplements taken within the last two weeks. Phentermine is a sympathomimetic amine with pharmacologic activity similar to the prototype drugs of this class used in obesity, amphetamine (d- and dll-amphetamine). Some people also receive a phentermine prescription from their gynecologist (OB-GYN). 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. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. 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. The FDA has categorized this drug as X for pregnancy, which means it should not be used during pregnancy under any circumstances. Along with Ohio's telehealth law in Sub. 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)]. Dosage form: tablet In most cases, the drug is prescribed to users in periods of 12 weeks. hb```e````a`d`@ f(fcfILLvL~. Phentermine, an amphetamine congener, is the most widely used anti-obesity drug in the U.S. 4 After 12 weeks, the patient needs to take a break from the product as it may lead to physical dependence. Or it can help you feel full longer. information submitted for this request. It also isn't for people who are pregnant, may become pregnant or are breastfeeding. This site complies with the HONcode standard for trustworthy health information: verify here. Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. She is passionate about promoting health at any size. Make sure your hands are dry before touching the tablet. Portions of this document last updated: Feb. 01, 2023. (1981, February 4). 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 As much as 33% of the U.S. adult population are considered to be obese. Adults and children 17 years of age and older15 to 30 milligrams (mg) once a day, taken at approximately 2 hours after breakfast. 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. Phentermine is a Schedule 4 drug. Your email address will not be published. In addition, Section 4723.431(A), ORC, requires the APRNs collaborating physician to be practicing in Ohio in a specialty that is the same or similar to the nurses nursing specialty.Section 4723.481(B), ORC, prohibits the prescriptive authority of the CTP holder from exceeding the prescriptive authority of the collaborating physician. Phentermine is approved for use for up to 12 . 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. Phentermine is not to be used while pregnant or breastfeeding under any circumstances. There is a problem with This content does not have an Arabic version. The initial symptom of PPH is usually dyspnea. Encourage prescribers to incorporate best clinical practices when prescribing opioids for treating Ohio . If you take too much of this medicine, it may become habit-forming (causing mental or physical dependence). If you are a good candidate for the medication, but your doctor does not prescribe phentermine, ask for a referral. 0 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. The promotion of this brand as a diet pill started in 1990. In 1968, three years after its release, Aminorex was withdrawn. Implementation of the Ryan Haight Online Pharmacy Consumer Protection Act of 2008. hbbd``b` @IHpA\> . Is Phentermine a Controlled Substance? - 7 Start with your primary care doctor and schedule an appointment to discuss weight. %%EOF other information we have about you. 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. The MAO inhibitors (Monoamine Oxidase Inhibitors) are used to treat depression, especially a specific type called atypical depression. Tachyphylaxis and tolerance have been demonstrated with all drugs of this class in which these phenomena have been looked for. The patient could have had the prescription for the month of October filled at another pharmacy. Mayo Clinic Proceedings. The medical board is currently reviewing its long-standing rules regarding prescribing controlled substances for the treatment of obesity. health information, we will treat all of that information as protected health Overdosage of pharmacologically similar compounds has resulted in fatal poisoning usually terminates in convulsions and coma. National Association of Boards of Pharmacy. Adults and children 17 years of age and older. 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 There are reports of patients who have increased the dosage of these drugs to many times than recommended. While these are the most common side effects of the drug, they are not the only consequences associated with the intake of this medication. 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. 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. Phentermine hydrochloride USP is a sympathomimetic amine anorectic. Before writing a phentermine prescription, he or she will evaluate your: While any doctor can prescribe phentermine, not all doctors feel comfortable doing so. This content does not have an English version. ADIPEX-P (phentermine hydrochloride) tablets, for oral use CIV ADIPEX-P (phentermine hydrochloride) capsules, for oral use CIV Initial U.S. Approval: 1959 Long-term efficacy and safety of anti-obesity treatment: Where do we stand? 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. 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)]. Swallow the extended-release capsule whole. 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. What to offer the 99% of patients with severe obesity who do not undergo bariatric surgery? The usual duration of treatment is 12 weeks or less. But weight management can take time. 104 0 obj <> endobj These lifestyle changes often include participating in regular exercise and physical activities, as well as eating a well-balanced diet that does not contain large amounts of calories or harmful substances. Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. Ohio Administrative Code 4731-11-04 and 4731-11-04.1. Take this medicine only as directed by your doctor. These are both major barriers to optimal medical care. https://med.ohio.gov/LinkClick.aspx?fileticket=Q2JmI7o-3HI%3d&portalid=0. All trademarks are the property of their respective owners. As a reminder, Ohio law requires physicians who prescribe any controlled substances, not just opioids, to submit an ICD-10 code with that prescription. Unfortunately, patients experienced a variety of side effects, which included severe heart toxicity and hypertension. Some of the studies that have linked Phentermine to positive results in humans include: The main active ingredient is known as Phentermine Hydrochloride. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. 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. Use caution when administering Phentermine to patients with renal impairment. 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. hbbd``b`z$@D`]"@DeX- Bb V ``LA\F*? The use of Topamax and Phentermine is actually an FDA-approved combination. ]c,'303:20/) @d` )2 phentermine, one tablet daily, #30 on September 1, 2013. Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. 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. x8FvuN3il&_t%(af?uE7wRu\BbK. Accessed Oct. 11, 2022. 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. It isnt prescribed on request, but rather when a healthcare provider notices it may be beneficial for a specific patient to lose weight in order to improve their overall health or to decrease the risk of certain health concerns. Talk with your doctor before starting an exercise program. Missed Dose . 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 . JC. You may opt-out of email communications at any time by clicking on information is beneficial, we may combine your email and website usage information with In some cases, the side effects were life-threatening and led to the death of a patient. Why is phentermine a controlled substance? Package insert / product label hYr ~{L(QdK4^bdsO_d;a BXO--p,!4!,WhfM/@c % Rule 4731-11-01 | Definitions. Accessed Oct. 11, 2022. hWmo8+jE'"m{F LiverTox National Institutes of Health. This medicine is available in four forms: capsules, disintegrating tablets, extended-release capsules, and tablets. 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. All rights reserved. It is important to follow these instructions religiously. 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. This combination of ingredients was branded as Fen-Phen. State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127 (614) 466-3934 med.ohio.gov While the drug is considered to be relatively safe for individuals who are older than 16, the recommended age is 18. Phentermine is a Schedule IV controlled substance. Press Releases. If your dose is different, do not change it unless your doctor tells you to do so. NDC 42806-810-01 A doctor that sees you regularly is in a unique position to assess the pros and cons of a phentermine prescription because he/she is familiar with your medical history, as well as other medications, allergies, and weight trends over time.