The dosage varies from 15mg to 37.5mg per day. The use of Topamax and Phentermine is actually an FDA-approved combination. Like other weight-loss medicines ordered by providers, phentermine is meant to be only part of a weight-loss plan. 0000001920 00000 n Also, it may cause certain side effects to become much worse. In addition to its function as an appetite suppressant, Phentermine drugs also act as energy boosters. Gastrointestinal symptoms include nausea, vomiting, diarrhea and abdominal cramps. In some cases, the side effects were life-threatening and led to the death of a patient. Losing weight during pregnancy can harm both a mother and her baby. 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)]. Studies have not been performed with Phentermine to determine the potential for carcinogenesis, mutagenesis or impairment of fertility. 0 Disclaimer: The information on this system is unverified. To provide you with the most relevant and helpful information, and understand which Moreover, it is strongly recommended to avoid or limit the alcohol intake. xb```f``ZAb 1av K3gI{$*i p400t UD J@X$Ybv k=:,fb[ a`x @ ! W0Qxe {>x??}# cGCSGGC[G(P A@3'i~ (2[n! . Taking Phentermine depends on the brand and preparation of the drug. A pharmacist may, upon verification by the prescriber, document any information required by this paragraph. Phentermine is most commonly prescribed to patients who experience negative health effects to excessive amounts of body weight. 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. Lomaira: One tablet three times a day, taken 30 minutes before meals. 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 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. 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. Schedule. SECTION 04. Being extremely irritable and confused, or experienced unusual behavior or thoughts. Phentermine: 18.75 to 37.5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. Or it can help you feel full longer. The medication has been classified as a controlled substance in most countries and is also classified as a schedule IV prescription drug. Low dose + low risk factors . 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). Some of the most common withdrawal symptoms include weight gain, fatigue, insomnia and a bad mood. Code R. 64B8-11.001 Advertising weight loss treatment shall be considered false, deceptive, or misleading if it contains representations that: (e) Suggest that weight loss is effortless or magical. When breastfeeding, the drug may enter the breast milk and travel into the nursing babys body, which may cause harm to them. The drug has two primary functions in the human body, which is the reason why it is always accompanied by these lifestyle changes. REGULATION OF PROFESSIONS AND OCCUPATIONS. Other initial symptoms may include angina pectoris, syncope or lower extremity edema. 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. information submitted for this request. %PDF-1.6 % 127: VA Prescription Monitoring Program. - 7 Follow your doctor's orders or the directions on the label. 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. Rulemaking Authority 458.336 FS. Florida. 458.336 Drugs to treat obesity; rules establishing guidelines.. NDC 42806-810-01 In some cases, patients have also found that Phentermine interacts with drugs that contain Tranylcypromine, Henelzine, Isocarboxazid, Diethylpropion, Phendimetrazine, Amphetamine, and Benzphetamine. One of the most important things to consider is the fact that the drug should never be accompanied by an MAO inhibitor. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. If a prescription includes a numerical notation of the quantity of the controlled substance or date, but does not include the quantity or date written out in textual format, the pharmacist may dispense the controlled substance without verification by the prescriber of the quantity or date if the pharmacy previously dispensed another prescription for the person to whom the prescription was written. 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. This content does not have an English version. Six years after the approval, a similar drug, called Aminorex, were released in Europe with the same purpose of helping obese individuals. the unsubscribe link in the e-mail. hbbd``b` @IHpA\> . other information we have about you. For more FAQs, please see our full archive of Frequently Asked Questions about phentermine and related prescription appetite suppressants. https://www.micromedexsolutions.com. A prescription for a controlled substance listed in Schedule II may be dispensed only upon a written prescription of a practitioner, except that in an emergency situation, as defined by regulation of the Department of Health, such controlled substance may be dispensed upon oral prescription but is limited to a 72-hour supply. Copyright 2000- 2023 State of Florida. 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. xref 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. The directions for the use of the controlled substance prescribed in the prescription. Different brands manufacture, distribute and sell Phentermine drugs. Phentermine is approved for use for up to 12 . The 2022 Florida Statutes (including 2022 Special Session A and 2023 Special Session B) 458.336 Drugs to treat obesity; rules establishing guidelines.. History-New 12-4-97, Amended 2-17-98, 8-8-22. Review/update the When mental impairment is present while taking Phentermine, a patient is also advised not to drive to avoid the risk of being involved in an accident. 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). FULL PRESCRIBING of the risk of hypertensive crisis. 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. In order to help patients reduce their risk of developing these diseases when they are obese, doctors usually prescribe Phentermine. CIV Find out everything you need to know about weight loss drugs in our prescription weight loss pill guide. 21 15 The drug is usually prescribed at the lowest possible dose to new users, which is 15mg per day. Not only can losing weight harm an unborn baby during pregnancy, but the drug may also cause adverse effects. This website is a resource which lists doctors and clinics who may offer phentermine or appetite suppressants for patients they deem qualified. 2007-156; s. 5, ch. 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. 188, ch. Advertising revenue supports our not-for-profit mission. Carefully follow your doctor's instructions for a reduced-calorie diet plan and regular exercise. If you are a Mayo Clinic patient, this could While these are the most common side effects of the drug, they are not the only consequences associated with the intake of this medication. Long-term efficacy and safety of anti-obesity treatment: Where do we stand? Phentermine doctors network. 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. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity and personality changes. 138 0 obj <>stream In order to use Phentermine, the doctor needs to prescribe the drug for a specific patient. Required fields are marked *. Law Implemented Florida Statutes 458.336. 1591 0 obj <>stream See DrugAbuse and Dependence (9.3). 97-102; s. 301, ch. The initials of the pharmacist filling the prescription and the date filled. Skip to Navigation | Skip to Main Content | Skip to Site Map. A severe manifestation of chronic intoxication is psychosis, often clinically indistinguishable from schizophrenia. In some cases, the use of this drug in combination with other pills may cause the effects of other drugs to increase. Accessed Oct. 11, 2022. 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*? Fatigue and depression usually follow the central stimulation. 1530 0 obj <> endobj This equates to a weight loss of 10-20 pounds for a 200 pound . This combination of ingredients was branded as Fen-Phen. The dose of this medicine will be different for different patients. 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. Some patients need to take the drug an hour before they eat breakfast, while others are advised to take it approximately one to two hours after breakfast. The combined drug is approved for long-term use. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use . The number of such prescription, as recorded in the prescription files of the pharmacy in which it is filled. The written prescription must be dated and signed by the prescribing practitioner on the day when issued. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Patients must be instructed on how much Phentermine to take, and when and how to take it [see Dosage and Administration (2)]. Skip to Navigation | Skip to Main Content | Skip to Site Map. The PDMP was created in the 2009 session of the Florida legislature to encourage safer prescribing of controlled substances and reduce drug abuse and diversion within the state. You may opt-out of email communications at any time by clicking on Controlled substances for the treatment of obesity. Available for Android and iOS devices. Studies do not permit conclusions as to the relative importance of the drug and non-drug factors on weight loss. Ideally, patients should take it on an empty stomach. 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. information and will only use or disclose that information as set forth in our notice of Tablets are packaged in bottles of 100 (NDC 42806-810-01); and 1000 (NDC 42806-810-10). 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. There are reports of patients who have increased the dosage of these drugs to many times than recommended. Prescribing Information - Qsymia (Phentermine and Topiramate extended . Cardiovascular effects include arrhythmia, hypertension or hypotension, and circulatory collapse. During the COVID-19 public health emergency (PHE), authorized providers can prescribe controlled substances via telehealth, without the need for an in-person medical evaluation. Package insert / product label Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. "@Hw4`tqCA\+ q [AF]` b L ! Metric conversions are as follows: pounds 2.2 = kg; inches x 0.0254 = meters. It can help weight loss by making you less hungry. privacy practices. It is an appetite suppressant with the added ability to help the body produce more energy from fat cells. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Phentermine is a sympathomimetic amine with pharmacologic activity similar to the prototype drugs of this class used in obesity, amphetamine (d- and dll-amphetamine). The drug is always accompanied by increased physical activity and a diet that includes a lower amount of calories. @ d This bill allows ARNPs and PAs to prescribe controlled substances under existing supervision and protocol requirements, and subject to a formulary to be developed by a committee under the Board of Nursing. Your email address will not be published. SE, which stands for Electronic Florida Online Reporting of Controlled Sub-stances Evaluation program. Dosage should be individualized to obtain an adequate response with the lowest effective dose. The amount of medicine that you take depends on the strength of the medicine. Children 16 years of age and youngerUse is not recommended. privacy practices. House Bill 831 (2019), Electronic Prescribing, was signed into law by Governor DeSantis. Take this medicine only as directed by your doctor. Since it may lead to such symptoms, it also has the potential to cause severe withdrawal symptoms, especially when a patient goes cold turkey. 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. The MAO inhibitors (Monoamine Oxidase Inhibitors) are used to treat depression, especially a specific type called atypical depression. Abrupt cessation following prolonged high dosage administration results in extreme fatigue and mental depression; changes are also noted on the sleep EEG. 14 Following the administration of Phentermine, Phentermine reaches peak concentrations (Cmax) after 3 to 4.4 hours. 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. Concomitant use of alcohol with phentermine may result in an adverse drug reaction. Copyright: Merative US L.P. 1973, 2023. endstream endobj startxref 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. 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. Taking Phentermine depends on the brand and preparation of the drug. Registration is accomplished by completing and returning the dispensing physician registration form. Precaution should be taken if a patient has any existing health concerns as the drug may cause further harm to their body. 458.336, Florida Statutes - Drugs to treat obesity; rules establishing guidelines; Rule 64B8-9.012, Florida Administrative Code - Standards for the Prescription of Obesity . Follow all directions on your prescription label and read all medication guides or instruction sheets. If a patient would like to take other supplements, they should consult their doctor first. If you are a Mayo Clinic patient, this could Some brands use a dissolving tablet that is placed under the tongue, which allows the body to absorb the chemicals in the drug faster. Phentermine also is offered combined with topiramate for weight loss (Qsymia). 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. Unfortunately, patients experienced a variety of side effects, which included severe heart toxicity and hypertension. Use caution in prescribing Phentermine for patients with even mild hypertension (risk of increase in blood pressure). Overstimulation, restlessness, dizziness, insomnia, euphoria, dysphoria, tremor, headache, psychosis. Yes, you need a prescription for phentermine. Doctors often advise patients that in the case of more serious side effects, they should immediately call for assistance. Typical actions of amphetamines include central nervous system stimulation and elevation of blood pressure. Do not double doses. 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. Adjust dosage according to individual response and tolerance; use the smallest dosage required to produce the desired response. (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 . Swallow the tablet whole. The prescription shall be retained on file by the proprietor of the pharmacy in which it is filled for a period of 2 years. Advertising revenue supports our not-for-profit mission. Why is phentermine a controlled substance? So some health care providers might order it for longer use. This was often referred to as Rainbow Pills as all four drugs were often provided to a patient at the same time. The initial symptom of PPH is usually dyspnea. Over 12 weeks, it can be as high as 9-10%. Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. hWmo8+jE'"m{F We comply with the HONcode standard for trustworthy health information. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother. Phentermine may decrease the hypotensive effect of adrenergic neuron blocking drugs. Drugs to treat obesity; rules establishing guidelines. Phentermine HCl Tablets, USP 37.5 mg 0000001488 00000 n 0 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. All rights reserved. health information, we will treat all of that information as protected health %PDF-1.6 % information submitted for this request. It is important to follow these instructions religiously. hb``````>X,K10wdjdZ(`l Ro4' b2h>$:-9.AKL1}c$vEP;-@c=en`Y %YQh` &^ 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 Florida has received national attention for the large num- A clear, concise warning that it is a crime to transfer the controlled substance to any person other than the patient for whom prescribed. The FDA has categorized this drug as X for pregnancy, which means it should not be used during pregnancy under any circumstances. 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. Please consult with your physician before you make any decisions regarding your health. The following information includes only the average doses of this medicine. The journals or printed bills of the respective chambers should be consulted for official purposes. Symptoms of extremely high blood pressure, such as uneven heartbeats, chest pain, blurred vision, anxiety and a severe headache. Phentermine hydrochloride/topiramate. The risks include, but are not limited to: See also, for example, Adverse Reactions (6) and Use in SpecificPopulations (8). 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). All trademarks are the property of their respective owners. 2009-202. 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. Phentermine (as resin complex): Usual dosage is 15 or 30 mg once daily. The doctor may advise the patient to complete the remaining period of the program or help him/her end the program safely. The Administration's plan is to end the COVID-19 public health emergency on May 11, 2023. Click here for an email preview. For a more comprehensive list of drug and nutraceuticals which interact with phentermine hydrochloride, refer to our phentermine drug interactions data. In relatively short-term clinical trials, adult obese subjects instructed in dietary management and treated with anorectic drugs lost more weight on the average than those treated with placebo and diet. Phentermine Hydrochloride Tablets are indicated only as short-term (a few weeks) monotherapy for the management of exogenous obesity. 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. Phentermine is not a miracle drug taken daily and the body simply starts losing weight all by itself. Children 15 years of age and youngerUse is not recommended. Mid-range score: large amounts of medication in accordance with recommended guidelines.Low dose + high risk factors . 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. ZeS{$d!YS,|C~E;h4DJS?|{x}~ ?`2F. 0 The promotion of this brand as a diet pill started in 1990. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Statutes, Video Broadcast 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. 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. Javascript must be enabled for site search. Portions of this document last updated: Feb. 01, 2023. This content does not have an Arabic version. Some patients experience an increase in sexual interest, while others notice that they have a lower libido. startxref Phentermine hydrochloride USP is a sympathomimetic amine anorectic. 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. hX}(I History.s. law states . Pharmacists may order the medicinal drug products set forth in each rule subject to the following terms and limitations: . Keep from freezing. 0000005652 00000 n It is a class IV controlled substance because of its serious side effects and addiction potential. hYr ~{L(QdK4^bdsO_d;a BXO--p,!4!,WhfM/@c 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 a Schedule IV controlled substance. 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. 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)]. Tablets containing 37.5 mg Phentermine hydrochloride (equivalent to 30 mg Phentermine base). 893.049(1)(d), (e),f.s. If the prescriber is not available to verify a prescription, the pharmacist may dispense the controlled substance but may insist that the person to whom the controlled substance is dispensed provide valid photographic identification. Mayo Clinic Proceedings. Phentermine has not been studied in patients with eGFR less than 15 mL/min/1.73m2, including end-stage renal disease requiring dialysis; avoid use in these populations. The dosage may be adjusted to the patients need. Do not crush, break, or chew it. %PDF-1.4 % 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. Review/update the 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. In 1968, three years after its release, Aminorex was withdrawn. 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. If the time is too close to the next dose, it is recommended to skip the dose they have missed. This search engine indexes the Drug Enforcement Administration Diversion Control Program Web Site (www.deadiversion.usdoj.gov) only. Overdosage of pharmacologically similar compounds has resulted in fatal poisoning usually terminates in convulsions and coma. Requirements may be altered [see Warnings and Precautions (5.9)]. But it isn't a good choice for people with heart disease, high blood pressure, an overactive thyroid gland or glaucoma. These rules and statutes . Diabetes & Metabolism Journal. The journals or printed bills of the respective chambers should be consulted for official purposes. 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 97-264. 0000002736 00000 n Patients who have been on a Phentermine program should not suddenly stop using the drug. 90-2; s. 1436, ch. Accessed Oct. 11, 2022. https://fco.factsandcomparisons.com/. However, the medication does have a considerable street value.
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