What is phentermine
Phentermine is a drug primarily used as an appetite suppressant. Chemically, it is an amphetamine (and a phenethylamine). It is typically prescribed for individuals who are at increased medical risk because of their weight, as opposed to cosmetic weight loss.
Clinical use
Generally, it is recommended by the Food and Drug Administration (FDA) that phentermine should be used short-term (usually interpreted as 'up to 12 weeks'), while following nonpharmacological approaches to weight loss such as healthy dieting and exercise. However, recommendations limiting its use for short-term treatment may be controversial. One reason given behind limiting its use to 12 weeks is drug tolerance, whereby phentermine loses its appetite-suppressing effects after the body adjusts to the drug. On the contrary, it has been shown that phentermine did not lose effectiveness in a 36-week trial. Due to the risk of insomnia, it is generally recommended that the drug be taken either before breakfast or 1-2 hours after breakfast.
Special precautions to follow
Before taking phentermine,
-
tell your doctor and pharmacist if you are allergic to phentermine or any other drugs.
-
tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially fluoxetine (Prozac), fluvoxamine (Luvox), guanethidine, insulin, MAO inhibitors [phenelzine (Nardil) and tranylcypromine (Parnate)] even if you stopped taking them within the past 2 weeks, medications for weight loss and depression, paroxetine (Paxil), sertraline (Zoloft),and vitamins.
-
tell your doctor if you have or have ever had heart disease, high blood pressure, arteriosclerosis (narrowing of the arteries), hyperthyroidism (overactive thyroid gland), diabetes, glaucoma, or a history of drug abuse.
-
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking phentermine, call your doctor.
-
you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
- remember that alcohol can add to the drowsiness caused by this drug.
- if you have diabetes, you may need a larger dose of insulin while taking phentermine. Call your doctor if you have questions or problems.
How to take phentermine
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.
Taking high doses of phentermine over long periods of time can cause severe skin problems, sleep problems (insomnia), personality changes, and feeling hyperactive or irritable.
• Take this medicine with a full glass of water.
• It is best to take phentermine on an empty stomach before breakfast, or at least 10 to 14 hours before bedtime.
• Phentermine should be taken only for a short time, such as a few weeks.
• Do not crush, chew, break, or open an extended-release capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time.
You may have withdrawal symptoms when you stop using phentermine after using it over a long period of time. Do not stop using this medication suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely.
Do not take phentermine in the evening because it may cause sleep problems (insomnia).
Stop taking phentermine if you have increased hunger or if you otherwise think the medication is not working properly. Do not take more phentermine for an increased effect. Taking too much of this medication can cause serious, life-threatening side effects.
Phentermine may be habit-forming and should be used only by the person it was prescribed for. Keep track of how many pills have been used from each new bottle of this medicine. Phentermine is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.
Store phentermine at room temperature away from moisture and heat.
If you miss a dose
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.
If you overdose
Seek emergency medical attention if you think you have used too much of this medication. An overdose of phentermine can be fatal.
Symptoms of a phentermine overdose may include confusion, hallucinations, feeling restless or aggressive, nausea, vomiting, diarrhea, stomach pain, irregular heartbeat, tremors, rapid breathing, confusion, hallucinations, feeling light-headed, fainting, or seizure (convulsions).
Side effects
Phentermine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- dry mouth
- unpleasant taste
- diarrhea
- constipation
- vomiting
If you experience any of the following symptoms, call your doctor immediately:
- increased blood pressure
- heart palpitations
- restlessness
- dizziness
- tremor
- insomnia
- shortness of breath
- chest pain
- dizziness
- swelling of the legs and ankles
- difficulty doing exercise that you have been able to do
Brand namesAdipex-P®
- Ionamin®
- Obephen®
- Obermine®
What is phentermine
Phentermine is a drug primarily used as an appetite suppressant. Chemically, it is an amphetamine (and a phenethylamine). It is typically prescribed for individuals who are at increased medical risk because of their weight, as opposed to cosmetic weight loss.
Clinical use
Generally, it is recommended by the Food and Drug Administration (FDA) that phentermine should be used short-term (usually interpreted as 'up to 12 weeks'), while following nonpharmacological approaches to weight loss such as healthy dieting and exercise. However, recommendations limiting its use for short-term treatment may be controversial. One reason given behind limiting its use to 12 weeks is drug tolerance, whereby phentermine loses its appetite-suppressing effects after the body adjusts to the drug. On the contrary, it has been shown that phentermine did not lose effectiveness in a 36-week trial. Due to the risk of insomnia, it is generally recommended that the drug be taken either before breakfast or 1-2 hours after breakfast.
Special precautions to follow
Before taking phentermine,
- tell your doctor and pharmacist if you are allergic to phentermine or any other drugs.
- tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially fluoxetine (Prozac), fluvoxamine (Luvox), guanethidine, insulin, MAO inhibitors [phenelzine (Nardil) and tranylcypromine (Parnate)] even if you stopped taking them within the past 2 weeks, medications for weight loss and depression, paroxetine (Paxil), sertraline (Zoloft),and vitamins.
- tell your doctor if you have or have ever had heart disease, high blood pressure, arteriosclerosis (narrowing of the arteries), hyperthyroidism (overactive thyroid gland), diabetes, glaucoma, or a history of drug abuse.
- tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking phentermine, call your doctor.
- you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
- remember that alcohol can add to the drowsiness caused by this drug.
- if you have diabetes, you may need a larger dose of insulin while taking phentermine. Call your doctor if you have questions or problems.
How to take phentermine
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.
•
Taking high doses of phentermine over long periods of time can cause severe skin problems, sleep problems (insomnia), personality changes, and feeling hyperactive or irritable.
•
Take this medicine with a full glass of water.
•
It is best to take phentermine on an empty stomach before breakfast, or at least 10 to 14 hours before bedtime.
•
Phentermine should be taken only for a short time, such as a few weeks.
•
Do not crush, chew, break, or open an extended-release capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time.
•
You may have withdrawal symptoms when you stop using phentermine after using it over a long period of time. Do not stop using this medication suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely.
•
Do not take phentermine in the evening because it may cause sleep problems (insomnia).
•
Stop taking phentermine if you have increased hunger or if you otherwise think the medication is not working properly. Do not take more phentermine for an increased effect. Taking too much of this medication can cause serious, life-threatening side effects.
•
Phentermine may be habit-forming and should be used only by the person it was prescribed for. Keep track of how many pills have been used from each new bottle of this medicine. Phentermine is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.
•
Store phentermine at room temperature away from moisture and heat.
If you miss a dose
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.
If you overdose
•
Seek emergency medical attention if you think you have used too much of this medication. An overdose of phentermine can be fatal.
•
Symptoms of a phentermine overdose may include confusion, hallucinations, feeling restless or aggressive, nausea, vomiting, diarrhea, stomach pain, irregular heartbeat, tremors, rapid breathing, confusion, hallucinations, feeling light-headed, fainting, or seizure (convulsions).
Side effects
Phentermine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- dry mouth
- unpleasant taste
- diarrhea
- constipation
- vomiting
If you experience any of the following symptoms, call your doctor immediately:
- increased blood pressure
- heart palpitations
- restlessness
- dizziness
- tremor
- insomnia
- shortness of breath
- chest pain
- dizziness
- swelling of the legs and ankles
- difficulty doing exercise that you have been able to do
Brand namesAdipex-P®
- Ionamin®
- Obephen®
- Obermine®