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Meds, Medical Conditions, and Treatment >> Prescription drug information

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MelodyAdministrator
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Phentermine
      #143111 - 03/01/04 05:36 AM

Phentermine

Each phentermine hydrochloride capsule contains phentermine hydrochloride, 30 mg (equivalent to 24 mg Phentermine).


Phentermine hydrochloride is a sympathomimetic amine with pharmacologic activity similar to the prototype drugs of this class used in obesity, the amphetamines. Actions include central nervous system stimulation and elevation of blood pressure. Tachyphylaxis and tolerance have been demonstrated with all drugs of this class in which these phenomena have been looked for.

Drugs of this class used in obesity are commonly known as "anorectics" or "anorexigenics." It has not been established that the action of such drugs in treating obesity is primarily one of appetite suppression. Other central nervous system actions, or metabolic effects may be involved, for example.

Adult obese subjects instructed in dietary management and treated with "anorectic" drugs, lose more weight on the average than those treated with placebo and diet, as determined in relatively short-term clinical trials.



WARNINGS

Tolerance to the anorectic effect usually develops within a few weeks. When this occurs, the recommended dose should not be exceeded in an attempt to increase the effect; rather, the drug should be discontinued.

Phentermine hydrochloride may impair the ability of the patient to engage in potentially hazardous activities such as operating machinery or driving a motor vehicle; the patient should therefore be cautioned accordingly.

Drug Dependence: Phentermine hydrochloride is related chemically and pharmacologically to the amphetamines. Amphetamines and related stimulant drugs have been extensively abused, and the possibility of abuse of phentermine hydrochloride should be kept in mind when evaluating the desirability of including a drug as proof of a weight reduction program. Abuse of amphetamines and related drugs may be associated with intense psychological dependence and severe social dysfunction. There are reports of patients who have increased the dosage to many times that recommended. Abrupt cessation following prolonged high dosage administration results in extreme fatigue and mental depression; changes are also noted on the sleep EEG. Manifestations of chronic intoxication with anorectic drugs include severe dermatoses, marked insomnia, irritability, hyperactivity, and personality changes. The most severe manifestation of chronic intoxications is psychosis, often clinically indistinguishable from schizophrenia.

Usage in Pregnancy: Safe use in pregnancy has not been established. Use of phentermine hydrochloride by women who are or who may become pregnant, and those in the first trimester of pregnancy, requires that the potential benefit be weighed against the possible hazard to mother and infant.

Usage in Children: Phentermine hydrochloride is not recommended for use in children under 12 years of age.


PRECAUTIONS

Caution is to be exercised in prescribing phentermine hydrochloride for patients with even mild hypertension.

Insulin requirements in diabetes mellitus may be altered in association with the use of phentermine hydrochloride and the concomitant dietary regimen.

Phentermine hydrochloride may decrease the hypotensive effect of guanethidine.

The least amount feasible should be prescribed or dispensed at one time in order to minimize the possibility of overdosage.


Phentermine Hydrochloride is a white crystalline powder, very soluble in water and alcohol. Chemically, the product is phenyl-tertiary-butylamine hydrochloride. Inactive Ingredients: F D & C Blue 1, Methylcellulose, Polyethylene Glycol, Starch, Titanium Dioxide, Sucrose and Invert Sugar. The branding ink used on the gelatin capsules contains: Ethyl Alcohol, F D & C Blue 1 Aluminum Lake, Isopropyl Alcohol, n-Butyl Alcohol, Propylene Glycol, Pharmaceutical Shellac (modified) or Refined Shellac (Food Grade).

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candykitty
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Reged: 09/26/03
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Phentermine [Re: Melody]
      #188949 - 09/27/04 02:41 PM

Anyone ever hear of interactions betweeen Wellbutrin & Phentermine? I find my self packing on some pounds now that I'm off my pain meds for almost 2 months. I take 450mg Wellbutrin XL daily, for two years now, for depression & ADD. I'm looking for something that will suppress my appetite and give me some pep, I find myself eating more now-I got addicted to carbs now I'm not Norco dependent??? Anyways I want a jump start on losing the wieght, I can't fit in any of my clothes. I took Phentermine a few years aback and it was a miracle! Anyone know if it will have bad interaction w/Wellbutrin?

Edited by Melody (11/03/04 02:54 AM)


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sunflower29
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Reged: 04/13/04
Posts: 154
Re: Phentermine [Re: candykitty]
      #188962 - 09/27/04 03:50 PM

CandyKitty, I think because they're both stimulants, there may be an increased risk of having seizures.
I recently tried Wellbutrin again, after having bad luck the first time, and after three days of a low dose, quit again. Wellbutrin is known for decreasing one's appetite, but it made me want to gorge, and it just made me feel so detached from my emotions and totally unable to concentrate. I know it can be very helpful for some people, but it was a horrible drug for me. I took it for three days, and it took my three days to recover from it. I had horrible migraines too, and was basically unable to function for two days straight. It can take up to 50 hours to get out of your system, and it did for me. I'm finally feeling back to normal now, but I'll never take Wellbutrin again.

Just be careful combining wellbutrin with other stimulants. From what I've read on the internet, it's not a good idea. But I know what works for one, can be a nightmare for another, but I'd just suggest doing lots of research on the internet, read forums about people's experiences on wellbutrin, and particularly combining it with other stimulants.

Good luck with it, and I'm glad it's working for you!

Edited by Melody (11/03/04 02:54 AM)


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Sweetz
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Reged: 05/11/02
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Re: Phentermine [Re: sunflower29]
      #189230 - 09/28/04 03:32 PM

A side effect is that it can lower your seizure threshold.

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Sinda
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Reged: 04/22/04
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Re: Phentermine [Re: Sweetz]
      #197905 - 11/02/04 11:51 PM

I also had two seizures attributed to Wellbutrin and Phentermine. I was in ICU for a couple of days as I beat myself up pretty good during the first seizure. If that doesn't help you make up your mind, think about this. My driving privileges have been revoked for six months because of the seizures. I wasn't driving at the time, it's just that I COULD have been driving. I'm more than happy to oblige the order. Scared me pretty good. Please think long and hard before mixing the two. It's hard to come back from such a setback.
Sinda

Edited by Melody (11/03/04 02:55 AM)


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salstar
Journeyman


Reged: 03/10/04
Posts: 77
Re: Phentermine [Re: Sinda]
      #198627 - 11/06/04 08:25 AM

Sorry to hear about your ordeal Sinda.

Just a question to clarify: were your seizures related to taking both Phentermine and Wellbutrin together, or did you have these seizures whilst using each med seperately?

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Sally


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decem8ed
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Reged: 01/20/03
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Loc: Greater LA area
Re: Phentermine [Re: salstar]
      #198679 - 11/06/04 05:02 PM

A bit of Wellbutrin trivia - if you've ever "been treated for anorexia nervosa" PDR "contra-indicates" (fancy for don't prescribe it)this due to SEIZURES associated with it in persons who 'EVER' have been treated for anorexia, or, perhaps if one was anorexic,recovered, whatever, this particular drug can cause seizures or "lower the threshold" for them. Take it for what it's worth & be safe, all
decem8ed


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Sweetz
Diamond Mind


Reged: 05/11/02
Posts: 768
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Re: Phentermine [Re: Sweetz]
      #200129 - 11/14/04 05:37 AM

Quote:

A side effect is that it can lower your seizure threshold.




Clarification: My post was off topic (oops) and was editted. However, it looks like I'm talking about Phentermine lowering the seizure threshold. I'VE NEVER TAKEN PHENERMINE IN MY LIFE. My BP is too high to ever attempt it. My comment about the seizures had to do with Wellbutrin. Sorry about any confusion.

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"If you choose not to decide you still have made a choice."

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