These highlights do not include all the information needed to use Phentermine Hydrochloride Capsules, USP safely and effectively. See full prescribing information for Phentermine Hydrochloride Capsules, USP.
Phentermine Hydrochloride Capsules, USP CIV for oral use
INDICATIONS AND USAGE
Phentermine Hydrochloride is a sympathomimetic amine anorectic indicated as a short-term adjunct (a few weeks) 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/m
2, or ≥ 27 kg/m
2 in the presence of other risk factors (e.g., controlled hypertension, diabetes, hyperlipidemia). (
1)
The limited usefulness of agents of this class, including Phentermine hydrochloride, should be measured against possible risk factors inherent in their use. (
1)
DOSAGE AND ADMINISTRATION
Dosage should be individualized to obtain an adequate response with the lowest effective dose.
DOSAGE FORMS AND STRENGTHS
• Capsules containing 15 mg and 30 mg Phentermine Hydrochloride. (
3)
CONTRAINDICATIONS
• History of cardiovascular disease (e.g., coronary artery disease, stroke, arrhythmias, congestive heart failure, uncontrolled hypertension) (
4)
• Hyperthyroidism (
4)
• Glaucoma (
4)
• Agitated states (
4)
• History of drug abuse (
4)
• Pregnancy (
4,
8.1)
• Nursing (
4,
8.3)
• Known hypersensitivity, or idiosyncrasy to the sympathomimetic amines (
4)
WARNINGS AND PRECAUTIONS
• Rare cases of primary pulmonary hypertension have been reported. Phentermine should be discontinued in case of new, unexplained symptoms of dyspnea, angina pectoris, syncope or lower extremity edema. (
5.2)
• Concomitant alcohol use may result in an adverse drug reaction. (
5.7)
ADVERSE REACTIONS
Adverse events have been reported in the cardiovascular, central nervous, gastrointestinal, allergic, and endocrine systems. (
6)
To report SUSPECTED ADVERSE REACTIONS, contact KVK-TECH, Inc., at 215-579-1842 or customerservice@kvktech.com; or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
DRUG INTERACTIONS
• Monoamine oxidase inhibitors: Risk of hypertensive crisis. (
4,
7.1)
• Alcohol: Consider potential interaction (
7.2)
• Insulin and oral hypoglycemics: Requirements may be altered. (
7.3)
USE IN SPECIFIC POPULATIONS
• Pediatric use: Safety and effectiveness not established. (
8.4)
• Geriatric use: Due to substantial renal excretion, use with caution. (
8.5)
See 17 for PATIENT COUNSELING INFORMATION
Revised: 12/2012
FULL PRESCRIBING INFORMATION: CONTENTS*
* Sections or subsections omitted from the full prescribing information are not listed
1 INDICATIONS AND USAGE
2 DOSAGE AND ADMINISTRATION
3 DOSAGE FORMS AND STRENGTHS
4 CONTRAINDICATIONS
5 WARNINGS AND PRECAUTIONS
5.1 Co-administration With Other Drug Products for Weight Loss
5.2 Primary Pulmonary Hypertension
5.3 Valvular Heart Disease
5.4 Development of Tolerance, Discontinuation in Case of Tolerance
5.5 Effect on the Ability to Engage in Potentially Hazardous Tasks
5.6 Risk of Abuse and Dependence
5.7 Usage With Alcohol
5.8 Use in Patients With Hypertension
5.9 Use in Patients on Insulin or Oral Hypoglycemic Medications for Diabetes Mellitus
6 ADVERSE REACTIONS
7 DRUG INTERACTIONS
7.1 Monoamine Oxidase Inhibitors
7.2 Alcohol
7.3 Insulin and Oral Hypoglycemic Medications
7.4 Adrenergic Neuron Blocking Drugs
8 USE IN SPECIFIC POPULATIONS
8.1 Pregnancy
8.3 Nursing Mothers
8.4 Pediatric Use
8.5 Geriatric Use
8.6 Renal Impairment
9 DRUG ABUSE AND DEPENDENCE
9.1 Controlled Substance
9.2 Abuse
9.3 Dependence
10 OVERDOSAGE
10.1 Acute Overdosage
10.2 Chronic Intoxication
11 DESCRIPTION
12 CLINICAL PHARMACOLOGY
12.1 Mechanism of Action
12.2 Pharmacodynamics
12.3 Pharmacokinetics
13 NONCLINICAL TOXICOLOGY
13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility
14 CLINICAL STUDIES
16 HOW SUPPLIED/STORAGE AND HANDLING
17 PATIENT COUNSELING INFORMATION
FULL PRESCRIBING INFORMATION