Label: PHENTERMINE HYDROCHLORIDE - phentermine hydrochloride capsule

  • NDC Code(s): 12634-516-60, 12634-516-71, 12634-516-78, 12634-516-84, view more
    12634-516-85, 12634-516-91, 12634-516-97, 12634-547-71, 12634-547-78, 12634-547-84, 12634-547-91, 12634-547-97, 12634-552-71, 12634-552-78, 12634-552-84, 12634-552-91, 12634-552-97
  • Packager: Apotheca, Inc.
  • This is a repackaged label.
  • Source NDC Code(s): 0527-1310, 10702-026, 10702-028
  • Category: HUMAN PRESCRIPTION DRUG LABEL
  • DEA Schedule: CIV
  • Marketing Status: Abbreviated New Drug Application

Drug Label Information

Updated 04/10

If you are a consumer or patient please visit this version.

  • DESCRIPTION

    Phentermine hydrochloride USP has the chemical name of α, α-Dimethylphenethylamine hydrochloride. The structural formula is as follows:

    image of structural formula






    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.

    (KVK TECH INC. manufacture)

    Phentermine hydrochloride, an anorectic agent for oral administration, is available as: a) powder-filled capsules containing 15 mg of phentermine hydrochloride(equivalent to 12mg of phentermine) or 30 mg phentermine hydrochloride ( equivalent to 24mg phentermine) and inactive ingredients:

    Corn starch, gelatin, magnesium stearate, lactose monohydrate. In addition, the 15mg capsules contain D and C Yellow #10, FD and C Blue #1, FD and C Red #3, FD and C Red #40, titanium dioxide and the 30mg capsules contain D and C Yellow #10, FD and C RED #3, titanium dioxide

    b) bead-filled capsules containing 30mg phentermine hydrochloride (equivalent to 24mg phentermine) and inactive ingredients:

    Corn starch, sucrose, hypromellose, povidone, and talc. In addition, the capsule contains FD and C Blue #1-Brilliant blue FCF aluminum lake, D and C Red # 28 and gelatin.

    (LANNETT COMPANY, INC. manufacture)

    Phentermine hydrochloride, an anorectic agent for oral administration, is available as: powder-filled capsules containing 30 mg of phentermine hydrochloride (equivalent to 24 mg of phentermine base) and inactive ingredients: corn starch, magnesium stearate, lactose anhydrous.

    In addition, the natural/blue capsules contain gelatin, D and C Red # 28, and FD and C Blue # 1; the yellow/yellow capsules contain gelatin, D and C Yellow # 10, FD and C Red # 3, and titanium dioxide; the black/black capsules contain gelatin, FD and C Yellow # 6, FD and C Blue # 1, and FD and C Red # 40. The imprinting ink for the natural/blue capsules and yellow/yellow capsules contains the following ingredients: shellac glaze in ethanol, iron oxide black, n-butyl alcohol, propylene glycol, SDA 3A alcohol, FD and C Blue # 2 Aluminum Lake, FD and C Red # 40 Aluminum Lake, FD and C Blue # 1 Aluminum Lake, and D and C Yellow # 10 Aluminum Lake. The imprinting ink for the black/black capsules contains the following ingredients: shellac, dehydrated alcohol, isopropyl alcohol, butyl alcohol, propylene glycol, strong ammonia solution, yellow iron oxide, and dimethicone.

    (MUTUAL Phamaceutical manufacture)

    Phentermine hydrochloride, an anorectic agent for oral administration, is available as a capsule containing 30 mg of phentermine hydrochloride (equivalent to 24 mg Phentermine). In addition, each capsule contains the following inactive ingredients: crospovidone, dibasic calcium phosphate dihydrate, gelatin, magnesium stearate, povidone, titanium dioxide, FDA/E 172 Yellow Iron Oxide. The imprinting ink contains FD and C Blue #2, FD and C Red #40, FD and C Blue #1 and D and C Yellow #10 Lake.


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  • CLINICAL PHARMACOLOGY

    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.

    The magnitude of increased weight loss of drug-treated patients over placebo-treated patients is only a fraction of a pound a week. The rate of weight loss is greatest in the first week of therapy for both drug and placebo subjects and tends to decrease in succeeding weeks. The possible origins of the increased weight loss due to the various drug effects are not established. 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. Studies do not permit conclusions as to the relative importance of the drug and non-drug factors on weight loss.

    The natural history of obesity is measured in years, whereas the studies cited are restricted to a few weeks' duration; thus, the total impact of drug-induced weight loss over that of diet alone must be considered clinically limited.

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  • INDICATIONS AND USAGE

    Phentermine hydrochloride is 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., hypertension, diabetes, hyperlipidemia).

    Below is a chart of Body Mass Index (BMI) based on various heights and weights.

    BMI is calculated by taking the patient's weight, in kilograms (kg), divided by the patient's height, in meters (m), squared. Metric conversions are as follows: pounds ÷ 2.2 = kg; inches × 0.0254 = meters.


    image of table











    The limited usefulness of agents of this class (see CLINICAL PHARMACOLOGY) should be measured against possible risk factors inherent in their use such as those described below.







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  • CONTRAINDICATIONS

    Advanced arteriosclerosis, cardiovascular disease, moderate to severe hypertension, hyperthyroidism, known hypersensitivity or idiosyncrasy to the sympathomimetic amines, glaucoma.

    Agitated states.

    Patients with a history of drug abuse.

    During or within 14 days following the administration of monoamine oxidase inhibitors (hypertensive crises may result).

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  • WARNINGS

    Phentermine hydrochloride capsules are indicated only as short-term monotherapy for the management of exogenous obesity. The safety and efficacy of combination therapy with phentermine and any other drug products for weight loss, including selective serotonin reuptake inhibitors (e.g., fluoxetine, sertraline, fluvoxamine, paroxetine), have not been established. Therefore, coadministration of these drug products for weight loss is not recommended.

    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. 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. The initial symptom of PPH is usually dyspnea. Other initial symptoms include: angina pectoris, syncope or lower extremity edema. Patients should be advised to report immediately any deterioration in exercise tolerance.

    Treatment should be discontinued in patients who develop new, unexplained symptoms of dyspnea, angina pectoris, syncope or lower extremity edema.


    Valvular Heart Disease

    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. The etiology of these valvulopathies has not been established and their course in individuals after the drugs are stopped is not known. The possibility of an association between valvular heart disease and the use of phentermine alone cannot be ruled out; there have been rare cases of valvular heart disease in patients who reportedly have taken phentermine alone.

    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.


    Usage with Alcohol

    Concomitant use of alcohol with phentermine hydrochloride may result in an adverse drug interaction.

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  • PRECAUTIONS

    General

    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.

    Carcinogenesis, Mutagenesis, Impairment of Fertility

    Studies have not been performed with phentermine hydrochloride to determine the potential for carcinogenesis, mutagenesis or impairment of fertility.

    Pregnancy

    Teratogenic Effects Pregnancy Category C

    Animal reproduction studies have not been conducted with phentermine hydrochloride. It is also not known whether phentermine hydrochloride can cause fetal harm when administered to a pregnant woman or can affect reproductive capacity. Phentermine hydrochloride should be given to a pregnant woman only if clearly needed.

    Nursing Mothers

    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.

    Pediatric Use

    Safety and effectiveness in pediatric patients have not been established.
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  • ADVERSE REACTIONS

    Cardiovascular: Primary pulmonary hypertension and/or regurgitant cardiac valvular disease (see WARNINGS), palpitation, tachycardia, elevation of blood pressure.

    Central Nervous System: Overstimulation, restlessness, dizziness, insomnia, euphoria, dysphoria, tremor, headache; rarely psychotic episodes at recommended doses.

    Gastrointestinal: Dryness of the mouth, unpleasant taste, diarrhea, constipation, other gastrointestinal disturbances.

    Allergic: Urticaria.

    Endocrine: Impotence, changes in libido.

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  • DRUG ABUSE AND 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 part 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. Close
  • OVERDOSAGE

    Manifestations of acute overdosage with phentermine include restlessness, tremor, hyperreflexia, rapid respiration, confusion, assaultiveness, hallucinations, panic states. Fatigue and depression usually follow the central stimulation. Cardiovascular effects include arrhythmia, hypertension or hypotension, and circulatory collapse.

    Gastrointestinal symptoms include nausea, vomiting, diarrhea and abdominal cramps.

    Fatal poisoning usually terminates in convulsions and coma.

    Management of acute phentermine intoxication is largely symptomatic and includes lavage and sedation with a barbiturate. Experience with hemodialysis or peritoneal dialysis is inadequate to permit recommendations in this regard. Acidification of the urine increases phentermine excretion. Intravenous phentolamine has been suggested for possible acute, severe hypertension, if this complicates phentermine overdosage.

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  • DOSAGE AND ADMINISTRATION

    Dosage should be individualized to obtain an adequate response with the lowest effective dose.

    Exogenous Obesity

    The usual adult dose is 15 to 30 mg at approximately 2 hours after breakfast for appetite control. Late evening medication should be avoided because of the possibility of resulting insomnia.

    Administration of one capsule (30 mg) daily has been found to be adequate in depression of the appetite for 12 to 14 hours.

    Phentermine is not recommended for use in patients sixteen (16) years of age and under.

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  • HOW SUPPLIED

    Phentermine hydrochloride capsules are supplied as:

    Lannett Company, Inc. (manufacture)

    30 mg capsules, natural/blue; imprinted logo LANNETT on the cap and 1308 on the body.

    30 mg capsules, yellow/yellow; imprinted logo LANNETT on the cap and 1310 on the body.

    30 mg capsules, black/black; imprinted logo LANNETT on the cap and 0597 on the body.

    Mutual Pharmaceutical (manufacture)

    30 mg capsules,  No. 2 yellow opaque/yellow opaque, imprinted mutual 274 on both the cap and body.

    KVK-Tech Inc. (manufacture)

    15 mg capsules, gray opque cap, rich yellow opaque body with black imprint "K26" on both the cap and body, filled with powder.
    30 mg capsules, rich yellow opaque cap, rich yellow opaque body with black imprint "K27" on both the cap and body, filled with powder.

    30 mg capsules, blue cap, natural body with black imprint "K28" on both the cap and body, filled with white and blue colored beads.

    Phentermine 15mg capsules (gray/opaque) are available as follows:

    • NDC 12634-552-91 Blister Pack UD
    • NDC 12634-552-97 Bottle of 7
    • NDC 12634-552-84 Bottle of 14
    • NDC 12634-552-78 Bottle of 28
    • NDC 12634-552-71 Bottle of 30

    Phentermine 30mg capsules (yellow) are available as follows:

    • NDC 12634-547-91 Blister Pack UD
    • NDC 12634-547-97 Bottle of 7
    • NDC 12634-547-84 Bottle of 14
    • NDC 12634-547-78 Bottle of 28
    • NDC 12634-547-71 Bottle of 30

    Phentermine 30mg capsules (blue/clear) are available as follows:

    • NDC 12634-516-91 Blister Pack UD
    • NDC 12634-516-97 Bottle of 7
    • NDC 12634-516-84 Bottle of 14
    • NDC 12634-516-85 Bottle of 15
    • NDC 12634-516-78 Bottle of 28
    • NDC 12634-516-71 Bottle of 30
    • NDC 12634-516-60 Bottle of 60





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  • Storage and Dispensing

    Store at 20° to 25°C (68° to 77°F).

    [See USP Controlled Room Temperature]

    DISPENSE IN TIGHT, LIGHT-RESISTANT CONTAINER.

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  • PRINCIPAL DISPLAY PANEL

    28 Capsules NDC 12634-552-78
    PHENTERMINE HCL
    Capsules, USP
    GREY/YELLOW CIV
    Rx Only 15M
    G
    Manufactured by:
    KVK-Tech Inc
    Repackaged and Distributed by:
    Apotheca, Inc.
    Phoenix, AZ 85006

    image of label




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  • INGREDIENTS AND APPEARANCE
    PHENTERMINE HYDROCHLORIDE 
    phentermine hydrochloride capsule
    Product Information
    Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:12634-552(NDC:10702-026)
    Route of Administration ORAL DEA Schedule CIV    
    Active Ingredient/Active Moiety
    Ingredient Name Basis of Strength Strength
    PHENTERMINE HYDROCHLORIDE (PHENTERMINE) PHENTERMINE HYDROCHLORIDE 15 mg
    Inactive Ingredients
    Ingredient Name Strength
    LACTOSE MONOHYDRATE  
    MAGNESIUM STEARATE  
    D&C YELLOW NO. 10  
    FD&C BLUE NO. 1  
    FD&C RED NO. 3  
    FD&C RED NO. 40  
    TITANIUM DIOXIDE  
    Product Characteristics
    Color gray (gray opaque cap) Score no score
    Shape CAPSULE (capsule) Size 15mm
    Flavor Imprint Code K;26
    Contains     
    Packaging
    # Item Code Package Description Marketing Start Date Marketing End Date
    1 NDC:12634-552-91 1 in 1 BLISTER PACK
    2 NDC:12634-552-97 7 in 1 BOTTLE
    3 NDC:12634-552-84 14 in 1 BOTTLE
    4 NDC:12634-552-78 28 in 1 BOTTLE
    5 NDC:12634-552-71 30 in 1 BOTTLE
    Marketing Information
    Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
    ANDA ANDA040886 11/08/1999
    PHENTERMINE HYDROCHLORIDE 
    phentermine hydrochloride capsule
    Product Information
    Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:12634-547(NDC:0527-1310)
    Route of Administration ORAL DEA Schedule CIV    
    Active Ingredient/Active Moiety
    Ingredient Name Basis of Strength Strength
    PHENTERMINE HYDROCHLORIDE (PHENTERMINE) PHENTERMINE HYDROCHLORIDE 30 mg
    Inactive Ingredients
    Ingredient Name Strength
    STARCH, CORN  
    MAGNESIUM STEARATE  
    ANHYDROUS LACTOSE  
    GELATIN  
    D&C YELLOW NO. 10  
    TITANIUM DIOXIDE  
    FD&C RED NO. 3  
    FD&C BLUE NO. 2  
    FD&C BLUE NO. 1  
    FD&C RED NO. 40  
    Product Characteristics
    Color yellow (yellow/yellow) Score no score
    Shape CAPSULE (capsule) Size 16mm
    Flavor Imprint Code LANNETT;1310
    Contains     
    Packaging
    # Item Code Package Description Marketing Start Date Marketing End Date
    1 NDC:12634-547-91 1 in 1 BLISTER PACK
    2 NDC:12634-547-97 7 in 1 BOTTLE
    3 NDC:12634-547-84 14 in 1 BOTTLE
    4 NDC:12634-547-78 28 in 1 BOTTLE
    5 NDC:12634-547-71 30 in 1 BOTTLE
    Marketing Information
    Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
    ANDA ANDA087022 01/15/2010
    PHENTERMINE HYDROCHLORIDE 
    phentermine hydrochloride capsule
    Product Information
    Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:12634-516(NDC:10702-028)
    Route of Administration ORAL DEA Schedule CIV    
    Active Ingredient/Active Moiety
    Ingredient Name Basis of Strength Strength
    PHENTERMINE HYDROCHLORIDE (PHENTERMINE) PHENTERMINE HYDROCHLORIDE 30 mg
    Inactive Ingredients
    Ingredient Name Strength
    STARCH, CORN  
    GELATIN  
    LACTOSE MONOHYDRATE  
    MAGNESIUM STEARATE  
    D&C YELLOW NO. 10  
    FD&C RED NO. 3  
    TITANIUM DIOXIDE  
    Product Characteristics
    Color blue (blue cap, natural body) Score no score
    Shape CAPSULE (capsule) Size 18mm
    Flavor Imprint Code K;28
    Contains     
    Packaging
    # Item Code Package Description Marketing Start Date Marketing End Date
    1 NDC:12634-516-91 1 in 1 BLISTER PACK
    2 NDC:12634-516-97 7 in 1 BOTTLE
    3 NDC:12634-516-84 14 in 1 BOTTLE
    4 NDC:12634-516-85 15 in 1 BOTTLE
    5 NDC:12634-516-78 28 in 1 BOTTLE
    6 NDC:12634-516-71 30 in 1 BOTTLE
    7 NDC:12634-516-60 60 in 1 BOTTLE
    Marketing Information
    Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
    ANDA ANDA040875 06/01/1998
    Labeler - Apotheca, Inc. (051457844)
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