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Phentermine

Published: July 26, 2026Updated: July 26, 2026

Phentermine is an appetite suppressant used for short-term obesity treatment, acting as a sympathomimetic amine similar to amphetamines to reduce hunger.

Quick summary

Phentermine is an appetite suppressant used for short-term obesity treatment that works by reducing hunger signals in the brain.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
A08AA01
RxNorm
8152
Generic
Phentermine
Class
atc-a08
Brands
Qsymia, Lomaira, Adipex-P
Availability
rx
Pregnancy
X
Lactation
unsafe
Routes
oral
Forms
capsule, tablet
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
15-37.5mg once daily
Maximum
consult physician
Frequency
once daily (morning)
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
not recommended for patients under 16 years of age
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
15mg once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity and require medical intervention
Chronic overdose: Long-term use exceeding recommended doses can lead to cardiovascular complications and pulmonary hypertension
Immediate actions
Activated charcoal within 1 hour of ingestion, supportive care, monitor cardiac function
Antidote
No specific antidote available(Treatment is supportive; no antidote to reverse effects)
Poison Control: 1-800-222-1222

Special Populations

8 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

second trimester
unsafe
FDA Category
C
Dose Adjustment

discontinue use

Key Recommendations

do not use during second trimester

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

third trimester
unsafe
FDA Category
C
Dose Adjustment

discontinue use

Key Recommendations

do not use during third trimester

Monitor

regular fetal monitoring and uterine activity

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

breastfeeding
unsafe
FDA Category
C
Dose Adjustment

avoid

Key Recommendations

do not use while breastfeeding - phentermine is excreted in breast milk

Monitor

monitor infant for irritability and poor feeding

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pediatric_age

adolescents 12 17
unsafe
FDA Category
C
Dose Adjustment

not recommended

Key Recommendations

not recommended for patients under 18 years of age

Monitor

growth and developmental monitoring if used

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

geriatric

elderly 65 years
caution
FDA Category
C
Dose Adjustment

reduce dose and use lowest effective

Key Recommendations

use with caution due to increased sensitivity to cardiovascular effects

Monitor

monitor blood pressure and heart rate closely

Use with caution and monitor for adverse effects.

⚠

renal_impairment

moderate
caution
FDA Category
C
Dose Adjustment

reduce dose

Key Recommendations

use with caution and consider dose reduction in moderate renal impairment

Monitor

monitor renal function and blood pressure

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
C
Dose Adjustment

reduce dose

Key Recommendations

use with caution in hepatic impairment - drug is metabolized by liver

Monitor

monitor liver function tests

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA approved since

Value:1959

FDA approval year for phentermine as an appetite suppressant

drug_classFDA
2023

Drug class

Value:Anorectic (appetite suppressant)

Phentermine is classified as a sympathomimetic anorectic agent

usageFDA
2023

Common uses

Value:Weight management

Indicated as an appetite suppressant for weight loss in obese or overweight patients

regulationDEA
2023

Controlled substance schedule

Value:Schedule IV

Phentermine is classified as a Schedule IV controlled substance due to potential for abuse

Phentermine is indicated for short-term weight loss management in individuals with obesity. It is typically prescribed when diet and exercise alone have not been sufficient to achieve desired weight loss goals.

Phentermine acts as an anorectic (appetite suppressant) by stimulating the central nervous system. It is a sympathomimetic amine with pharmacologic activity similar to amphetamines, reducing hunger signals in the brain to decrease food intake.

Phentermine is a controlled substance due to its similarity to amphetamine drugs and carries potential for dependence with prolonged use. It is intended for short-term use only. Common side effects may include increased heart rate, blood pressure elevation, and insomnia. Patients with cardiovascular conditions, hyperthyroidism, or history of substance abuse should use caution or avoid this medication.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy