Classes
DEA Class; Rx
Common Brand Names;
- CNS Stimulants, Anorexiants;
- Stimulants;
- Sympathomimetic
Description
Oral sympathomimetic amine that is pharmacologically similar to amphetamines
Used for the short-term treatment (i.e., a few weeks) of exogenous obesity; not generally recommended by guidelines due to lack of longer-term health benefits
Not to be used for long-term weight management
Indications
Contraindications
Advanced arteriosclerosis
Hyperthyroidism
Severe hypertension
Pulmonary hypertension
Hypersensitivity to sympathomimetic amines
Glaucoma
Agitated state
History of drug abuse
Pregnancy (especially first trimester)
Within 14 days of MAOI
Concurrent use with other anorectic agents
Adverse Effects
- Increased blood pressure
- Palpitations
- Rash
- Urticaria
- Constipation
- Nausea
- Stomach cramps
- Vomiting
- Xerostomia
- Central nervous system stimulation
- Dizziness
- Headache
- Insomnia
- Pain
- Blurred vision
- Mydriasis
- Restlessness
- Menstrual irregularity
- Impotence, changes in libido
Warnings
Therapy may impair ability of patient to engage in potentially hazardous activities such as operating machinery or driving motor vehicle; the patient should be cautioned accordingly
Prolonged use may induce dependence with withdrawal syndrome on cessation of therapy
Hallucinations have occurred rarely following high doses of the drug
Several cases of toxic psychosis reported following excessive use of drug; some have been reported in which recommended dose appears not to have been exceeded; new onset of mania may occur with stimulant use; ovserve for symptoms of aggression and/or hostility; psychosis has been abated after drug discontinued
When central nervous system active agents used, consideration must always be given to possibility of adverse interactions with alcohol
Reports suggest the drug may increase convulsions in some patients with seizure disorders; therapy should be carefully monitored; titration of dose or discontinuance of therapy may be necessary
Stimulants may unmask tics in Tourette’s syndrome; use with caution
Use caution in patients with diabetes mellitus; requirements of antidiabetic agents may be altered with anorexiants and concomitant dietary restrictions
Pregnancy and Lactation
Pregnancy Category: B
Lactation: Excreted in breast milk, use caution
Maximum Dosage
75 mg/day PO.
75 mg/day PO.
16 to 17 years: 75 mg/day PO.
Less than 16 years: Safety and efficacy have not been established.
Safety and efficacy have not been established.
How supplied
Diethylpropion hydrochloride
tablet: Schedule IV
- 25mg
tablet, controlled-release: Schedule IV
- 75mg