Phentermine Consent Form

Phentermine is a stimulant medication used for weight loss. I understand this medication may cause side effects including increased heart rate, elevated blood pressure, insomnia, anxiety, palpitations, and mood changes.

I understand that phentermine is a controlled substance and will be monitored, including review of prescription monitoring programs.

I confirm that I do not have uncontrolled high blood pressure, serious heart conditions, or other contraindications discussed with my provider.

I understand I must monitor my blood pressure regularly and report any concerning symptoms immediately.

I agree to avoid combining this medication with other stimulants unless approved by my provider.

I understand this medication is not recommended during pregnancy.

I understand that results are not guaranteed and depend on adherence to diet, lifestyle, and medical guidance.