The nurse is performing a medication history on a patient who reports using phentermine HCl (Suprenza) 15 mg/day for the past 3 months as an appetite suppressant. The nurse will contact the patient's provider to discuss
a. changing the medication to phentermine-topiramate (Qsymia).
b. increasing the dose to 37.5 mg/day since tolerance has likely occurred.
c. initiating a slow taper of the phentermine.
d. stopping the drug immediately since long-term use is not recommended.
ANS: C
The nurse should discuss a gradual taper of the medication with the provider. Patients using anorexiants should not stop taking them abruptly because depression and withdrawal symptoms may occur. Phentermine-topiramate is recommended for short-term use only. Patients should not use these medications longer than 12 weeks, so increasing the dose is not indicated.
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