What Is Phentermine? Uses, Dosage, and What You Need to Know in 2026

Updated:

February 27, 2026

Author:

Peter Daggett

Summarize this blog with AI:

Everything you need to know about Phentermine in 2026 — what it is, how it's used, dosages, who should avoid it, and how much it costs.

Phentermine Is a Prescription Appetite Suppressant Used for Short-Term Weight Loss

Phentermine is one of the oldest and most commonly prescribed weight-loss medications in the United States. It's been helping patients lose weight since the 1950s, and it remains a popular option in 2026 because it's effective, well-studied, and affordable.

This guide covers everything you need to know — from what Phentermine is and how it's used to dosage, safety, and cost.

What Is Phentermine?

Phentermine (sold under brand names Adipex-P, Lomaira, and formerly Ionamin) is a prescription medication in the sympathomimetic amine class. It works as an appetite suppressant by affecting chemicals in the brain that control hunger. For a detailed explanation of how it works at the molecular level, see our article on Phentermine's mechanism of action.

Key facts:

  • Drug class: Sympathomimetic amine anorectic (appetite suppressant)
  • Generic name: Phentermine Hydrochloride
  • Brand names: Adipex-P (Teva Pharmaceuticals), Lomaira (KVK Tech), Ionamin
  • Schedule: Schedule IV controlled substance (DEA)
  • Generic available: Yes — generic Phentermine is widely available and much cheaper than brand-name versions

What Is Phentermine Used For?

Phentermine is FDA-approved as a short-term (up to 12 weeks) adjunct treatment for obesity. That means it's meant to be used alongside a reduced-calorie diet, exercise, and behavioral changes — not as a standalone solution.

To qualify, you typically need:

  • A BMI of 30 or greater (obese), OR
  • A BMI of 27 or greater with at least one weight-related comorbidity such as type 2 diabetes, high blood pressure, or high cholesterol

Some doctors prescribe Phentermine for longer than 12 weeks based on clinical judgment, though this is considered off-label use.

Phentermine is also available as part of the combination medication Qsymia (Phentermine/Topiramate extended-release), which is FDA-approved for longer-term use.

How Is Phentermine Taken?

Phentermine comes in several forms and strengths:

  • Tablets (immediate-release): 8 mg, 37.5 mg
  • Capsules (immediate-release): 15 mg, 30 mg, 37.5 mg
  • Orally disintegrating tablets (Lomaira): 8 mg

Typical Dosing

The most common regimen is 37.5 mg once daily, taken in the morning before breakfast or 1 to 2 hours after breakfast. Taking it early helps prevent insomnia — one of the most common side effects.

An alternative is 8 mg three times daily, taken 30 minutes before each meal. This lower-dose option (the Lomaira approach) may cause fewer side effects for some patients.

Important instructions:

  • Swallow capsules whole — do not crush or chew
  • Avoid taking Phentermine in the late afternoon or evening
  • Do not increase the dose without talking to your doctor
  • Do not share your medication with others — it's a controlled substance

Who Should Not Take Phentermine?

Phentermine is not safe for everyone. It's contraindicated in patients with:

  • History of cardiovascular disease (coronary artery disease, stroke, arrhythmias, congestive heart failure, uncontrolled hypertension)
  • Hyperthyroidism
  • Glaucoma
  • History of drug abuse
  • Pregnancy (Category X) or breastfeeding
  • Current or recent use of MAO inhibitors (within 14 days)
  • Known allergy to sympathomimetic amines
  • Agitated states
  • Pulmonary hypertension

Phentermine is also not recommended for patients over 65 or for children under 16. If you have any of these conditions, talk to your doctor about alternative weight-loss options.

How Much Does Phentermine Cost?

One of the biggest advantages of Phentermine is its price. Because generic versions are widely available, it's one of the most affordable prescription weight-loss medications:

  • Generic Phentermine 37.5 mg (30 tablets): $10 to $40 per month with a discount coupon
  • Cash price without a coupon: $10 to $75 per month
  • Brand-name Adipex-P: Higher cost, typically $50 to $100+ per month

Insurance Coverage

Coverage for weight-loss medications varies widely:

  • Some commercial insurance plans cover generic Phentermine as a preferred medication
  • Many plans exclude weight-loss drugs entirely or require prior authorization
  • Medicare Part D generally does not cover weight-loss medications
  • Medicaid coverage varies by state

Saving Money

Even without insurance, Phentermine is affordable with the right discount. Check our complete savings guide for coupon cards, discount programs, and tips on getting the lowest price.

Final Thoughts

Phentermine remains a proven, affordable, and widely available option for short-term weight loss when combined with diet and exercise. It's not right for everyone — especially those with heart conditions, a history of drug abuse, or who are pregnant — but for eligible patients, it can be an effective tool.

If you have a prescription and need to find Phentermine at a pharmacy near you, Medfinder can help you check stock quickly and easily.

What is Phentermine used for?

Phentermine is FDA-approved for short-term (up to 12 weeks) treatment of obesity as an adjunct to diet, exercise, and behavioral modification. It's prescribed for patients with a BMI of 30 or higher, or 27 or higher with weight-related health conditions like diabetes or high blood pressure.

Is Phentermine a controlled substance?

Yes. Phentermine is a Schedule IV controlled substance under the DEA. This means it has a recognized potential for abuse and dependence, though lower than Schedule II or III drugs. You'll need a valid prescription and photo ID to fill it, and refill rules vary by state.

How long can you take Phentermine?

Phentermine is FDA-approved for short-term use — up to 12 weeks. Some doctors prescribe it for longer periods based on clinical judgment, but this is considered off-label. Longer-term use should be closely monitored by your healthcare provider.

What is the difference between Adipex-P and generic Phentermine?

Adipex-P is a brand-name version of Phentermine made by Teva Pharmaceuticals. Generic Phentermine contains the same active ingredient at the same strength and works the same way. The main difference is price — generic Phentermine typically costs $10 to $40 per month, while Adipex-P can cost $50 to $100 or more.

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