Diethylpropion Hydrochloride [Discontinued in SA Market]
Indications
Please note that the products associated with this active ingredient monograph have all been discontinued in the South African market.
The information in this monograph has not been updated and remains on the EMGuidance platform for reference purposes only.
- Obesity - moderate to severe
Cautions
Please note that the products associated with this active ingredient monograph have all been discontinued in the South African market.
The information in this monograph has not been updated and remains on the EMGuidance platform for reference purposes only.
Contraindications
- Hypersensitivity to the active ingredient or any of its excipients
- Idiosyncrasy to other sympathomimetic amines
- Emotionally unstable individuals who are known to be susceptible to drug or alcohol abuse or those with a history of psychiatric illness
- Uncontrolled thyrotoxicosis
- Moderate/severe hypertension
- Severe cardiovascular diseases
- Glaucoma
- Extrapyramidal disorders
- Hyperexcitability or agitated states
- Pregnancy
- Lactation
- Coadministration with monoamine oxidase inhibitors or within 14 days of their use
Cautions
- Renal impairment
- Hepatic impairment
- Elderly
- Anorexia
- Insomnia
- Epilepsy
- Prolonged use
- May impair ability to drive and operate machinery
Adult dosage (ZA)
Please note that the products associated with this active ingredient monograph have all been discontinued in the South African market.
The information in this monograph has not been updated and remains on the EMGuidance platform for reference purposes only.
Obesity - moderate to severe
- In conjunction with a reduced kilojoule intake and exercise (when close support and supervision are also provided)
- Oral (SR tab): 75mg, dly, mid-morning or 1hr before midday meal: For short-term use: Up to 12 weeks
Tablet should be swallowed whole
Paediatric dosage (ZA)
Please note that the products associated with this active ingredient monograph have all been discontinued in the South African market.
The information in this monograph has not been updated and remains on the EMGuidance platform for reference purposes only.
Not recommended for children under 12 years
Special populations
Please note that the products associated with this active ingredient monograph have all been discontinued in the South African market.
The information in this monograph has not been updated and remains on the EMGuidance platform for reference purposes only.
Pregnancy
- Contraindicated
- There is inadequate evidence of safety in human pregnancy. The use of diethylpropion during any stage of pregnancy is not recommended. There is evidence from animal studies that the drug may be harmful to the foetus. Isolated spontaneous reports of congenital malformations have been recorded in humans, but no causal relationship to diethylpropion hydrochloride has been established
Breastfeeding
- Contraindicated
- The use of diethylpropion during lactation is not recommended
Renal Impairment
- Caution; no dose adjustment recommended
Hepatic Impairment
- Caution; no information available
Elderly
- Caution; not recommended
Adverse reactions
Please note that the products associated with this active ingredient monograph have all been discontinued in the South African market.
The information in this monograph has not been updated and remains on the EMGuidance platform for reference purposes only.
Psychiatric Disorders
- Euphoria (may be followed by fatigue and depression)
- Irritability
- Psychotic reactions
Nervous System Disorders
- Insomnia
- Nervousness
- Restlessness
- Headache
- Dizziness
- Tremor
Gastrointestinal Disorders
- Dryness of the mouth
- Anorexia
- Abdominal cramps and other gastrointestinal disturbances
Cardiac Disorders
- Tachycardia
- Palpitations
Vascular Disorders
- Increased blood pressure
Renal and Urinary Disorders
- Difficulty in micturition
- Muscle damage with associated renal complications
Reproductive System and Breast Disorders
- Altered libido and impotence
Skin and Subcutaneous Tissue Disorders
- Sweating
Musculoskeletal, Connective Tissue and Bone Disorders
- Muscle damage
Interactions
Please note that the products associated with this active ingredient monograph have all been discontinued in the South African market.
The information in this monograph has not been updated and remains on the EMGuidance platform for reference purposes only.
- Guanethidine and similar antihypertensive agents
- Antidiabetic medications
- Psychotropic drugs
- Sympathomimetics
- Urinary alkalisers (reducing excretion of diethylpropion)
- Urinary acidifiers (increasing excretion of diethylpropion)
Monitoring
Please note that the products associated with this active ingredient monograph have all been discontinued in the South African market.
The information in this monograph has not been updated and remains on the EMGuidance platform for reference purposes only.
- Echocardiogram
- Weight
- Waist circumference
- Blood pressure
Specific cases may require
- Renal function
- Cardiovascular examination
Mechanism of action
Please note that the products associated with this active ingredient monograph have all been discontinued in the South African market.
The information in this monograph has not been updated and remains on the EMGuidance platform for reference purposes only.
Diethylpropion hydrochloride is a sympathomimetic, which is used as an anorectic agent.
Dosage forms
- Tablet
Formulation
Tablet SR 75mg
- Tenuate Dospan (Adcock)
References
1. PI - Tenuate Dospan tabs - Adcock Ingram - Date of authorisation -28 September 1970.pdf [https://drive.google.com/drive/folders/145ly-4O1Ci7gHcpLTn-MTX4dqiG5YY_y] 1. SAMF_12th edition_Page 70 2. https://www.uptodate.com/contents/diethylpropion-drug-information?source=search_result&search=Amfepramone&selectedTitle=1~6 3. https://drive.google.com/drive/folders/145ly-4O1Ci7gHcpLTn-MTX4dqiG5YY_y (28/09/1970_Adcock_Tenuate dospan_tab) 4. https://www.drugs.com/pregnancy/diethylpropion.html 5. https://www.drugbank.ca/drugs/DB00937 **No SPC available - checked 01 March 2024
Brands & products
1 product · cached snapshot- Diethylpropion Hydrochloride (syn. Amfepramone)Tenuate Dospan
TABTablet· 1 product
from R551.26| Product | Strength | Pack | Applicant | Min price |
|---|---|---|---|---|
| Tenuate Dospandiscontinued | 0 | 30 | Adcock Ingram Limited | R551.26 |
Medical aid coverage
data not yet integrated- Comprehensive Series—
- Executive Plan—
- KeyCare Series—
- Priority Series—
- Saver Series—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- BonClassic—
- BonComprehensive—
- BonEssential—
- BonFit Select—
- BonSave—
- BonStart—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Beryl—
- Emerald—
- Onyx—
- Ruby—
- Sapphire—
- Tanzanite One—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Aquarium Option—
- Efficiency Option—
- Marine Option—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.