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Two medicines, side by side

Phendimetrazine vs phentermine

Phendimetrazine and phentermine are both labeled for weight management. Drugs@FDA records approvals of phendimetrazine since 1979 and of phentermine since 1973. Pharmacies paid $0.132 per phendimetrazine 35 mg tablet and $0.0727 per phentermine 37.5 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the phendimetrazine FDA label on DailyMed (effective December 6, 2024); the phentermine FDA label on DailyMed (effective April 18, 2024).

Highlights of the phendimetrazine record

Phendimetrazine · label of December 6, 2024

Used for

From the label: indications

Phendimetrazine tartrate is indicated in the management of exogenous obesity as a short term adjunct (a few weeks) in a regimen of weight reduction based on caloric restriction in patients with an initial body mass index (BMI) of 30 kg/m 2 or higher who have not responded to appropriate weight reducing regimen (diet and/or exercise) alone. Below is a chart of Body Mass Index (BMI) based on various heights and weights. […]

On the market

Earliest approval on file
April 16, 1979
Generic labelers
11 labelers
Pharmacy cost
$0.132 per tablet

Supply and safety

Shortage
No current entry
Recalls
0

Highlights of the phentermine record

Phentermine (Lomaira) · label of April 18, 2024

Used for

From the label: indications

Phentermine Hydrochloride, USP 15 mg and 30 mg is indicated as a short-term (a few weeks) adjunct in a regimen of weight reduction based on exercise, behavioral modification and caloric restriction in the management of exogenous obesity for patients with an initial body mass index greater than or equal to 30 kg/m 2 , or greater than or equal to 27 kg/m 2 in the presence of other risk factors (e.g., controlled hypertension, diabetes, hyperlipidemia). […]

On the market

Earliest approval on file
August 14, 1973
Generic labelers
25 labelers
Pharmacy cost
$0.0727 per tablet

Supply and safety

Shortage
No current entry
Recalls
9

Source: FDA drug labels via openFDA (Phendimetrazine label of December 6, 2024, Phentermine label of April 18, 2024); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do phendimetrazine and phentermine differ on the record?

Both are in FDA's class sympathomimetic amine anorectics.

Generics: phendimetrazine since 1975; phentermine since 1976 (Drugs@FDA).

DEA schedule: phendimetrazine CIII; phentermine CIV.

PhendimetrazinePhentermine
Labeled forWeight managementWeight management
Pharmacologic classSympathomimetic Amine AnorecticSympathomimetic Amine Anorectic
How it works (label)n/aPhentermine is a sympathomimetic amine with pharmacologic activity similar to the prototype drugs of this class used in obesity, amphetamine (d- and dll-amphetamine).
Half-life (label)The average half-life of elimination when studied under controlled conditions is about 3.7 hours for both the extended-release and immediate release forms.n/a
Earliest approval on file (Drugs@FDA)April 16, 1979August 14, 1973
First generic approvedOctober 20, 1975February 24, 1976
Generic labelers (NDC)11 labelers25 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.132 per tablet (Phendimetrazine 35 mg tablet)$0.0727 per tablet (Phentermine 37.5 mg tablet)
12-month price change+4%+3%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded09
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)576,389
DEA scheduleCIIICIV

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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