How Long Does Phentermine Last In Your Body?

In our latest question and answer, the pharmacist discusses how long the weight loss drug phentermine lasts in the body.

Question

How long does phentermine stay in your system? When will it stop showing up in a urine test?

Asked by Phoebe On Aug 24, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Aug 24, 2022
Last updated Apr 24, 2024

Key points

  • Phentermine has a half-life of around 19-24 hours and can be detectable in your system for around 5 days after your last dose. It is mostly excreted via the urine.
  • The duration of action (i.e. how long you feel the effects) of phentermine is much shorter than how long it lasts in the body. Each dose lasts between 4 and 12 hours.

Answer 

Thanks for reaching out to us! You don't mention in your question what strength of phentermine you took, it doesn't influence the answer much, if at all.

The part of the drug profile we are going to look at to determine how long it stays in your system is 'half-life'. 'Half-life' simply refers to the time it takes the body to metabolize 50% of the drug. In other words, for every half-life, 50% of the drug remaining in the body is reduced. We have illustrated this below:

Half Life Chart

While the half-life of a specific drug is very indicative of how long the drug is detectable, there are other variables that can influence the amount of time a drug remains detectable including the type of test being used, whether or not the drug has detectable metabolites, length of time using the drug, etc... So keep in mind that half-life is but one factor.

For phentermine specifically, it has been mostly determined that the drug is detectable on a standard urinalysis test for about 5-6 half-lives. The half-life of phentermine in the body is around 19-24 hours. So theoretically, phentermine will be detectable for about 5-6 days, based on the test that is being used.​

I do want to emphasize that 5 to 6 days is how long phentermine stays in your system (and could potentially be detected on a drug test). The duration of action of the drug (i.e. how long you actually feel the effect after a dose) is much shorter (4 to 12 hours).

Below, we have included some general data​ regarding phentermine and how it is metabolized in the body.

Administration And Metabolism

Phentermine is taken by mouth. There are no injectable formulations of the drug. It does not matter if the drug is given with food or on an empty stomach as that does not influence the properties of the drug.

Phentermine is primarily excreted by the kidneys, which is why it is detectable in the urine.

The elimination half-life ranges from 19—24 hours as mentioned above in the article and slightly is influenced by urinary pH. An acidic environment lends the half-life to decrease to about 7—8 hours.

After taking a dose by mouth, most absorption of phentermine occurs from the small intestine. The duration of action following administration of the 8 mg capsules or tablets is about 4 hours and 12—14 hours after administration of the 30 mg capsules or the 37.5 mg tablets.

Final Words

Thanks again for your question and please reach out to us again in the future!

References

  • Adipex-P Prescribing Information, AccessFDA

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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