Drugs for Obesity Flashcards

1
Q

What are the central peptides that increase feeding?

A

NPY

AGRP

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2
Q

What are the central peptides that decrease feeding?

A

a-MSH

CART

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3
Q

What’s the effect of leptin?

A

increase central energy usage and food intake

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4
Q

What’s the mechanism of phentermine?

A

Increases NA/DA/5-HT, working in the same pathway as amphetamine in the CNS

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5
Q

When can we indicate phentermine?

A

BMI > 30, only in the short term

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6
Q

What’s the mechanism of Orlistat?

A

inhibits gastric and pancreatic lipases to decrease fat absorption

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7
Q

What’s the indication of Orlistat?

A

BMI > 30 , 3 times per day with meal

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8
Q

What must the orlistat be combined with?

A

low fat diet and vitamin supplementation

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9
Q

What’s the adverse effect of orlistat?

A

explosive diarrhoea with high fat diet

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