eating disorders

Question 1

iatrogenic etiology of obesity?

Answer 1

Iatrogenic

1. Anti-psychotics and/or anti-depressants
2. Block H1, Achm, 5HT2c receptors
3. Increase prolactin by D2 receptor blockade

Question 2

pharmacologic intervention for obesity?

Answer 2

1. amphetamines (decrease appetite)
2. orlistat (lipase inhibitor)
3. topiramate and zonisamide (anti-convulsants)

Question 3

treatment for anorexia?

Answer 3

1. restore nutritional state once 20% typical weight lost
2. 2-6 months if 30%
3. forced tube feedings, especially if severe, end organ damage, electrolyte or cardiac findings or pt unwilling to comply.