Obesity Management Flashcards
In patients who have concomitant obesity related disease, adjuvant pharmacotherapy is started at what BMI?
> = 27
If no comorbid, start at 30
4 anti obesity meds approved by FDA
Lorcaserin
Phentermine/topiramate
Naltrexone/ bupropion
Liraglutide
Most commonly prescribed anorexiant
Phentermine
Anticonvulsant drug with a side effect of weights loss usually given with Phentermine
Topiramate
Which of the ff is a selective 5-HT2 c receptor agonist A. Orlistat B. Lorcaserin C. Naltrexone D. Liraglutide
Lorcaserin
Lorcaserin is said to decreased food intake via its actions where
Pro opiomelanocortin (POMC) system of neurons
Mild reuptake inhibitor of dopamine and norepinephrine used in conjunction with Naltrexone for obesity
Bupropion
Stimulates secretion of a melanocytes stimulating hormone (MSH) from POMC
Bupropion
Blocks feedback inhibitory effects of opioid receptors activated by B endorphin released in the hypothalamus
Naltrexone
Taken concomitantly with orlistat to control GI side effects
Psyllium mucilloid
Vitamins that may be affected by Orlistat
Vitamin D
Vitamin E
Beta carotene
- fat soluble vitamins
In patients who have concomitant obesity related disease, bariatric surgery is advised at what BMI?
> = 35
40 if no comorbids
GLP 1 analogue used to treat obesity
Liraglutide
Target weight loss for Obesity
6 months- 8-10 % wt loss