phentermine/topiramate ER Flashcards

1
Q

brand name

A

qsymia

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2
Q

MOA

A

NE-releasing agent (phentermine)

GABA receptor modulation (topiramate)

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3
Q

dose

A

starting dose: 3.75/23 mg PO QD for 2 weeks

Recommended dose:
7.5-46mg PO QD

Escalation dose :
11.25/69 mg PO QD

Maximum dose
15.92 mg PO QD

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4
Q

contradiction

A
  • pregnancy and breastfeeding (topiramate teratogencity)
  • hyper thyroidism
  • acute angle-closure glaucoma
  • concomitant MAOI use (within 14 days
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5
Q

monitor for

A

increased heart rate

depressive symptoms or worsening of depresson

hypokalemia

acute kidney stone

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