Week 4 - Weight Loss Medications Flashcards
Which weight loss drug(s) are associated with a suicide risk in children, adolescents, and young adults?
Naltrexone/Bupropion
What happens if lorcaserin is given with a CYP2D6 substrate?
The serum level of the CYP2D6 substrates can be increased. When both drugs are prescribed the CYP2D6 substrate should be given at a lower dose.
Which weight loss drugs are DEA scheduled drugs?
- Lorcaserin
- Diethylpropion
- Phentermine
What on-going monitoring is needed with long-term use of phentermine?
Assessment of cardiac status
At what BMI level should bariatric surgery be considered?
35 or more
Baseline data for Liraglutide
- HbA1c
- Lipids
- Renal function
Ongoing monitoring/assessment needs for liraglutide
- s/s cholecystitis
- pancreatitis
- depression
- suicidal thoughts
What baseline data is needed for Lorcaserin?
Assessment to rule out valvular disorders and pulmonary hypertension
What are the ongoing monitoring/assessment needs for Locaserin?
CBC with differential for s/s of blood dyscrasias
What patient education is needed with Locaserin?
- Do not become pregnant or breastfeed while on this drug
- DM patients may experience hypoglycemia
- If taking CYP2D6 drugs, that dose may need to be increased
What baseline data is needed for naltrexone/bupropion?
- Blood glucose
- Liver function
- Renal panel
- Mental status
What patient education is needed for naltrexone/bupropion?
- Will inhibit the effectiveness of opioids
- Increased risk of suicidal ideation
- report thoughts or feelings and see provider
What are the ongoing monitoring needs for naltrexone/bupropion?
Periodic liver, kidney and blood glucose levels
Signs and symptoms of:
- depression
- anxiety
- panic attacks
- suicidal ideation
- mania
What baseline data is needed for phentermine?
Cardiac assessment
What ongoing monitoring is needed for phentermine?
Assessment of cardiac status
