Weight Loss Flashcards

1
Q

What is the criteria to start weight loss med

A

Bmi greater than 30 = morbid obesity
Bmi greater 27 with comirbid ( dm and htn)

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2
Q

Phentermine brand

A

Adipex
Lomaira

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3
Q

Phentermine schedule

A

C4

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4
Q

Phentermine moa

A

Increase NE in hypothalamus, acts like amphetamine

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5
Q

For how many days u can use phentermine in weightloss

A

Short term only—-8-12 weeks

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6
Q

Contraindications with phentermine

A

Dont use within 14 days of mao inh. else can cause hypertensive crisis

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7
Q

What is the dose and when to take lomaira

A

8mg po tid before meals

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8
Q

Caution with phentermine in what conditions?

A

Glaucoma
Drug abuse
HyperT
Htn
Prego

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9
Q

Side effects with phentermine

A

Agitation
Htn
Tachy

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10
Q

Orlistat brand and form

A

Xenical- rx 120mg caps
Alli- otc 60 mg caps

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11
Q

Orlistat moa

A

Pancreatic lipase inhibitor.
Inhibits fat absorption by 30%, must take vit ADEK and b karotene. Separate by 2 hours

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12
Q

When should u take orlistat

A

With or within 1 hour of meal. Skip dose if skipping meal

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13
Q

Preg category of orlistat

A

X

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14
Q

Monitoring with orlistat

A

Decrease levels of amiodarone and cyclosporine
Increase levels of vit k and inr so monitor warfarin

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15
Q

Lorcaserin brand and why banned

A

Belviq
Cancer risk

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16
Q

Qsymia combo

A

Phentermine and topiramate

17
Q

Qsymia adverse

A

Anticholi
Kidney stones
Hypokalemia
Hypoglycemia
Hypotension
Decrease sweating
Increase body temp

18
Q

Contrave combo

A

Naltrexone and bupropion

19
Q

Contraindication of contrave

A

Uc htn
Seizure
Anorexia
Bulimia
Taking opioids
Within 14 days of maoi

20
Q

Liraglutide generic

A

Saxenda

21
Q

Liraglutide moa

A

Glp1
Slow gastirc emptying
Decrease food intake

22
Q

Liraglutide weight loss dose

A

3mg sq qd

23
Q

Liraglutide adverse

A

Remember glp1 ag
Gall bladder disease , GI dont use with gastroparesis, hypoglycemia with insulin
L—- loss of weight
P—- pancreatitis
1 —- thyroid tumor—- blackbox warning
Ag—- acute renal failure exacerbation

24
Q

Semaglutide generic for weightloss

A

Wegovy

25
Q

Semaglutide moa and dose for weightloss

A

0.25-2.4 mg sq once weekly for 4 weeks
Glp1

26
Q

What is plenity made up of?

A

Cellulose and citric acid. Not a drug, its a device