Weight Loss Flashcards
1
Q
Drugs that can cause weight gain
A
- Antipsychotics (e.g., clozapine, olanzapine, risperidone, quetiapine)
- Diabetes drugs (insulin, sulfonylureas, meglitinides, thiazolidinediones)
- Divalproex/valproic acid
- Gabapentin, pregabalin
- Lithium
- Mirtazapine
- Steroids
- TCAs (e.g., amtriptyline, nortriptyline)
2
Q
Conditions that can cause weight gain
A
Hypothyroidism
3
Q
Drugs that can cause weight loss
A
- ADHD drugs (e.g., amphetamine, methylphenidate)
- Bupropion
- GLP-1 agonists (e.g., exenatide, liraglutide)
- Pramlintide
- Roflumilast
- SGLT2i (e.g., canagliflozin, empagliflozin)
- Topiramate
- Tirzepatide
4
Q
Conditions that can cause weight loss
A
- Hyperthyroidism
- Celiac disease
- IBD
5
Q
Prescription weight loss drugs are indicated in
A
- patients with a BMI ≥ 30
- patients with a BMI ≥ 27 with at least one weight-related conditions, such as dyslipidemia, hypertension or diabetes
6
Q
Weight loss drugs should be discontinued if
A
they don’t produce at least 5% weight loss at 12 weeks
7
Q
All prescription weight loss drugs are contraindicated in
A
pregnancy
8
Q
Avoid naltrexone/bupropion (Contrave) in patients with
A
- Hypertension
- Depression
- Seizures
- Taking opioids
9
Q
Avoid use phentermine/topiramate ER (Qsymia) in patients with
A
- Hypertension
- Seizures
10
Q
What supplements should be recommended to patients taking orlistat?
A
- Multivitamin w/ A, D, E, K and beta carotene