Weight Loss Flashcards

1
Q

When to use obesity Drugs

A

BMI of 30 kg/m2 or 27 with comorbid conditions

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2
Q

contraindications

A

pregnancy, Cardiac disease, HTN, anorexia or history of, closed angle glaucoma, general anesthesia

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3
Q

Orlistat

A

gastric and pancreatic lipase inhibitor

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4
Q

Orlistat indications

A

obesity management, weight loss and maintenance in patients who do not feel hungry, that eat out often, have increased CV disease risk

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5
Q

Orlistat contraindications

A

pregnancy, malabsorption disorders, cholestasis, calcium oxalate kidney stones, anorexia, organ transplant

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6
Q

Orlistat ADR

A

Diarrhea, Steatorrhea, oily spotting, flatulence with fecal discharge, oily stools, HA

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7
Q

Orlistat serious ADR

A

hypersensitivity, angioedema, Vit def, lower GI bleed

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8
Q

Orlistat drug interactions

A

Warfarin, cyclosporine, amiodarone, AEDs, fat soluble vits and thyroid hormone

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9
Q

Lorcaserin MOA

A

serotonin receptor agonist. that increases satiety

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10
Q

Lorcaserin warnings

A

serotonin syndrome, valvular heart disease, cognitive impairment, psychiatric disorders, suicide, monitor blood glucose

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11
Q

Lorcaserin interactions

A

serotonin drugs (triptans, MAOIs, SSRI, SNRI, dextromethorphan

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12
Q

Lorcaserin ADR

A

HA, dizziness, fatigue, nausea, dry mouth, dry eye, constipation/diarrhea, cough, bradycardia, hyperprolactinemia

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13
Q

Naltrexone/bupropion (contrave) MOA

A

Nalterxone=opioid antagonist; Bupropion=antidepressant?

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14
Q

Contrave indications

A

weight loss in obesity or overweight with comorbidity

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15
Q

Contrave indications

A

uncontrolled htn, seizures, chronic opioid use, use of MAOI

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16
Q

Contrave ADR

A

NVD, constipation, HA, dizziness, insomnia, dry mouth

17
Q

Contrave warningsq

A

suicide, seizure, htn, tachy, liver dysfunction, angle closure glaucoma

18
Q

Qsymia MOA

A

Phentirmine/topiramate

19
Q

Qsymia contraindications

A

pregnancy, glaucoma, hyperthyroid

20
Q

Qysmia warnings

A

increased HR, Suicide, Acute myopia and secondary angle closure glaucoma, cognitive impairment, metabolic acidosis, elevated creatinine, hypoglycemia

21
Q

Qysmia interactions

A

Oral contraceptives (spotting), CNS depressants, non-potassium sparing diuretics

22
Q

Liraglutide MOA

A

GLP1 agonist, increases satiety

23
Q

Liraglutide ADR

A

N, bloating, constipation

24
Q

Phentermine MOA

A

sympathomimetic similar to aphetamines, stimulates CNS activity. for people that think about being hungry. appetite suppressant

25
Q

Phentermine Indications

A

short term treatment

26
Q

Phentermine contraindications

A

MAOI, arteriosclerosis, CV disease, hyperthyroidism, glaucoma, agitation, HX of drug abuse, pregnancy, breastfeeding

27
Q

Phentermine serious ADR

A

dependency, psychosis, tachy, HTN, pulm htn, valvular heart disease

28
Q

Phentermine ADR

A

palpitations, restlessness, insomnia, diarrhea, xerostomia, HTN, euphoria, HA

29
Q

Phentermine interactions

A

MAOI, linezolid, effexor

30
Q

Diethylpropion

A

sympathomimetic

31
Q

Diethylpropion ADR

A

dry mouth, D/C, restlessness, anxiety, insomnia, HA, HTN

32
Q

Phendimetrazine

A

sympathomimetics

33
Q

Off label drugs

A

Desvenlafaxine, Sprionolactone, pindolol

34
Q

Lisdexamfetamine indications

A

binge-eating disorder

35
Q

Lisdexamfetamine MOA

A

sympathomimetic