Weight Loss Flashcards
When to use obesity Drugs
BMI of 30 kg/m2 or 27 with comorbid conditions
contraindications
pregnancy, Cardiac disease, HTN, anorexia or history of, closed angle glaucoma, general anesthesia
Orlistat
gastric and pancreatic lipase inhibitor
Orlistat indications
obesity management, weight loss and maintenance in patients who do not feel hungry, that eat out often, have increased CV disease risk
Orlistat contraindications
pregnancy, malabsorption disorders, cholestasis, calcium oxalate kidney stones, anorexia, organ transplant
Orlistat ADR
Diarrhea, Steatorrhea, oily spotting, flatulence with fecal discharge, oily stools, HA
Orlistat serious ADR
hypersensitivity, angioedema, Vit def, lower GI bleed
Orlistat drug interactions
Warfarin, cyclosporine, amiodarone, AEDs, fat soluble vits and thyroid hormone
Lorcaserin MOA
serotonin receptor agonist. that increases satiety
Lorcaserin warnings
serotonin syndrome, valvular heart disease, cognitive impairment, psychiatric disorders, suicide, monitor blood glucose
Lorcaserin interactions
serotonin drugs (triptans, MAOIs, SSRI, SNRI, dextromethorphan
Lorcaserin ADR
HA, dizziness, fatigue, nausea, dry mouth, dry eye, constipation/diarrhea, cough, bradycardia, hyperprolactinemia
Naltrexone/bupropion (contrave) MOA
Nalterxone=opioid antagonist; Bupropion=antidepressant?
Contrave indications
weight loss in obesity or overweight with comorbidity
Contrave indications
uncontrolled htn, seizures, chronic opioid use, use of MAOI
Contrave ADR
NVD, constipation, HA, dizziness, insomnia, dry mouth
Contrave warningsq
suicide, seizure, htn, tachy, liver dysfunction, angle closure glaucoma
Qsymia MOA
Phentirmine/topiramate
Qsymia contraindications
pregnancy, glaucoma, hyperthyroid
Qysmia warnings
increased HR, Suicide, Acute myopia and secondary angle closure glaucoma, cognitive impairment, metabolic acidosis, elevated creatinine, hypoglycemia
Qysmia interactions
Oral contraceptives (spotting), CNS depressants, non-potassium sparing diuretics
Liraglutide MOA
GLP1 agonist, increases satiety
Liraglutide ADR
N, bloating, constipation
Phentermine MOA
sympathomimetic similar to aphetamines, stimulates CNS activity. for people that think about being hungry. appetite suppressant
Phentermine Indications
short term treatment
Phentermine contraindications
MAOI, arteriosclerosis, CV disease, hyperthyroidism, glaucoma, agitation, HX of drug abuse, pregnancy, breastfeeding
Phentermine serious ADR
dependency, psychosis, tachy, HTN, pulm htn, valvular heart disease
Phentermine ADR
palpitations, restlessness, insomnia, diarrhea, xerostomia, HTN, euphoria, HA
Phentermine interactions
MAOI, linezolid, effexor
Diethylpropion
sympathomimetic
Diethylpropion ADR
dry mouth, D/C, restlessness, anxiety, insomnia, HA, HTN
Phendimetrazine
sympathomimetics
Off label drugs
Desvenlafaxine, Sprionolactone, pindolol
Lisdexamfetamine indications
binge-eating disorder
Lisdexamfetamine MOA
sympathomimetic