Weight Loss Queries

Question 1

Do weight loss queries require a counselling room?

Answer 1

Yes

Question 2

What are 2 red flags for referral with weight loss queries?

Answer 2

1. Aged < 18 years or > 75 years.
2. Previous or suspected eating disorder.

Question 3

Do weight loss queries have a PSA self-care card?

Answer 3

Yes (Weight and Health)

Question 4

What is the preferred treatment option for weight loss queries?

Answer 4

Lifestyle changes including increased physical activity, eating behavioural modification and fat and calorie restricted diet are 1st line and must accompany treatment with orlistat.

Question 5

What are the directions for Orlistat 120mg (Xenical) in weight loss queries?

Answer 5

Adults > 18 years: Take one (120 mg) capsule with, or within 1 hour, of your 3 main meals. Do not take a dose if you miss a meal or if it does not contain any fat.

Question 6

When is Orlistat 120mg (Xenical) indicated for weight loss?

Answer 6

Only indicated in obese patients with BMI >30 or >27 with other risk factors for example, hypertension, diabetes, hyperlipidaemia.

Question 7

Is Orlistat 120mg (Xenical) safe in pregnancy?

Answer 7

No

Question 8

Is Orlistat 120mg (Xenical) safe in breastfeeding?

Answer 8

No

Question 9

What is the age range for Orlistat 120mg (Xenical)?

Answer 9

Safe in adults over 18 years

Question 10

What are 7 pieces of non-pharmacological advice for weight loss queries?

Answer 10

1. Orlistat may cause fatty stools (flatus, faecal urgency, loose oily stools); more likely to occur when your diet is too high in fat
2. It is important that whilst taking this medication you continue to practice caloric restriction with a diet high in fruit and vegetables, increase physical activity and eating behaviour modification
3. Whilst taking this medication, it is recommended that you take multivitamin supplements containing the fat-soluble vitamins A, D, E, K to supplement should be taken 2 hours apart from orlistat
4. Important for patients to have realistic goals.
5. Average weight loss of 10% in one year which is great for cardiovascular health etc. but often not satisfactory for those seeking cosmetic sliming.
6. For patients on warfarin, may increase INR as reduces the absorption of Vitamin K: monitor INR closely.
7. Orlistat decreases plasma concentrations of cyclosPORIN and amiODAROne.