weightlossFC Flashcards
Weight Loss
A healthy (normal) BMI is between 18.524.9
eating 500 kcal less means how much weight loss?
A 500 kcal decrease per day equals 1 pound weight loss per week (3500 kcal/pound)
how much to exercise to lose weight?
Exercise 30 to 60 minutes/day promotes weight loss
OTC weight loss med?
Orilstat (Alli)
dose of orlistat and how to take ?
60 mg with each meal containing fat
what kind of diet when taking orlistat ?
Must be on A lowfat diet
se of orlistatn
SE: flatus w/ discharge, fecal urgency, fatty stool, increase risk of urinary oxalate stones and rarely liver damage
how much weight will be lost with orlistat?
Reduces 1/4 of dietary fat (about 5lbs in 6 months)
what must you take with orlistat?
Must take multivitamin
qsymia
Phentermine/topiramate (Qsymia)
belviqu
Lorcaserin (Belviq)
adipexP
Phentermine (AdipexP)
dietylpropion
Diethylpropion (Tenuate)
xenical
Orilstat (Xenical) prescription strenght
Phentermine/topiramate (Qsymia) MOA
Phentermine: sympathomimetic amine
topiramate: decrease appetite and satiety, enhancing GABA, blocking glutamate receptors and/or weak inhibition of carbonic anhydrase
qsymia must require what kind of mx?
REMS drug: psychiatric and cardiac monitoring required
ci of qsymia
CI: hyperthyroidism, glaucoma, MAOi use, pregnancy (cat. X), lactation
se qsymia
SE: dizziness, headache, cognitive impairment, constipation, dry mouth, insomnia, paresthesias
dose adj qsymia
decrease dose with moderate renal impairment
Lorcaserin (Belviq) moa
Serotonin 5HT2c receptor agonist
dc lorcaserin when ?
Discontinue if 5% weight loss not achieved by week 12
ci lorcaserin
CI: pregnancy (cat. X)
se lorcaserin
SE: headache, dizziness, fatigue, nausea, dry mouth, constipation, hypoglycemia
mx lorcaserin
required to monitor cardiovascular outcomes after release
Phentermine (AdipexP) & Diethylpropion (Tenuate) MOA
Short term appetite suppressant
ci phentermine
CI: MAOi, hypertension, PAH, hyperthyroidism, glaucoma
se phentermine
SE: dizziness, tremor, agitation, tachycardia, HTN, insomnia, dependence, psychotic symptoms
indication of pehtnerime
Used for 34 weeks to “jumpstart” a diet
Orilstat (Xenical) dosing
120 mg with each meal containing fat
diet type when taking orlistat
Must be on A lowfat diet
se orlistat
SE: flatus w/ discharge, fecal urgency, fatty stool, increase risk of urinary oxalate stones and rarely liver damage
how much weight loss with xenical
Reduces 1/3 of dietary fat (about 13lbs in 1 year)
must take what with orlistat?
Must take multivitamin
