AOMs-when and how to initiate

Question 1

Endocrine society’s contraindications for long term use of phentermine 3

Answer 1

No CVD
No psych/substance abuse history
No clinically significant increase in pulse/BP when taking phentermine

Question 2

Long term % weight loss efficacy for AOMS - 4

Answer 2

Phentermine/topiramate 10> liraglutide 8>orlistat 6>contrave 5-8%

Question 3

Contrave CIs 6

Answer 3

opioid use
MAO use
uncontrolled HTN
seizure disorder
anorexia/bulemia
drug/Etoh withdrawal

Question 4

Liraglutide side effects 4 groups

Answer 4

GI
Hypoglycemia if T2DM
Increased HR
pancreatitis, Increased lipase

Question 5

Orlistat counselling should include 3

Answer 5

Fat soluble multivitamin
Limit fat intake to 30% of calories
Counsel on GI side effects

Question 6

Orlistat medication interactions 4 CLAW

Answer 6

warfarin
anti-epileptic agents
levothyroxine
cyclosporine

Question 7

Dosing for orlistat

Answer 7

120 mg TID within 1 hour of fat containing meal

Question 8

Phentermine-topiramate ER dosing

Answer 8

3.75/23 QD for 2 weeks, 7.5/46 and reassess at 12 weeks,

then 11.25/69 mg then MAX 15/92