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Flashcards in Weight Loss Deck (27):
1

Obese patients are at a higher risk of developing what conditions?

CHD
Diabetes
Hypertension
Stroke

2

Weight gaining drugs

Antipsychotics
Diabetes meds (TIMS)
Depakote/Keppra
Lithium/Mirtazapine
Steroids
Hypothyroidism

3

Weight losing drugs

ADHD
GLP"Tides"/SGTL2"flozins"
Pramlinitide
Topiramate

Hyperthyriodism
Celiac disease
IBD(Chrons/UC)

4

OTC weight loss supplements

Bitter orange
Caffeine
Yerba mate/Guarana Green tea powder

5

When are prescription weight loss meds indicated?

BMI>30
BMI>27 with Dyslipidemia, hypertension or diabetes

6

Long term therapy

Qsymia
Belviq
Contrave
Saxenda
Orlistat

7

When to D/C weight loss drugs?

If they do not produce at least 5% weight loss at 12 weeks

8

Which drugs to avoid in Hypertension

Contrave
caution Qsymia

9

Which drugs to avoid in Depression

Contrave

10

Which drugs to avoid in Seizures

Contrave
caution Qsymia

11

Which drugs to avoid in Opioids

Contrave

12

Phentermine MOA, CI, SE, Notes

C-IV
REMS and Taper

MOA- sympathomimetic stimulant releases NEPI and stimulates satiety

CI: Hyperthyroidism, Galucoma, MAO, Pregos

SE: Tachycardia

13

Topiramate MOA

Increases satiety and decreases appetite

14

Naltrexone and Bupropion MOA

Naltrexone Decreases food cravings
Bupropion Decreases appetite

15

Contrave BW, CI, Warning, Notes

BW- MDD

CI- chronic opioid use, Uncontrolled hypertension, seizures prego

Warning- Pysch disorders

discontinue opioids 7-14 days prior to use of contrave.

16

Belviq (Locaserin) MOA, warning

C-IV

Warning- SS and Hypoglycemia

17

Saxenda MOA, BW, CI, Warning, SE

GLPs increase satiety
REMS

BW- C-cell carcinoma
Warning- Pancreatitis and Hypoglycemia
SE- Nausea

18

Orlistat MOA, SE, Notes

Lipase inhibitor that decreases absorption of dietary fats by 30%

SE- GI issues

Notes- must be taken with low fat diet plan, supplement with ADEK and beta Carotene @ bedtime or 2 hours prior

19

Give example of Appetite suppressants and its MOA

Sympathomimetics release NEPI

Phentermine (Adipex) C-IV
Diethylpropion C-IV
Phendimetrazine C-III
Benzphetamine (Regimex) C-III

20

Appetite suppressants CI, SE, Monitoring and Notes?

CI- CVD, Hyperthyroidism, Glauocoma, Drug abuse

SE- Tachycardia, Agitation, Hypertension

Monitoring- HR/BP

Notes used short term "JUMP START"

21

Where to inject Liraglutide?

Abdomen, thigh or arm

22

How long should you separate your levothyroxine dose from orlistat?

4 hours

23

How long should cyclosporine be separated by orlistat?

3 hours

24

When is Bariatric surgery indicated?

BMI>40
BMI>35 with obese related condition

25

What nutrient is preferred bc of its non-acid dependent absorption?

Calcium citrate!

26

How long do you separate the Iron and Calcium dose?

2 hours prior or 4 hours after antacid

27

Which drug dissolves gallstones?

Ursodiol (Actigall)