FAMILY CARE GRADED A+
What are some Phentermine/topiramate
contraindications for use? - answer-not
approved in children and contraindicated
with severe hepatic impairment
How should we educate patient to take
Phentermine/topiramate to avoid insomnia?
- answer-given before 1600
What are some high-risk patient conditions
that we should use Phentermine/topiramate
with caution? - answer-hx drug abuse,
glaucoma, pregnant, HTN, hyperthyroidism
,Which non-amphetamines are FDA approved
for weight loss that have lower abuse risk? -
answer-Phentermine and Diethylpropion
How does Phentermine and Diethylpropion
promote weight loss? - answer--Promote
weight loss by decreasing appetite
-They are central nervous system (CNS)
stimulants that suppress appetite by
increasing the availability of norepinephrine
at receptors in the brain
What is the maximum recommended
duration of use for non-amphetamines? -
answer-3 months or less
What drug schedule are Phentermine and
Diethylpropion under? - answer-Schedule IV
,What labs should be monitored with
Phentermine and Diethylpropion? What
condition should we screen for? - answer--
baseline CMP (watch electrolytes and
creatinine)
-screen for depression
Phentermine adverse effects - answer--
increase HR and BP
-dry mouth and constipation
What is role of topiramate in weight loss? -
answer-Increases satiety
Phentermine/topiramate adverse effects -
answer-insomnia, nervousness, anxiety,
depression, blurred vision
, Which of the following would be a
contraindication to prescribing
phentermine/topiramate? Select all that
apply. - answer-A) Glaucoma
B) Hypothyroidism
C) Hypertension
D) Hyperthyroidism
E) Vitamin D Deficiency
F) A, B, E
ANSWER: A,C,D
Orlistat is a lipase inhibitor that acts on the
_________ and reduces absorption of fat by
30%. - answer-GI tract
Take multivitamin ___hours before/after to
supplement fat-soluble vitamins that may not