Guest guest Posted December 22, 2008 Report Share Posted December 22, 2008 Anybody prescribe phentermine for weight loss? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2008 Report Share Posted December 22, 2008 I do. They have to go on an exercise program, and diet, preferably see a dietician or nutritionist. They get 30d, and have to f/u q 30 to get more. Must demonstrate at least a 8 lb weight loss or won't keep Rxing. Obviously they can't have HTN, it will worsen that. I heard an endocrinologist once at a Cardiology conference he thought most of his diabetics should be on it and would keep them on forever. I tell them it is only to help get them jump started, and if they dont' do the exercise and weight loss, they will gain it all back plus more as soon as they stop it. In addition I tell them, and have seen, that most people get a tolerance to it within 3-6 months. So it won't work forever, but does suppress their appetite at first. I have in past Rx'd Phen/Fen back in it's hey day, Meridia, Xenical( now ALLI, natural compound, cheaper in health food store is Chitin or crab shell powder capsules), and anything they come up with in the future that actually helps people. Cote' MD MD COTE, Medical, Laser, and Aesthetics Snowed in in Maple Valley, no mail or newspapers for 5d. STill have power, food, heat, TV. Yippe. -------------- Original message -------------- Anybody prescribe phentermine for weight loss? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 24, 2008 Report Share Posted December 24, 2008 Same here! Also take a family history for DMll and/or obesity. If positive, put them on metformin and a diabetic diet with exercise. Compulsive/ emotional eating ? Buproprion. Dx: Adj dis. NOS (worried about weight gain, interfering with life). Lynette I Iles MD 301 South Iowa Ste 2Washington IA 52353 Flexible Family Care'Modern medicine the old-fashioned way' This e-mail and attachments may contain information which is confidential and is only for the named addressee. If you have received this email in error, please notify the sender immediately and delete it from your computer. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2008 Report Share Posted December 26, 2008 I've done this also for patients at high risk for DM because of family history and obesity, but I stay aware of the evidence that supports this practice only at the margins. Studies have shown only a modst 2.5% weight loss at 3 years of follow-up from consistent Metformin use, and that was in patients with demonstrated glucose intolerance - not just those at high risk of diabetes due to family history etc. It obviously varies by patients, but I also worry about the potential message to the patient that the pill they take is at all comparable in importance to their diet and exercise regimen. As with hypertension, diabetes, chf and just about every other chronic disease, obese patients on weight loss meds often behave as if they can slack on their lifestyle change as long as they take their pills. Chad > > Same here! Also take a family history for DMll and/or obesity. If positive, > put them on metformin and a diabetic diet with exercise. Compulsive/ > emotional eating ? Buproprion. Dx: Adj dis. NOS (worried about weight gain, > interfering with life). > > > Lynette I Iles MD > 301 South Iowa > Ste 2 > Washington IA 52353 > Flexible Family Care > 'Modern medicine the old-fashioned way' > This e-mail and attachments may contain information which is confidential > and is only for the named addressee. If you have received this email in > error, please notify the sender immediately and delete it from your > computer. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2008 Report Share Posted December 28, 2008 yup Anybody prescribe phentermine for weight loss? -- Jack Forbush, DOOsteopathic Center for Family Medicine 603 Main Road NorthHampden, ME 04444office: fax: www.ocfm.com Quote Link to comment Share on other sites More sharing options...
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