A patient has a BMI of 35, a fasting plasma glucose of 120 mg/dL, ...

[Sufayan.ah]

A patient has a BMI of 35, a fasting plasma glucose of 120 mg/dL, elevated triglycerides, and a history of myocardial infarction. The primary care NP plans to initiate dietary and lifestyle counseling and should consider prescribing:
 
  a. ephedra.
  b. orlistat (Xenical).
  c. phentermine (Adipex-P).
  d. phentermine and topiramate (Onexa).

Question 2

A primary care NP has prescribed phentermine for a patient who is obese. The patient loses 10 lb in the first month but reports that the drug does not seem to be suppressing appetite as much as before. The NP should:
 
  a. discontinue the phentermine.
  b. increase the dose of phentermine.
  c. continue the phentermine at the same dose.
  d. change to a combination of phentermine and topiramate.

[Tabitha_2016]

Answer to Question 1

D
Patients who take Onexa have shown improvement in blood glucose levels and triglyceride levels, so this combination is a good choice for this patient.

Answer to Question 2

A
Tolerance to the effects of phentermine usually develops within a few weeks of starting therapy. When this occurs, the drug should be discontinued, not increased. Phentermine use is not recommended longer than a few weeks.

[Sufayan.ah]

Thanks

[Tabitha_2016]

Welcome