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CSOWM - AOM + Others
CSOWM - AOM + Others
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CSOWM - AOM + Others5 Stages of Behavior Change Transtheoretical Model - ANS-precontemplation,
contemplation, preparation, action, maintenance
Action - ANS-Now motivated to change and receptive to conversations r/t potential
behavior change interventions ready to go
Anti-depressants - Triazolopyridines - wt positive - ANS-Trazodone
Anti-depressants- Monoamine oxidase inhibitors - wt positive - ANS-Yes, these are wt
positive
Anti-depressants- Serotonin reuptake inhibitors - wt positive - ANS-Paroxetine,
Fluoxetine, citalopram
Anti-diabetic agents - wt positive - ANS-Insulin, sulfonylureas, thiazolidinediones
Anti-epileptics - wt positive - ANS-Gabapentin (at higher doses); Valproic acid;
carbamazepine; divalproex
Antidepressant (noradrenergic & seretoninergic specific) with increase in weight long
term and increase in appetite/appetite stimulant - ANS-Mirtazapine (Remeron)
Antidepressant (SSRI) with the biggest weight gain long term - ANS-Paroxetine (Paxil,
Pexeva, Aropax, seroxat, sereupin, brisdelle)
Antidepressant (Tricyclic meds) with the highest weight gain potential -
ANS-Amitriptyline (Elavil & vanatrip) and Nortriptyline
Antidepressant that has been the only one that can consistently cause weight loss -
ANS-Buproprion (SSRI)
Antidepressant with the least amount of weight gain - ANS-Ziprasidone
Antidepressant- Tricyclics - wt positive - ANS-Imipramine; Amitriptyline
Antidepressants- Tetracyclics - wt positive - ANS-Mirtazapine
, Antidiabetic medications that have additional actions to promote weight loss -
ANS-GLP-1 analogs, Sodium glucose-linked transporter--2 (SGLT-2 inhibitors), in
addition to Metformin
Antihypertensive agents - wt positive - ANS-Α receptor blockers, beta-adrenergic
receptor blockers, calcium channel blockers
Antipsychotics shown to produce the most weight gain - ANS-Clozapine (Clozaril,
denzapine zaponex) and olanzapine
Behavioral strategies - ANS-Monitoring food intake & PA using paper diaries/apps.
Daily-weekly monitoring of wt and strategies Ex: goal setting, problem solving, stimulus
support.
Best method of birth control to prevent weight gain? - ANS-Oral contraceptives over
injectables
Can antihistamines be weight positive? - ANS-Yes
Can antiretroviral therapy be wt positive? - ANS-Yes, highly active antiretroviral therapy
classes of Phentermine and topiramate as a combo (Qsymia) - ANS-Neurostabilizer
and antiseizure medication
Contemplation - ANS-Ambivalent/uncertain about wanting to make a behavior change
Diet - ANS-Low calorie diet (1200-1500 kcal/d for women; 1500-1800 kcal/day for men)
using dietary approaches based on pt preference & Health aspects
Effects of being on antiretroviral therapy and weight - ANS-unavoidable weight gain,
weight distribution, and CVD risk
Elements of comprehensive lifestyle intervention - ANS-Diet, Increased PA, Frequency
+ duration of treatment, behavior strategies, technology to support programs
FDA criteria for all weight loss meds - ANS-BMI > 30kg/m2 or BMI >/=27 kg/m2 with
significant comorbidity
First line agent for TDM and obesity - ANS-Metformin
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