Duromine - Commencing Treatment

Patient requests to commence Duromine

Discussion about indications:
a) BMI >35
b) Health affected by weight:

i. diabetes/ impaired glucose tolerance
ii. raised fasting insulin
iii. high cholesterol
iv. sleep apnoea
v. high cardiovascular risk as a consequence of obesity

FHx of heart disease/ thyroid/ diabetes Y/N

Discussed SEs and rare risks of duromine:

Cardiac: pulmonary hypertension, hypertension, shortness of breath, valvular disorders, chest pain, palpitations, fast heart rate, angina, stroke, heart attack, heart failure, cardiac arrest

CNS disorders:
overstimulation, restlessness, nervousness, insomnia, tremor, dizziness, headache. Euphoria, fatigue, depression, psychosis and hallucinations.

GI system:
Nausea, vomiting, dry mouth, abdominal cramps, unpleasant taste, diarrhoea and constipation.

Renal system:
Urination problems, retention.

Skin:
Rash, swelling

Results
Fasting lipids = NAD
Fasting glucose level =  NAD
TSH = Normal
EUCS/LFTs Normal

Counselled to take daily, check BP and weight at 1/52 and 4/52.

At 3/12 must have lost 5% body to weight to continue.
Take for shortest time as needed. If 5% loss to continue losing 5% per weeks.

To be taken in conjunction with seeing an exercise physiologist and dietician.

Not to be taken during pregnancy or lactation.

Counselled that Duromine can cause lightheadedness and not to drive if symptomatic while on duromine.

Keywords:  Duromine, Phentermine, +duromine