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...