Table 3.
Medication for intentional weight loss
Medication | Dosage for adults | Common adverse effect | Contraindications/ caution if |
---|---|---|---|
Phentermine | 15–37.5 mg/day | Tachycardia, palpitation, hypertension | Coronary artery disease, stroke, uncontrolled hypertension, pregnancy |
Orlistat | 120 or 60 mg t.i.d. | Flatulence, fatty stools, vitamin deficiencies | Chronic malabsorption syndrome, pregnancy |
Belviq | 10 mg b.i.d. | Headache, dizziness | Risk of serotonin syndrome, pregnancy |
Qsymia | 7.5/46 daily or 15/92 daily | Paresthesia, dry mouth, neuropsychiatric symptoms | Hyperthyroidism, glaucoma, recent or unstable heart disease, pregnancy |
Liraglutide | 0.6–1.8 mg/day for treatment of diabetes; not FDA approved for treatment of obesity yet | Nausea, diarrhea, headache | History or family history of medullary thyroid cancer, pregnancy |
Naltrexone-bupropion extended release | Not FDA approved yet | Nausea, headache, tremor | No FDA recommendations yet |