Bariatric Drugs

Drug Type Names Action

Phentermine mimics norepeniphrine

Appetite suppressing Diethypropion (catecholaminine) causes
noradrenic agents Phendimetrazine vasoconstriction
(anorexiants) Denzphetamine

Seratonic agents mixed Subtramine (merida) Inhibits serotonin and

w/ noradrenic agents norepinephrine uptake.
(anorexiants) s/e = increased bp,
tachycardia, drymouth,
insomnia, headache,
constipation. Take in am
to reduce insomnia

Nutrient absorption Orlistat – (Xenical) Blocks breakdown and

blocking drugs absorption of fat in the
intestine. Inhibits action
of intestinal lipases.
Undigested fat is
excreted in stool. S/e =
stool leakage, flatulence,
diarrhea, abd bloating,
decreases absorbtion of
fat soluble vitamins
 Body Shapes Compared
Shape Treatment Complications

Gynoid (pear) Harder to treat than Cellulite, osteporosis,

Hips and butt
Android (apple)
Visceral fat around the
abs and upper body
android varicose veins, trapped
fatty acids
(triglycerides) & fat
cells
Higher risk for Hypertension, breast
complications cancer, endometrial
cancer, diabetes
mellitus, more fatty
acids released into the
blood, HDL decreased,
heart disease, insulin
sensitivity decreased,
triglycerides increased

LDL = Bad (remember L you want it kept Low)

HDL = Good (remember H you want it kept High)

Obesity
BMI Catagory
Less than 19 Underweight
19-24 Ideal
25-30 Overweight

30-40 obese

40-50 Morbidly obese or

class 3

Above 50 Super morbid obesity