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Wednesday, January 16, 2008

Duromine as an appetite suppressant

Duromine capsule

Treatment: As short-term adjunct in the management of obesity in a medically monitored comprehensive regimen of wt reduction based on exercise, diet & behaviour modification in obese patients w/ body mass index (BMI) of ≥30 kg/m2.

Contra Indications: Pulmonary artery HTN; existing heart valve abnormalities or heart murmurs; moderate to severe arterial hypertension; cerebro-vascular disease; severe cardiac disease including arrhythmias, advanced arteriosclerosis; hyperthyroidism; agitated states or a history of psychiatric illness including anorexia nervosa & depression; glaucoma; history of drug/alcohol abuse or dependence. Pregnancy, lactation.

Side effects: Dry mouth, GI upsets, heart palpitations, tachycardia, elevated BP. Overstimulation, restlessness, insomnia, tremor, headache, rash and/ or pimples.

Tried and tested: I find that its effect can last 2 to 3 days ie loss/ reduced appetite, insomnia for the first night (and therefore it is usually prescribed with some sleeping aids), face looks flushed and pimples/ acnes might occur on face or behind your back. This drug should be taken with extra care as it might cause mood swings. Not to be taken after 10am. Weight loss is very rapid as it can be seen within a week. Up to 3 kg can be seen after taking this drug for a week. However, the weight will pound up once taken off this drug as normal eating regime might resume. Therefore, I will recommend this drug as a short term measure and exercise and good eating habits in the long run in order to maintenance a healthy weight.

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