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22 Cards in this Set

  • Front
  • Back
weight loss products- Encrease Energy expenditure
1. ephedra: banned
2. bitter orange: no data
3. Guarana: only with epherine
4. Caffeine: only with ephedrine
weight loss products; modulate carbohydrate metabolism
1. Chromium: no data
2. Ginseng: no data
weight loss products -enhance satiety
1. Guar gum: no data
2. Glucomannan: absorbs water in the gut, decrease caloric intake, laxative effect
3. Psyllium: bulk laxative effect, no data in weight loss
weight loss products: increase fat oxidation or reduce fat synthesis
1. Carnitine
2. Hydroxycitric acid: nodata
3. Green tea: no data
4. Vitamin B5: no data
5. Licorice: no data, SE: hypertension
6. COnjugated linoleic acid (CLA)
7. Pyruvate
Weight loss products: block dietary fat absoption
Chitosan: fat trapper: no data
derived from exoskeleton of shellfish
Sleep Aids: diphenhydramine
25-50 mg QHS, Unisom sleepgel />13 year old
anticholinergic effect; dry mouth, blurred vision, constipation, urinary retension. NO USE: glaucome, BPH, dementia, cardiovascular
Night time Analgesic: combination with aspirin and paracetamol
Limited 7-10 nights
Sleep Aids: Doxylamine
25 mg QHS.Unisom Nightime Sleep Ais Tablets
blockade of histamine and muscarinic receptors, there fore advese effects and duration of sedation are similar to diphenhydramine.
It is also used in combination with the analgesics paracetamol (acetaminophen) and codeine as an night time analgesic/calmative preparation, and is prescribed in combination with vitamin B6 (pyridoxine) to prevent morning sickness in pregnant women.
sleEp Aids: melatonin
Nocturnal Hormone by the pineal gland, has a sleep phase shifting effect on circadian rhythm.
Have obserbed effectiveness for sleep onset in patients with misaligned circadian rhythms attributable to shift work or jet lag.
dose; 0.3 -5 mg during the day or at night
initial dose: 0.1 -0.3 mg (begin 0.1 mg: have effect)
very short half life: 30-50 minutes
GIVEN IN THE EARLY EVENING
valerian root
valeriana oficinalis
Kava
Piper methysticum, most common/ self management of anxiety.
Nicotin-replacement therapy (NRT)
TO AMELIORATE NICOTINE WITHDRAWAL SYMPTOM BY PROVIDING NON-TOBACCO, CONTROLLED- RELEASE AMOUNT OF NICOTINE
Asthma and depression patients: warning?
Theophylline and Imipramine may be altered by smoking cessation
Nicotine polacrilex gum
2 mg dose for pp <25 ciga daily
4 mg dose for pp >25 ciga daily
Typical:10 pieces daily, maximum:60 mg for up to 3 months
DON'T CHANGE DOSE, JUST DECREASE THE NUMBER OF PIECES PER DAY!!!!!!
counseling tip of nicotine polacrilex gum
do not eat or drink for 15 min before using it
Nicotine lozenges (COMMIT)
2 and 4 mg dose
DO NOT USE > 20 LOZENGES PER DAY
RECOMMENDED SCHEDULING OF NICOTINE GUM AND LOZENGES: 12 weeks (6-3-3)
week 1-6: 1 gum or 1 lozenge every 1-2 hour( at last 9/day)
week 7-9: every 2-4 hour
week 10-12: every 4-8 hour
nicotine patches:
NICODERM CQ (6-2-2)
16-24 hours/day
DOSE: >10 ciga/day
21 mg/day for 6 weeks
14 mg per day for 2 weeks
7 mg per day for 2 weeks
DOSE: < 10 ciga/day
14 mg per day for 6 weeks
7 mg per day for 2 weeks
nicotine patches
NICOTROL
16 hours and removed at bedtime
weeks 1-6: 15 mg
weels7-8 10 mg
weeks 9-10: 5 mg
warning on patches use?
palce on a clean, dry and hair free area, not over joints areas
if insomnia or vivid dreaming occurs, the patch may be removed after 16 hours
Guideline for overweight and obesity
BMI (kg/m2)
>40: morbid obesity
>30: obesity
25-30: overweight
waist circumference: when to have rish factor for cardiovascular disease and diabetes, s;eep apnea, knee osteoarthritis?
men>40 inches
women >35 inches
a safe rate of weight loss
1-2 lb/week