Posted by bark23 on September 7, 2002, at 14:56:24
In reply to Prescription Slimming aids, posted by NikkiT2 on September 6, 2002, at 17:57:25
Well you could try the amphetamines or similar chemicals like phentermine or diethylpropion. Some docs are not to happy about prescribing these though, especially if you have a history of drug abuse. They can also cause a lot of anxiety and agitation if youre prone to that. The anorectic benefits are also relatively short lived. Fenfluramine, a serotonin releasing med, is a bit better both in terms of both drug abuse and agitation, but might be dangerous in combo with an SSRI (although not necessarily so). Sibutramine (sp?; well its Meridia in the US) releases serotonin and norepinephrine (and possibly dopamine to some extent) and is also better in terms of drug abuse, but I would think the same caution applies that I mentioned with fenfluramine. Meridia, fenfluramine, phentermine, and diethylpropion are all schedule IV instead of II in the US, which is the case for a lot of the others, so your doc might be more open to trying those if not the traditional amphetamines. (I dont know how they do it in the UK, but here the lower the #, the higher the abuse and/or dependance potential is) The benefits of some of these might last longer. There is also an anticonvulsant out there called topiramate (topamax in the US) that causes weight loss. It also is a good mood stabilizer for some people, and has no abuse potential, although can cause agitation in a small # of people. It may cause cognitive problems in some people though. All these meds can actually boost your response to your antidepressant too. Hope some of this helps.
matt
poster:bark23
thread:119090
URL: http://www.dr-bob.org/babble/20020906/msgs/119205.html