1. Use diet pills
We must strictly control the indications, and it is best to use what medicine to treat under the guidance of a specialist. Patients with the following conditions should take diet pills:
(1) First, you use the formula mentioned above to calculate your ideal weight (standard weight), and then compare it with your actual weight to see if you are really obese. Only those who weigh more than 20% of their normal weight can be considered truly obese. The reason why this point is emphasized is that the ideal weight in people's minds has been unrealistically lowered today when slim figure is popular again, and having a body like a fashion model has become the pursuit of many young women. Therefore, unless you are really obese, don't overeat, let alone take medicine to lose weight. Only moderately obese people, that is, people who are overweight by more than 30%, can be treated with diet and exercise at the same time.
(2) Obese patients began to take effect after strict diet control and exercise therapy. However, due to various reasons, patients can't persist, resulting in weight rebound. At this time, it is wise to take some drugs with the treatment.
(3) Some obese people with peptic ulcer have difficulty in diet control, so some drugs can be added.
(4) Some people lose weight to some extent after diet control and physical exercise, but their weight rises again after half a year. You can take diet pills at this time.
(5) Losers who lose weight by dieting can be treated with diet pills.
2. Choice of drugs
Over the years, countries all over the world have invested billions of dollars in the research and development of diet pills, and there are many kinds of diet pills on the market, especially more than 90 kinds of diet pills officially sold in China. Faced with these endless weight-loss products, consumers are often dazzled and don't know how to like them, so they often "follow the advertisements". However, advertisements of some weight-loss products often exaggerate propaganda, mislead consumers, and even make consumers confused about the mechanism of weight-loss products that have been eaten for several months. It is worth mentioning that there are many factors to lose weight. What we need is the consumption of fat, not the loss of muscle and water. At present, there are many diet pills on the market that advertise how much weight can be lost in a week. Don't be superstitious about these advertisements. Some drugs may contain laxatives or diuretics, which may reduce your weight in a short time, but will lose water and electrolytes. You may feel dizzy, dry mouth and weak. Moreover, the "weight loss" effect of these drugs is not lasting. The choice of slimming drugs is very important to the effect and safety of slimming. Some appetite suppressants, such as fenfluramine, used to be very popular abroad, but they have been banned in the United States because of serious complications to the heart. Therefore, obese people must understand the ingredients and principles of various drugs when losing weight, and must be responsible for their own health, and clearly consume those mysterious weight-loss products on the market now.
3. Time of medication
Appetite inhibitors can be used for adult obese people and selected adolescent obese people. These drugs can be used when dietary restriction, exercise and behavioral therapy are still not completely effective. Appetite inhibitors can reduce hunger and lose weight quickly. In the comprehensive treatment, if the appetite suppressant with adjusted dose or maximum tolerance has been used for 3-4 weeks, the weight has not been significantly reduced, and the treatment of such drugs should be stopped; If you continue to lose weight, you can continue to use it for a while.
4. Duration of medication
Some people argue that appetite suppressants can only be used for a short time when the diet control effect is not good, but others think that appetite suppressants can be used for a long time to maintain the weight loss effect and prevent weight gain.
5. Combined medication
Most effective diet pills have different degrees of adverse reactions, especially when used in large doses. The combined application of drugs with different mechanisms of action can enhance the efficacy of weight loss, reduce the dosage of drugs and reduce the incidence of adverse reactions. For example, the appetite suppressant Fenfluramine is used in combination with Fentamine. Because of its different mechanisms on foraging behavior, the former enhances the 5- hydroxytryptamine system, while the latter enhances the catecholamine effect to produce appetite suppression. When the two drugs are used together, the dosage of each drug is reduced, but the appetite suppression effect is enhanced, and the weight loss effect is no less than either of them, and the adverse reactions are reduced. Long-term use of earthworm will lead to hyperinsulinemia, so long-term use will reduce the curative effect. If insulin sensitizers such as troglitazone and metformin are used in combination.
It can correct the adverse reaction of stamping cinnabar and improve the curative effect. The combination of traditional Chinese medicine diet pills and low-dose appetite suppressants, such as Dahuang tablets and low-dose fenfluramine 10-20mg/ day, can reduce the incidence of adverse reactions and achieve good weight loss effect.
6. Use drugs for special people
Teenagers are in the stage of growth and development, so it is necessary to strictly screen before taking drugs for weight loss treatment, and it is necessary to strictly monitor the use of drugs. Some studies believe that fenfluramine, earthworm, growth hormone and low dose thyroid hormone generally do not affect the growth and development of obese children. It is forbidden to use appetite suppressants during pregnancy and lactation, and other weight-loss drugs are not recommended, because they may affect fetal development and baby growth. Obese people with heart disease, hypertension or fatty liver must be careful when choosing diet pills.
7. Adverse reactions and drug selection
It must be understood that all drugs have certain side effects, so don't take them blindly. It is better to see a doctor first and take it under the guidance of a doctor, which is safer and more effective. In order to avoid adverse reactions, we should generally take medicine from a small dose and gradually increase the dose to guide us to find a suitable dose that can effectively lose weight without obvious side effects.
Most appetite suppressants and diet pills that increase energy consumption can produce different degrees of central nervous system excitement, which is manifested as irritable symptoms, insomnia, euphoria and so on. Susceptible population and long-term drug use will produce dependence and lead to abuse. Addicts who suddenly stop taking drugs will have withdrawal symptoms, especially amphetamine, so they can't lose weight with amphetamine and compound preparations containing amphetamine. Other amphetamine appetite suppressants, such as methamphetamine, are also prone to dependence and should only be used as second-line drugs to lose weight. The main adverse reaction of fenfluramine is sedation, which can cause depression, and high dose can cause excitement. After long-term medication, sudden withdrawal can cause severe depression, so this product can not be given intermittently. Appetite inhibitors, central stimulants and thyroid hormones that increase energy consumption can stimulate the sympathetic nervous system to produce dry mouth, dilated pupils, blurred vision, dizziness, tachycardia, elevated blood pressure and arrhythmia. Sweating, so it is not suitable for patients with hypertension, angina pectoris and hyperthyroidism. When earthworm and fenfluramine are used together, the incidence of the above adverse reactions is low. Generally speaking, when patients use the above-mentioned diet pills to lose weight, their blood pressure may drop, while susceptible people may have elevated blood pressure and tachycardia. There are many gastrointestinal reactions such as abdominal distension and excessive exhaust. When lipase inhibitors and glucose oxidase inhibitors are used. The former can also affect the absorption of fat-soluble vitamins, so long-term application should be cautious.
8. Drug interactions
Theoretically, most appetite suppressants can raise blood pressure and affect the effect of antihypertensive drugs. However, the interference of common appetite suppressants on the action of common antihypertensive drugs has no obvious clinical significance. However, in the first 4-6 weeks of treatment, blood pressure should be monitored every week. The combination of appetite suppressants and monoamine oxidase inhibitors can lead to hypertensive crisis, so patients who have used any monoamine oxidase inhibitors within 2 weeks should ban appetite suppressants.
9. In the process of medication, attention should be paid to monitoring. Biochemical indexes such as weight, blood sugar and blood lipid must be detected before and during taking medicine. According to these indicators, adjust the drug dosage. Once you take the medicine, don't stop taking it at will, which may lead to physical discomfort or weight gain. You should gradually increase the dose until you stop taking it. The specific practice should be carried out under the guidance of a doctor.
Losing weight has become a fashion, but it has been pointed out that only when men's fat exceeds 25% of their body weight and women's fat exceeds 30% of their body weight can they be called obesity. Experts suggest that the public should first lose weight by controlling diet and strengthening exercise. If they lose less than 65,438+00% after three months, consider taking medicine to lose weight. "After taking sibutramine, you must not drink grapefruit juice, otherwise it may cause strong adverse reactions." Experts from China Institute for the Control of Pharmaceutical and Biological Products recently pointed out that weight loss by drugs often leads to adverse reactions, and the public should be cautious.
Diet pills are a popular way to lose weight, and all kinds of diet pills are inevitably flooding the weight loss market. Even related products appear on TV shopping channels. Some people have good results, while others may be worse. When you want to lose weight easily, you can't help but want to try diet pills. However, don't be fooled by exaggerated advertising effects. The following ingredients may lead to health and must be avoided!
1. diuretic: dehydration is used to temporarily lose weight, but it has the illusion of reducing fat, but the weight will increase after stopping using it. But it will be accompanied by vomiting, dizziness, weakness and other problems that cause renal function damage.
2. laxatives: diarrhea will reduce appetite. As long as you stop taking it, you will gain weight. Regular use will not only damage the function of gastrointestinal tract, but also cause problems such as intestinal relaxation and anemia.
3. Expansive agent: mainly refined protein, which can make the stomach full and not want to eat, but it will easily lead to the lack of vitamins and nutrients, resulting in malnutrition. In particular, excessive use will thicken the blood vessel wall and cause problems such as hypertension, diabetes and stenosis.
Sibutramine: (Tramadol, mild octreotide) may lead to increased blood pressure, significantly accelerated pulse and abnormal ECG. It is worth noting that sibutramine may react with grapefruit juice at the same time, which is very dangerous.
5. Orlistat: (Seneca) may cause gastrointestinal reactions, such as oil spots, increased gastrointestinal exhaust, urgent defecation, oily stool, fatty diarrhea, increased defecation times, fecal incontinence, etc. In addition, orlistat will also affect the absorption of fat-soluble vitamins, so we should pay attention to supplement vitamins A, D, K and β -carotene when using it.
Experts pointed out that diet pills are mostly prescription drugs, and whether they can be taken or not should be decided by doctors, so don't take them without authorization; Don't use it for a long time to avoid addiction; You can't use two kinds of diet pills at the same time.
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