Contrave (Weight Loss / Diet Pill) Information. Generic Name: bupropion and naltrexone (bue PRO pee on and nal TREX own)Brand Names: Contrave. What is Contrave? Contrave contains a combination of bupropion and naltrexone. Bupropion is an antidepressant medicine that can also decrease appetite. Naltrexone is usually given to block the effects of narcotics or alcohol in people with addiction problems. Naltrexone may also curb hunger and food cravings. Contrave is an anorexiant amd is used to help manage weight in obese or overweight adults with weight- related medical problems. This medicine is used together with diet and exercise. Contrave will not treat any weight- related medical condition, such as high blood pressure, diabetes, or high cholesterol. Contrave is not approved to treat depression or other psychiatric conditions, or to help you quit smoking. Important information. You should not use Contrave if you have uncontrolled high blood pressure, seizures, an eating disorder, opioid addiction, if you take narcotic medicine or other forms of bupropion, or if you have suddenly stopped using alcohol, seizure medication, or a sedative. Tell your doctor about all your current medicines and any you start or stop using. Many drugs can interact with bupropion and naltrexone, and some drugs should not be used together. Do not use Contrave if you are pregnant. Some young people have thoughts about suicide when first taking bupropion. Stay alert to changes in your mood or symptoms. Contour Light Body Sculpting ReviewsReport any new or worsening symptoms to your doctor. Do not take Contrave if you also take narcotic medicine or other forms of bupropion (such as Wellbutrin or Zyban), or if you are going through withdrawal from alcohol or drug addiction. Before taking this medicine. Do not use Contrave if you are pregnant. Weight loss during pregnancy can harm an unborn baby, even if you are overweight. Tell your doctor right away if you become pregnant during treatment. You should not use Contrave if you are allergic to bupropion or naltrexone, or if you have: untreated or uncontrolled high blood pressure; an eating disorder (anorexia or bulimia); a history of seizures; opioid addiction or withdrawal (or if you take methadone or buprenorphine); if you take other forms of bupropion (Wellbutrin, Aplenzin, Budeprion, Forfivo, Zyban, and others); orif you have suddenly stopped using alcohol, seizure medication, or a sedative such as Xanax, Valium, Fiorinal, Klonopin, and others). Do not use an MAO inhibitor within 1. Contrave. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine. To make sure Contrave is safe for you, tell your doctor if you have ever had: depression, bipolar disorder, or mental illness; suicidal thoughts or actions; a head injury; a tumor or infection in your brain or spinal cord; diabetes or low blood sugar; low sodium levels; liver or kidney disease; heart disease, high blood pressure, heart attack, or stroke; ordrug addiction, or if you normally drink a lot of alcohol.
Some young people have thoughts about suicide when first taking bupropion. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms. Bupropion and naltrexone can pass into breast milk and may harm a nursing baby. You should not breast- feed while using this medicine. Contrave is not approved for use by anyone younger than 1. How should I take Contrave? Take Contrave exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended. The Contour Weight Loss Center Program The program is not a diet: It is a lifestyle change designed to improve your health and help you shed those unwanted, unhealthy. Get rid of fat or cellulite painless method. Laser cellulite reduction and non surgical weight loss. Pain free, Non Surgical, body contouring. Surgical body contouring following major weight loss removes excess sagging fat and skin while improving the shape of the underlying support tissue. Contour Weight Loss Center Llc was founded in 2010, and is located at 16120 San Carlos Blvd # 5 in Fort Myers. It employs 2 employees and is generating approximately. Your $37 Includes: 1 x 30 Minute Weight Loss Consult; 1 x 20 Minute Contour Light Session ( also known as “Lipo Lights”) 1 x 10 Minute Whole Body Vibration Session. Do not crush, chew, or break the tablet. Swallow it whole. Do not take more than 2 tablets at once. Do not take Contrave with a high- fat meal, or you may be more likely to have a seizure. If you need to use narcotic medicine for any reason (such as pain, surgery, or treatment for drug addiction) you may need to stop taking Contrave for a short time. Follow your doctor's dosing instructions very carefully. Store Contrave at room temperature away from moisture and heat. If you have not lost at least 5% of your starting weight after 1. Contrave may not be right for you. Contrave dosing information. Usual Adult Dose of Contrave for Weight Loss: Initial dose: -Week 1: One tablet (8 mg naltrexone/9. Week 2: One tablet orally twice a day (once in the morning and once in the evening); then- Week 3: Two tablets orally in the morning and one tablet orally in the evening. Maintenance dose: Week 4 and onward: Two tablets orally twice a day (morning and evening)Maximum dose: Two tablets orally twice a day. Comments: -Discontinue therapy if a patient has not lost at least 5% of baseline body weight after 1. The effect of this drug on cardiovascular morbidity and mortality has not been established.- The safety and effectiveness of this drug in combination with other products intended for weight loss, including prescription drugs, over- the- counter drugs, and herbal preparations, have not been established. Use: An adjunct to a reduced- calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of: -3. See also: Dosage Information (in more detail)What happens if I miss a dose? Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. Do not take more than 4 tablets in 1 day. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1- 8. An overdose of this medicine can be fatal, especially if you also take a narcotic (opioid medicine). What should I avoid while taking Contrave? Follow your doctor's instructions about any restrictions on food, beverages, or activity. Do not take other weight- loss products or diet pills unless your doctor has told you to. Do not use narcotic medication, methadone, heroin, or other street drugs while you are taking Contrave. Doing so could result in dangerous effects, including coma and death. Drinking alcohol with Contrave may increase your risk of seizures. If you drink alcohol regularly, talk with your doctor before changing the amount you drink. Bupropion can also cause seizures in a regular drinker who suddenly stops drinking. Contrave side effects. Get emergency medical help if you have signs of an allergic reaction to Contrave: fever, swollen glands, mouth sores, muscle or joint pain; hives, rash or itching; chest pain, difficult breathing; swelling of your face, lips, tongue, or throat. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, severe drowsiness, or if you are hard to wake up. Stop taking this medicine and call your doctor right away if you have: a seizure (convulsions); blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights; changes in mood or behavior - anxiety, depression, panic attacks, trouble sleeping, agitation, thoughts about suicide or hurting yourself; a manic episode - racing thoughts, increased energy, unusual risk- taking behavior, extreme happiness, being irritable or talkative; liver problems - upper stomach pain, tiredness, dark urine, jaundice (yellowing of the skin or eyes); increased blood pressure - severe headache, blurred vision, pounding in your neck or ears, anxiety, nosebleed; orsevere skin reaction - fever, mouth or throat pain, burning eyes, skin pain, red or purple rash that spreads and causes blisters and peeling. Older adults may be more likely to have certain side effects. Common Contrave side effects may include: nausea, vomiting, diarrhea, constipation; headache, dizziness; dry mouth; orsleep problems (insomnia). This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1- 8. FDA- 1. 08. 8. See also: Side effects (in more detail)What other drugs will affect Contrave? When you start or stop taking Contrave, your doctor may need to adjust the doses of other medicines you take on a regular basis. Tell your doctor about all your current medicines and any you start or stop using. This includes prescription and over- the- counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide. More about Contrave (bupropion / naltrexone)Consumer resources. Professional resources. Related treatment guides. Where can I get more information? Your pharmacist can provide more information about Contrave. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Contrave only for the indication prescribed. Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. Corset trunkplasty safely contours massive weight loss patients' bodies The corset trunkplasty (Corset Body Lift) is a body contouring procedure that can effectively address the redundant skin rolls in massive weight loss patients and significantly improve abdominal and waistline contours, all while limiting complications seen with other surgical approaches, says Alexander Moya, M. D. Moya, director of Geisinger's Center for Aesthetics and Cosmetic Surgery and Weight Loss Body Contouring Program, Danville, Pa. It was then modified to the circumferential belt lipectomy to address weight- loss patients more effectively. Good contouring results can be difficult to achieve in those who do not fit the ideal patient model of the commonly performed belt lipectomy, he explains. In many women, the procedure will result in the lack of an aesthetically pleasing waistline. An alternative option, Dr. Moya developed the corset trunkplasty technique, which can be used on a wider range of patients. This includes the ideal to the more complex patient with multiple skin rolls, and it works regardless of an individual's overall body size or amount of excess skin. Most female patients who undergo the procedure end up with the corset trunkplasty sought- after hourglass figure, Dr. HOW IT'S DONE The corset trunkplasty is performed entirely in the supine position and utilizes a standardized approach to determine the vertical abdominal resection (removal of the horizontal skin redundancy). Moya says this is key to the procedure. All preoperative markings are performed in the supine position once the patient is prepped and draped and include the vertical midline (extending from xiphoid down to the pubis), lower chest (extending from side- to- side, following the inframammary folds in women) and pubic reference lines. Moya, the vertical resection is determined in a very routine manner utilizing a simple tailor- tacking technique. This allows for maximum skin removal while guaranteeing closure of the defect without undermining. The horizontal skin redundancy extending from the lower chest to flanks is pulled tightly together towards the midline, inverted, and temporarily stapled. In this way, Dr. Moya can more accurately assess how much skin can be removed from the chest down to the pubis, he explains. The stapled skin is then marked and released. The marked areas are connected to one another on each side and to the top and bottom of the preoperative midline marking to form a vertical ellipse shape. This redundant skin pattern is directly resected off the underlying muscular fascia, temporarily resulting in a large defect that will often encompass the entire abdominal wall. Any ensuing abdominal wall plication can then be easily performed due to the extent of exposure, Dr. This step not only enhances overall contour, but also facilitates primary closure without undermining by reducing the size of the vertical defect, he explains. This aggressive resection of horizontal skin redundancy followed by simple primary closure provides the greatest improvement in abdominal and waistline shape while limiting wound complications. Moya performs two transverse incisions — one at the lower chest (which extends from the midline onto the upper back, depending on the amount of redundant lateral chest/upper back skin to be removed) and the other at the level of the pubis (which can extend from the midline onto the lower back, depending on the amount of redundant hip/lower back skin to be removed). While the midline incision has the greatest impact on reducing the size of the waist, the lower chest and pubic (lower trunk) incisions enhance the upper waistline contour and the lower waistline contour, respectively. This gives the technique great versatility, Dr. For example, one can limit the procedure by utilizing short incisions for removing the upper and lower midline . However, because the corset trunkplasty does not require undermining along the midline closure, complications are limited and are less than other techniques that require extensive undermining. Though the corset trunkplasty initially utilized drains, he has since improved the technique with the use of ultrasonic (Harmonic ultrasonic scalpel and shear, Ethicon Endo- Surgery) technology to minimize surrounding tissue damage and seal lymphatic channels as well as bidirectional barbed sutures (Quill Knotless Tissue- Closure Device, Angiotech) for tighter and motion- free closures, he explains. I have experienced no seromas in my last 8. POTENTIAL COMPLICATIONS Over the past six years and nearly 1. Dr. Moya has performed the corset trunkplasty, he has experienced a 3. The majority of these complications were very minor, including superficial wound dehiscence and small areas of skin necrosis, both requiring local care only, he says. As the surgical technique averages around four to five feet of incisions, Dr. Moya says he believes that these minor complications may be considered negligible when compared to such large resections. We have always been taught to limit scars or hide them if we can to get the best of both worlds with regards to contouring results. I have discovered that they will look beyond scars for a significant improvement in body shape, and the best way to achieve that is to perform a procedure that utilizes a vertical resection to address the complexity of skin redundancy. That's where the corset trunkplasty fits in. Moya is a consultant for Ethicon Endo- Surgery and Angiotech Pharmaceuticals.
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