History of hypertension-diabetes and hyperlipidemia

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An elderly woman with a history of my You have a 35 year old patient with history of hypertension, diabetes and hyperlipidemia. His BMI is 29. He presents today to see you to discuss weight loss, as he is worried that his weight is worsening his medical problems. You recommend orlistat (Xenical®) along with the following advice: I would not recommend that you try weight loss medications until your BMI reaches >30 For orlistat to be effective and minimize side effects, fat should be spread evenly across meals and about 30% of your daily calories should be from fat. Tolerance to the effects of orlistat can be expected and its use should be limited to a few weeks. Orlistat will help you lose weight by increasing satiety and raising your metabolic rateocardial infarction within the past few months is asking for a medication to help treat occasional heartburn. She is currently taking aspirin, clopidogrel, simvastatin, metoprolol and lisinopril. Which of the following should be avoided due to potential for interaction ? ranitidine (Zantac®) calcium carbonate (Tums®) famotidine (Pepcid®) omeprazole (Prilosec®).

Reference no: EM133821085

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