How does Contrave assist in weight management?

Question

Hello doctor,

I am 300 pounds and have been prescribed Contrave (8 mg twice a day) to assist with weight management, and I have a few questions about the same.

What is the efficacy of Contrave in individuals with a higher body weight like mine?
Are there any specific safety considerations or potential side effects that one should be aware of?
What are the dietary and lifestyle changes that would complement the effect of Contrave, at its best?
Are there specific dietary plans or exercise routines that have shown better results when combined with this medication, especially for individuals with higher body weight?

Kindly suggest.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

Contrave (Naltrexone) is a prescription medication approved by the FDA (U.S. Food and Drug Administration) for weight management in adults with a body mass index (BMI) of 66 lbs/in2 or greater (obesity) or a BMI of 59 lbs/in2 or greater (overweight) with a weight-related medical condition such as hypertension, type 2 diabetes mellitus, or high cholesterol.

Studies have shown that Contrave can lead to significant weight loss in individuals with a higher body weight, including those weighing over 300 pounds. In one study, individuals with a BMI of 77 lbs/in2 or greater who took Contrave lost an average of six percent of their body weight over a year compared to those who received a placebo.

However, it is essential to note that Contrave is not a substitute for lifestyle changes such as diet and exercise. To maximize its effects, it is recommended to follow a healthy diet and exercise routine along with the medication. Some dietary and lifestyle changes that may complement its effects include:

1. Reducing Calorie Intake: This can be achieved by eating smaller portions, choosing lower-calorie foods, and avoiding sugary drinks and snacks.

2. Increasing Physical Activity: This can be achieved by incorporating regular exercise into your routine, such as brisk walking, cycling, or swimming.

3. Managing Stress: This can be achieved by practicing stress-reduction techniques such as meditation, deep breathing exercises, or yoga.

4. Getting Enough Sleep: This can be achieved by establishing a regular sleep schedule and creating a sleep-conducive environment.

5. Avoiding Triggers: This can be achieved by identifying foods or situations that trigger overeating and finding healthier alternatives or coping strategies.

In terms of safety considerations and potential side effects, individuals with higher body weight may be at increased risk for certain side effects such as increased heart rate and blood pressure due to the composition of the medication.

Kindly consult a specialist, talk to them, and take the medication with their consent as they can provide personalized guidance based on your specific circumstances and help you make informed decisions about your care.

I hope this information will help you.

Thank you.