March 23, 2015
For the last 31 years I have been vehemently opposed to the use of diet pills! I have watched as new medications have come to the market and have been heralded as safe and highly effective and I have seen them taken off the market due to their adverse effects on the patient’s heart.
I have seen patients lose 40 pounds only to gain back 50. I have had patients abandon my care due to my steadfast refusal to give them what they wanted. I published my book, “Diets and Other Unnatural Acts,” in an attempt to dissuade my patients from seeking a “quick fix,” all to no avail.
As a physician, my job is to keep an open mind and study the available treatment options in order to best serve my patients. A new diet medication just hit the market. No one is more surprised than me to find that I actually like it and will prescribe it. Unlike its predecessors, it is a combination of two old, tried and true, medications.
Contrave is a combination of Bupropion, an antidepressant many of my patients have taken, and Naltrexone, a medication used to treat addiction. Both medications have been around a long time and appear safe, with known side effect profiles.
The literature regarding diet medications has shown that medication induced weight loss almost always reverses when the medication is stopped. I have successfully had patients on Bupropion for years and have great hopes that Contrave will be a major player in the chronic management of adults suffering from obesity.
If you are obese (BMI >30) or overweight with at least one weight-related medical problem, see me. I promise I won’t bite this time!