Our Medical Weight Management® Library (FAQ’S)
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Contrave® is a prescription medication designed to support weight loss in conjunction with a reduced-calorie diet and increased physical activity. It combines two active ingredients, naltrexone and bupropion, which work together to influence the brain’s weight regulation mechanisms. This article explores how Contrave® works, its benefits, and considerations for those considering it as a weight management solution.
Contrave® is a combination medication used to treat obesity and overweight conditions. It is prescribed for adults with a body mass index (BMI) of 30 or greater or 27 or greater with weight-related health issues, such as hypertension or type 2 diabetes. The dual-drug composition aims to address the complex factors contributing to weight gain and obesity.
Contrave® works by targeting two areas of the brain involved in appetite regulation and energy balance: the hypothalamus and the reward system.
Naltrexone Function: Originally used to treat alcohol and opioid addiction, naltrexone is an opioid antagonist that helps reduce cravings and addictive behaviors.
Role in Weight Loss: By modulating the brain’s reward system, naltrexone can diminish the cravings and desire for food, especially high-calorie or emotionally comforting foods.
Bupropion Function: An atypical antidepressant also used to aid smoking cessation, bupropion affects the neurotransmitters norepinephrine and dopamine.
Role in Weight Loss: Bupropion can help decrease appetite and enhance energy expenditure, supporting long-term weight loss.
Synergistic Effect
Together, naltrexone and bupropion provide a more comprehensive approach to weight management by simultaneously reducing hunger signals and the rewarding effects of food intake.
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Weight Loss Support: Clinical trials show that Contrave® can help individuals lose a significant percentage of body weight when combined with lifestyle changes.
Improved Metabolic Health: Weight reduction achieved with Contrave® is often accompanied by improvements in metabolic parameters, including blood sugar control and lipid profiles.
Psychological Benefits: By modifying appetite and cravings, Contrave® can alleviate the psychological burden of dieting, making it easier for individuals to adhere to lifestyle changes.
Common Side Effects: Nausea, headache, constipation, and dizziness are reported side effects. These symptoms are generally mild and may diminish as the body adjusts to the medication.
Serious Side Effects: Though rare, serious side effects include an increased risk of seizures, elevated blood pressure, and suicidal thoughts. Patients should be monitored closely for these risks.
Contrave® is not suitable for individuals with uncontrolled hypertension, seizure disorders, eating disorders, or those undergoing opioid use treatment due to naltrexone’s opioid antagonist properties.
Drug Interactions: It’s crucial to discuss all medications and supplements with a healthcare provider, as Contrave® can interact with various substances, affecting its efficacy and safety.
Lifestyle Changes: Success with Contrave® is enhanced by integrating a healthy, reduced-calorie diet and regular physical activity into daily routines.
Behavioral Support: Behavioral interventions, including counseling or support groups, can complement the pharmacological effects of Contrave®, helping sustain long-term weight loss.
Regular Monitoring: Continuous monitoring by healthcare providers ensures that the medication is working effectively and safely, adjusting dosages if necessary.
Contrave® offers a pharmacological approach to weight management for those struggling with obesity and related health issues. Understanding how it works empowers patients to use the medication effectively within a broader lifestyle modification framework. Always consult healthcare professionals to determine if Contrave® is suitable for your weight management goals and ensure it’s part of a comprehensive, individualized treatment plan.
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Disclaimer: The information provided here is for general knowledge only and should not be considered medical advice. For any questions or concerns about your health or medications, please consult your physician or healthcare provider. They are best equipped to provide guidance specific to your medical needs.
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While Ozempic® has been proven effective in clinical trials, a potential reason for not losing weight on Ozempic® is related to dietary and lifestyle choices.
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