But we have all of our patients on 81 milligram aspirin tablets to prevent blood clotting. Some people have headaches the first few days on the medications, some have a dry mouth, and some get insomnia, nervous and irritable and need to switch drugs or take smaller dosages. These problems are all small when compared to being five foot tall and weighing two hundred pounds. It takes a month or so to get set on the medications and to find the correct dose. After that the patients come in to see me every two weeks and lose 6-8 pounds a month.
Most patients take about six months to lose fifty or sixty pounds.
There is a role for the antidepressant drugs in the treatment of obesity. Some people lose weight on Wellbutrin given by itself. Some patients need Celexa or Prozac along with the weight loss medications because they are depressed and because the weight loss is facilitated by the coadministraion of the drugs. The drugs should be used in small doses under careful medical supervision in the office. The weight loss medications with Xenical, will get rid of inches, block some fat out of foods that you eat, and control and normalize your appetite naturally.