Why am I still hungry?

Those people who are fighting excessive weight by increasing their physical activity and reducing the amount of calories they consume daily often are not satisfied with the result because there is a big number of factors that influence this complicated process. Such people have to resort to certain medications that will help them lose weight. Thankfully nowadays pharmaceutical industry is capable to offer help to obese and overweight people.
Excessive weight is often associated with various health problems, that is why weight management requires a complex approach and the assistance of trained specialists.

One of the recently-approved drugs that are used to help people fight excessive weight is Contrave – a combination of Naltrexone and Bupropion that have an effect on the nervous system of the patient and minimize food carvings. Contrave diet pill is recommended to obese patients (Body Mass Index 30 or more) who do not suffer from weight-related health problems and to overweight people (Body Mass Index 27 or more) who have one or several medical conditions associated with excessive weight.
The two well-known and FDA-approved drugs that are contained in Contrave – Naltrexone and Bupropion are separately used to treat conditions unrelated to excessive weight. Naltrexone is recommended to the patients who suffer from alcohol or drug addictions, while Bupropion treats depressions.
Used in a combination these drugs work directly in the hypothalamus that is responsible for appetite, body temperature and the burning of energy. Naltrexone blocks that part of the brain in which substances like opioids work, whilst Bupropion slightly raises the levels of dopamine and norepinephrine, thus the person feels satisfied with a smaller quantity of food they usually need.
If you are prescribed Contrave, you should know that the dosage changes every week during the first month of treatment. You start taking 1 pill in the morning during the first week, increase the dosage to two tablets (1 in the morning and 1 in the evening) the second week and continue to increase the dose by 1 pill a week (2 pills in the morning and 1 in the evening for the third week) till the fourth week of treatment when you should take 2 pills twice a day. This dosing is the maximum one you should be taking starting from the fourth week.  Do not increase or minimize the dose if the doctor hasn’t advised you to.
Many people who recently started the treatment are asking themselves: I am taking Contrave – why am I still hungry? First of all it should be mentioned that Contrave is expected to yield results in the first 12 weeks of treatment. If the patient hasn’t lost some of their weight during this time, there is a great possibility that this medication is just not right for them.
One should also understand that it takes time for the pills to have the expected effect on the body of the patient. Some patients notice the minimization of food carvings during the first two weeks, while for others a higher dose is necessary and they need less food to be satisfied only when the dosing increases to 3 or 4 pills per day.
If you started having doubts that Contrave is the right medication that can help you lose weight, address your physician who will advise you on whether you should discontinue the treatment.

All the patients who are prescribed Contrave should be alert to the risks that are associated with this medication.
Because of Bupropion that is contained in Contrave weight loss pill the risks of having a depression and even suicidal thoughts during the treatment period increases considerably. The patient might experience changes in behavior, mood swings and aggressiveness – the characteristic side effects of an antidepressant medication.

People who are currently taking sedatives or consume a lot of alcohol should not be prescribed Contrave, as well as the ones who have a seizure history. During the trials it was revealed that the medication can cause seizures, so for the patients who suffered from this condition before or still are, the risks significantly increase.

Other categories of people who should not take Contrave include:
– Patients with uncontrolled blood pressure (trials have shown that Contrave raises blood pressure and increases heart rate)
– Those who are currently taking other drugs containing Bupropion
– Patients who suffered or suffer from eating disorders
– People who have an opioid addiction or are currently undergoing a treatment for such an addiction
– Patients who often consume a lot of alcohol or those who suddenly stopped drinking alcohol (there is a high risk of seizures for such patients)
– The ones who are allergic to the drugs contained in Contrave
Contrave is usually taken with meals, but the patients should know that is not recommended to take the medication with high-fat meals as this will minimize the effect of the drug.
Nausea, vomiting, headaches, dizziness, diarrhea and constipation are other possible adverse reactions in those taking Contrave.

Contrave side effects have been analyzed by the U.S. FDA and the experts concluded that the risks to the patients’ health correspond to the acceptable limits set by the FDA. However, patients must strictly follow the doctor’s recommendations and inform their physician if any of the mentioned symptoms appear. During the trials many of the patients stopped taking the medication mainly because of the adverse reactions it caused.
If you decide that your weight problem cannot be solved without the help of such medications as Contrave, you should visit a specialist who will evaluate your health and monitor the changes in your condition during the whole treatment process.