A patient diagnosed with obesity asks about the appetite suppressant phentermine to assist with a weight loss program. Which information in the patient's health history might restrict the patient's ability to take this medication?
1. frequent use of alcohol
2. history of narcolepsy
3. a family history of thrombophlebitis
4. a body mass index of 31 kg/m2
Correct Answer: 1
Alcohol use or abuse can be a contraindication for this medication. The medication could cause insomnia but is not contraindicated for narcolepsy. A patient's personal history for the development of cardiovascular problems could indicate an inability to take the medication. The choice regarding the family's health history is not applicable. Phentermine is indicated for body mass index greater than 30 kg/m2.
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