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Some possible triggers can include: Using two separate drugs to lose weight naturally can be very effective you'll find combinations as you're watching FDA now awaiting approval. When dealing with weight loss and the those who go through it you need to err assisting caution and let the FDA do its job and demand some research be done so that the public recognizes the side effects and hazards of the medications before we bring them. Keep in mind that drug companies will be in business to earn money and that they would say everything to keep people on his or her medications. Researchers found that participants using this drug for any year, dropped a few pounds within four weeks and have kept the extra weight off throughout the 56 weeks in the study. Contrave is a combination from the drugs naltrexone and bupropion, which seems to reflect a new trend of weight-loss drugs which can be made up of more than one active ingredient, which may make them more effective and safer. Combo-pilling will be the newest fad or better yet the newest ahead under scrutiny and for that reason it is just more publicly known in recent months, comb-pilling for weight loss has been around since the eighties. The biggest reason that by using a combination of pills is becoming popular will be the fact that as of right now there are no long term prescription slimming capsules that have been authorized by the FDA besides orlistat. The truly disturbing part is the fact that doctors are prescribing these combinations of medications however some of the combinations are actually rejected or have yet to be approved by the FDA. Seizures certainly are a side effect with Contrave and shouldn't be taken in those with seizure disorders. The drug can also raise blood pressure and pulse rate, and must not be used in individuals with a history of cardiac arrest or stroke in the previous six months. Blood pressure and pulse should also be measured before beginning the drug and throughout therapy with the drug. The FDA also warned that Contrave can raise blood pressure levels and pulse rate and must stop used in patients with uncontrolled high blood pressure levels, in addition to by a person with heart-related and cerebrovascular (circulation dysfunction impacting the brain) disease. Patients which has a history of heart attack or stroke in the last six months, life-threatening arrhythmias, or congestive heart failure were excluded from the clinical trials. Those taking Contrave needs to have their heart-rate and pulse monitored regularly. In addition, since the compound includes bupropion, Contrave comes which has a boxed warning to alert health care professionals and patients towards the increased likelihood of suicidal thoughts and behaviors associated with antidepressant drugs. The warning also notes that serious neuropsychiatric events are already reported in patients taking bupropion for smoking cessation. A pyromaniac, with both psychiatric and medical therapy, can still be treated. It is best carried out with behavioral therapy. Psychotherapy treatment alongside behavior modification is easily the most frequently used treatment. Based on the study of Jon Grant, a mix treatment of drugs and behavioral therapy was found to be successful for pyromania. The using serotonin reuptake inhibitors is also beneficial in managing the impulsive behavior with the patient as in other impulse control disorder. Also helpful for the patient are medications for example Lithium, naltrexone, (ReVia), fluoxetine (Prozac), citalopram (Celexa), paroxetene (Paxil), and also other antidepressants.