Medications for weight loss
Drugs to treat patients with weight loss. Obese patients. Typically, in most cases, patients tolerate prescription diet with low energy value. High motivation for treatment, psihologichekaya support the use of special foods and supplements leads to that feeling of hunger disappears after a few days of starting therapy. If hunger persists, then use special preparations. Using them can reduce the body weight in addition to the assigned diet for an average of 3 – 4 kg. It should be noted that all “anoretiki” by themselves do not alter the metabolism and no effect on body weight patients.
Illegal drugs for weight loss
Until recently, the weight loss is most often used drugs from the amphetamine group (Fepranon, terenak), fenfluramine derivatives (deksfenflyuramin, he’s izolipan and dekstrofenflyuramin). Because of the many side effects (pulmonary hypertension, valvular heart disease, addiction and addiction, mental stimulation) are removed from production. Also banned ephedrine and all supplements containing ephedra alkaloids, as they were logged severe adverse reactions, including fatalities.
Allowed drugs for weight loss
Xenical (orlistat)
The advantages of this drug are: lack of central action. Side also acts include diarrhea, urgency to defikatsiyu, fecal incontinence, which limits its application. To reduce the adverse effects the drug should be used against low-fat diet.
Meridia (sibutramine)New Weight Loss Drugs
The main advantage of Meridia, which causes a rapid feeling of fullness, is a modification of feeding behavior. Patients after treatment Meridia wean from overeating. Lack of preparation is a central force with a moderate increase in blood pressure and heart rate increase chatoty, and the drug is contraindicated in hypertension, coronary heart disease.
Indications for the use of drugs
Indications for drug therapy of obesity:
obesity with a BMI over 30 kg/m2 (increased risk of complications of obesity);
overweight with a BMI over 25 kg/m2, in combination with concomitant diseases (hypertension, diabetes, obesity or abdominal type);
obesity or overweight in rapid phase of weight gain and developing related complications.
Other drugs for weight loss
Micronutrients
For the normalization of lipid metabolism are often obese patients prescribed drugs that contain trace elements. For this purpose, use drugs chromium, zinc and manganese.
Dehydration and diuretics
Dehydration and diuretic therapy is indicated for most patients with obesity. Diuretics are assigned even with small swellings. Dehydration therapy performed to remove vnutrecherepnoy hypertension, compensated form of which is found in almost all obese people. In this case, applying medication, sodium thiosulfate.
Thyroid Hormones
Thyroid hormones increase thermogenesis, but in the treatment of obesity are used only in the presence of gipoteroza. Lipolytic effect of thyroid hormones is not expressed, and if the result is manifested, it is associated with loss of muscle tissue due to protein catabolism. The use of L-thyroxine or triiodothyronine does not reduce the appetite and has no effect on feeding behavior, but can cause cardiotoxicity action.