Antiobesity Drugs and Their Effects
Orlistat
• GI Lipase inhibitor
• Reduces lipid absorption
• Toxicity: Decreased absorption of fat-soluble vitamins, flatulence, fecal
Liraglutide
• GLP-1 agonist
• Decreases appetite
incontinence
• Toxicity: Nausea, vomiting, pancreatitis
Lorcaserin
• 5-HT2c agonist
• Decreases appetite
• Toxicity: Headache, nausea, dry mouth, dizziness, constipation
Naltrexone/bupropion
• Opioid antagonist + antidepressant
• Unknown
• Toxicity: Headache, nausea, dizziness, constipation
Phentermine
• Sympathomimetic
• Norepinephrine release in CNS
• Toxicity: Increased BR HR; arrhythmias, insomnia, anxiety
Phentermine/topiramate
• Sympathomimetic + antiseizure agent
• Norepinephrine release plus unknown mechanism
• Toxicity: Insomnia, dizziness, nausea, paresthesia, dysgeusia
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