Drugs used in the past to treat Obesity
Drugs Used in Past (Year of
Introduction)
|
Year of
Discontinuation
|
Cause of Discontinuation
|
Thyroid
hormone
|
Off
label use till 1980s despite toxicity
|
Hyperthyroidism,
cardiac arrhythmias, and sudden death
|
Fenfluramine + phentermine (1992)
|
1997
|
Valvular heart disease
|
Phenylpropanolamine (available since 1970)
|
2000
|
Hemorrhagic stroke
|
Rimonabant(available in
UK
and other European countries since 2006 for long term treatment of obesity)
|
EMEA withdrew
marketing
authorization in 2009 Failed to get US-FDA approval due to safety factors
|
Psychiatric
disorders, depression and suicidal ideation
|
Sibutramine (popular
antiobesity
drug used since 1997)
|
2010
|
Increase in risk of major adverse cardiovascular
events (a composite of non-fatal heart attack, non-fatal stroke,
resuscitation after
cardiac arrest and cardiovascular death)
|
(Abbreviation = FDA: Food and Drug
Administration; EMEA= European Medicine Agency)
The only currently approved
long-term therapy for obesity in the world is not only having limited efficacy,
but is also associated with number of side effects. This history of weight-loss
pharmacotherapy highlights the need for new, safer, and more effective
approaches to treat and prevent obesity.
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