Sunday, 8 September 2019

Can hypothyroidism lead to obesity


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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