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Pharmacological Management

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Clinical Management of Overweight and Obesity
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Abstract

Over the past 25 years, more than 120 drugs have been studied for the treatment of obesity. Orlistat is the only drug approved in the United States and Italy for the long-term therapy. The other drugs studied for a long-term treatment, sibutramine and rimonabant, were withdrawn from market for safety problems [1, 2].

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Notes

  1. 1.

    Sibutramine was withdrawn in Europe by EMA in January 2010, after SCOUT study showing a higher number of nonfatal cardiovascular and cerebrovascular events in patients affected by cardiovascular disease and diabetes and, thus, contraindicated for the use of this drug.

  2. 2.

    A relevant question with drug therapy is to decide whether such therapy must be continuous or intermittent. In the few studies undertaken to clarify this matter and conducted according to the criteria required by the FDA, the intermittent therapy has found to provide results substantially comparable to the long-lasting therapy.

  3. 3.

    See footnote 2.

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Correspondence to Enzo Nisoli .

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Nisoli, E., Muratori, F. (2016). Pharmacological Management. In: Sbraccia, P., Nisoli, E., Vettor, R. (eds) Clinical Management of Overweight and Obesity. Springer, Cham. https://doi.org/10.1007/978-3-319-24532-4_5

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  • DOI: https://doi.org/10.1007/978-3-319-24532-4_5

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