Intestinal lipase inhibitors

  • John P. H. Wilding
Part of the Milestones in Drug Therapy book series (MDT)


Given that malabsorptive surgery is such an effective treatment for obesity, it is perhaps not surprising that attempts have been made to use drugs that inhibit the absorption of macronutrients to treat obesity. Acarbose, an inhibitor of carbohydrate absorption has been shown to have modest efficacy in the treatment of diabetes, but does not cause weight loss. Dietary fat is the most energy dense macronutrient, and blockade of absorption of fat is therefore a logical target for an anti-obesity drug. Orlistat, an inhibitor of pancreatic and intestinal lipases, was originally developed as a possible treatment for dyslipidaemia, but the focus switched to obesity once its ability to promote a negative energy balance was recognised.


Pancreatic Lipase Lipase Inhibitor Orlistat Group Intestinal Lipase Pancreatic Cholesterol Esterase 
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Copyright information

© Birkhäuser Verlag/Switzerland 2008

Authors and Affiliations

  • John P. H. Wilding
    • 1
  1. 1.Diabetes and Endocrinology Clinical Research Group, Clinical Sciences CentreUniversity Hospital AintreeLiverpoolUK

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