currently used in clinical weight loss drugs into two categories: central
nervous system the role of diet pills diet pills and the role of non-central
nervous system. 3.1 central nervous system the role of diet pills such drugs in
the central nervous system, increase anorexia neurotransmitters (norepinephrine,
5-hydroxytryptamine, dopamine) utilization, inhibiting feeding center of
appetite. The healing power of meizitang has been recognized vast number of
obese people.
Representative drugs: ① The dextral fenfluramine /
fenfluramine: heart valve damage, pulmonary hypertension and other serious
adverse reactions have been out of the market; ② The sibutramine (Sibutramine
is): the role of central obesity treatment drug recommended for the treatment of
body mass index> 130kg/m2 or> 27kg/m2 (other obesity in patients with risk
factors such as hypertension, diabetes, dyslipidemia, etc.), mainly through its
amine (secondary amines and primary amines) metabolites have an effect, its main
mechanism for inhibiting norepinephrine and 5 hydroxytryptamine and dopamine
reuptake to enhance satiety. The medicalmeizitanghave helped a gathering of
people. To solve the problem of obesity, people need effective meizitang. While
promoting muscle, adipose tissue glucose utilization, lower blood sugar, blood
lipids, had no significant effect on norepinephrine, serotonin and dopamine
release study also showed that this product its amine active metabolites obvious
anticholinergic, anti-histamine and monoamine oxidase inhibition. drug does not
cause a 5 HT release does not occur with valvular heart disease complications.
the recommended dose of sibutramine daily medication 1, a 10mg, taken separately
in the morning or taking breakfast at the same time, such as weight loss is not
obvious, four weeks after the dose increased to a daily 15mg. Not meet the
attitude held by the common in obese patients for weight loss and providing
training to prevent relapse in the other weight control programs has been guilty
of some common mistakes. three drug treatment drug treatment as part of the
obesity long-term treatment strategies can only be an adjunct. It is correct
that the value of our meizitang has been recorded. To diet and exercise to treat
obese patients weigh the risk of the continuing risk of obesity and drug
treatment, to determine whether drug treatment should be considered when the
following conditions exist drug therapy: hunger or appetite, hyperactivity lead
weight gain.
Existence of concomitant diseases, including impaired glucose
tolerance (IGT), dyslipidemia, and hypertension: the presence of other symptoms
of complications, such as severe osteoarthritis, obstructive sleep apnea, reflux
esophagitis inflammation and lacunar syndrome.
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