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新型抗肥胖疗法及其不同的效果和安全性概况:批判性综述

Novel Anti-obesity Therapies and their Different Effects and Safety Profiles: A Critical Overview.

作者信息

Telci Caklili Ozge, Cesur Mustafa, Mikhailidis Dimitri P, Rizzo Manfredi

机构信息

Department of Endocrinology and Metabolism, Faculty of Medicine, University of Istanbul, Istanbul, Türkiye.

Department of Endocrinology and Metabolism, Ankara Guven University Hospital, Ankara, Türkiye.

出版信息

Diabetes Metab Syndr Obes. 2023 Jun 14;16:1767-1774. doi: 10.2147/DMSO.S392684. eCollection 2023.

Abstract

Obesity has become an epidemic and a worldwide problem and its treatment is ever-evolving. Apart from diet and exercise, medication and surgery are other options. After disappointing side effects of various obesity drugs, new treatments showed promising results. This review discusses the following anti-obesity drugs: liraglutide, semaglutide, tirzepatide, orlistat, as well as the phentermine/topiramate and bupropion/naltrexone combinations. These drugs have been approved by the Food and Drug Administration (FDA) for weight reduction except for tirzepatide which is still under evaluation. Efficacy and tolerable safety profiles of some of these drugs contribute to the management of obesity and reduce the complications associated with this chronic disease.

摘要

肥胖已成为一种流行病和全球性问题,其治疗方法也在不断发展。除饮食和运动外,药物治疗和手术也是其他选择。在各种减肥药出现令人失望的副作用后,新的治疗方法显示出了有希望的结果。本综述讨论了以下抗肥胖药物:利拉鲁肽、司美格鲁肽、替尔泊肽、奥利司他,以及苯丁胺/托吡酯和安非他酮/纳曲酮组合。除仍在评估中的替尔泊肽外,这些药物均已获得美国食品药品监督管理局(FDA)批准用于减肥。其中一些药物的疗效和可耐受的安全性有助于肥胖的管理,并减少与这种慢性病相关的并发症。

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本文引用的文献

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Semaglutide in Obesity: Unmet Needs in Men.司美格鲁肽治疗肥胖症:男性未满足的需求
Diabetes Ther. 2023 Mar;14(3):461-465. doi: 10.1007/s13300-022-01360-7. Epub 2023 Jan 7.
7
The Dual Pandemics of COVID-19 and Obesity: Bidirectional Impact.新冠疫情与肥胖症双重大流行:双向影响
Diabetes Ther. 2022 Oct;13(10):1723-1736. doi: 10.1007/s13300-022-01311-2. Epub 2022 Aug 27.
9
Tirzepatide Once Weekly for the Treatment of Obesity.司美格鲁肽每周一次治疗肥胖症。
N Engl J Med. 2022 Jul 21;387(3):205-216. doi: 10.1056/NEJMoa2206038. Epub 2022 Jun 4.

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