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Medical treatment of obesity Hosseinpanah

Medical treatment of obesity

F. Hosseinpanah, M.D

Obesity Research Center

Research Institute for Endocrine sciences

Shahid Beheshti University of Medical Sciences

November 29, 2019

Tehran

  • Introduction
  • Orlistat
  • Lorcaserin
  • Combination therapy 
  • Liraglutide
  • Individualization of Pharmacotherapy
  • Future Therapies
  • Take home messages

Historical Roots

  • Dating back to the 1890s use of sheep thyroid extract (to induce weight loss in euthyroid patients) resulted in reports of cardiac arrhythmias and death
  •  In  1930s, 2,4‑dinitrophenol used for weight loss caused fatal hyperthermia, agranulocytosis and the development of cataracts. 
  • In the 1950s, amphetamine use became popular, especially in combination with other mixed regimens such as diuretics, laxatives and thyroid hormone, but resulted in reports of serious MI and sudden deaths