Drugs for Obesity Flashcards
What are the central peptides that increase feeding?
NPY
AGRP
What are the central peptides that decrease feeding?
a-MSH
CART
What’s the effect of leptin?
increase central energy usage and food intake
What’s the mechanism of phentermine?
Increases NA/DA/5-HT, working in the same pathway as amphetamine in the CNS
When can we indicate phentermine?
BMI > 30, only in the short term
What’s the mechanism of Orlistat?
inhibits gastric and pancreatic lipases to decrease fat absorption
What’s the indication of Orlistat?
BMI > 30 , 3 times per day with meal
What must the orlistat be combined with?
low fat diet and vitamin supplementation
What’s the adverse effect of orlistat?
explosive diarrhoea with high fat diet