The risk of cardiovascular complications with current obesity drugs.

Abstract:

INTRODUCTION:Obesity is associated with an increased risk of cardiovascular morbidity and mortality. Four medications are approved by the US Food and Drug Administration (FDA) for chronic weight management when used as an adjunct to a reduced-calorie diet and increased physical activity in adults. These medications result in clinically significant weight losses, as well as improvements in some cardiometabolic risk factors. AREAS COVERED:We briefly review the history of anti-obesity medications (AOMs) as related to cardiovascular safety, and summarize weight loss efficacy and cardiovascular data from clinical trials of orlistat, phentermine/topiramate, naltrexone/bupropion, and liraglutide. EXPERT OPINION:Current AOMs approved for chronic weight management have generally favorable effects on some cardiometabolic parameters. However, the long-term safety of orlistat, phentermine/topiramate, and naltrexone/bupropion on cardiovascular morbidity and mortality have not been established. The cardiovascular safety of liraglutide, at a dose of 1.8 mg/d, was demonstrated in a large randomized outcomes trial in participants with type 2 diabetes.

journal_name

Expert Opin Drug Saf

authors

Chao AM,Wadden TA,Berkowitz RI,Quigley K,Silvestry F

doi

10.1080/14740338.2020.1806234

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

1095-1104

issue

9

eissn

1474-0338

issn

1744-764X

journal_volume

19

pub_type

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