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8 Cards in this Set

  • Front
  • Back

Sibutramine

Mechanism: Blocks serotonin and noradrenaline reuptake at the hypothalamic site, may alter NPY and POMC levels, as well as possibly increasing leptin transport into the brain during weight loss.




Leads to an increase in satiety and reduction in appetite.

Rimonabant

Mechanism: Cannabinoid 1 receptor antagonist, receptor responsible for 'munchies'




Effectively reduced body weight, however suspended due to increased incidents of suicidal behaviour.

Orlistat

Mechanism: Prevents the uptake of fats via inhibiting lipase, which breaks down fats in the diet to fatty acids and allows absorption into small intestine.




-Fat is passed into faeces




Adverse Effects: abdominal cramps, flatulence, oily spotting.

Topirimate

Mechanism: several mechanisms unknown




-FDA approved for epilepsy and migraine prevention




Used in combination with Phentermine

Phentermine

Mechanism: Increases the release of noradrenaline, stimulates B-adrenergic receptors.




-Inhibits appetite

Bupropion

Mechanism: Dopamine and noradrenaline uptake inhibitor, effects on POMC signalling




-Used as an antidepressant

Naltrexone

Mechanism: Thought to act synergistically with bupropion to release POMC neurons from the inhibitory feedback mechanism that limits their activity.


-Long acting opioid receptor antagonist



Used to treat alcohol and opioid dependences

Liraglutide

Mechanism: Glucagon-like peptide 1 receptor (GLP-1R) agonist, mechanisms for actions of GLP-1R agonists appear to overlop with those activated by PYY.




-Suppresses appetite


-Drug for type 2 diabetes


-Decreases gastric emptying