Drugs for weight loss (tablets and other means ) - Causes, Symptoms and Treatment .MF .

August 12, 2017 17:52 | Medicine

Obesity - a chronic disease characterized by excessive accumulation of adipose tissue.At the heart disease is a progressive disorder of metabolism.Cosmetic problems are only the tip of the iceberg for obesity.Very often there are serious health problems: type 2 diabetes mellitus, hypothyroidism, hypertension, problems with joints and spine, infertility.To avoid serious consequences, it is necessary to pay attention to the disease and seek medical help from professionals.The main treatments ozhireniyana date include: the selection of an adequate diet, training in special groups, the promotion of physical activity, psychological support, surgery and pharmacological agents.Let's take a closer look at exactly medication.

Like all medications and dietary supplements, slimming do not take uncontrollably.Self-medication can be dangerous.Preparations for the treatment of obesity seriously interfere with the metabolism and have many contraindications and side effects.They can be used only after examination by a

physician and under strict supervision of a number of indicators.Even if you are not using the drug, and of biologically active food additives, there may be side effects.Such additives can be used alone if there is no chronic diseases, but only for a short (up to 1-3 months).If you have a heart, blood vessels, gastrointestinal disease, diabetes, or if your age is over 40 years old, before using any drug it is necessary to be examined by a medical practitioner or endocrinologist.Usually enough to pass blood tests (clinical and biochemical), urine, make ECG.Many dietary supplements contain laxatives and diuretics, caffeine in large doses.The use of these substances may lead to serious consequences in debilitated and particularly sensitive patients: sleep disturbances, disruptions in heart, low blood pressure, or hypertension stroke, dehydration and so on.

Drugs for weight loss

drug to prove its effectiveness somewhat officially in Russia, only two such drugs: sibutramine and orlistat .

For most funds, which are available over the counter without a prescription, they are biologically active additives and their performance in relation to weight loss is not confirmed serious research.The effect of such funds are usually small and short-lived.Many experts believe that the positive effect of dietary supplements can be attributed to psychological placebo effect.When a patient starts taking drugs, it is easier to tune to the diet and keep a regimen of physical activity.Laxatives and diuretics components such additives, of course, affect the body weight, but they do not affect the metabolism and the amount of adipose tissue, and hence, to the treatment of obesity have only an indirect relationship.Lost weight quickly back again.

greatest trust of all additives is fiber and products on its basis .Fiber is mechanically reduces the stomach, it helps to feel satiety even small portions of food.And this in turn helps to keep to a diet and lose weight.However, no food additives are not considered serious antiobesity and are not included in the approved standards of care.

These drugs for obesity are sold in pharmacies by prescription.The doctor prescribe this medication if diet and exercise are not effective and only with a body mass index over 27 kg / m².Body mass index (Quetelet index) is calculated using a special formula (weight in kilograms divided by height in meters squared).Norma is considered the index from 18.5 to 25 kg / m².So human growth of 1 meter 70 centimeters and weighing 60 kilograms, the body mass index is 60 / 1,7², ie 20,76 kg / m².Index of from 25 to 30 indicates the presence of excess body weight and above - the presence of obesity.And on the severity of the process is isolated obesity first, second and third degree.

treatment of any degree of obesity begin with the appointment of diet and adequate physical exercise.The main thing that people spend more calories than it receives with food.It is important to reduce animal fats and simple carbohydrates consumption.

indication to begin drug therapy is the lack of weight loss of more than 5% for 3 months or 10% for the six months of non-drug treatment for body mass index over 30 kg / m².Or the presence of diabetes mellitus, hypertension, polycystic ovary syndrome, infertility, abdominal obesity type, combined with a body mass index over 27 kg / m² and inefficiency diet therapy alone.Currently clinically used drugs orlistat and sibutramine.Scientific and justified the use of some other drugs, but they have not yet been fully tested and have not received the approval of the inspection organizations.One of the most promising drugs in this respect is liraglutide, which is still used only for the treatment of diabetes.

most commonly for the treatment of obesity, doctors prescribe sibutramine .This medicine is banned in some countries, due to the identification of high risk of death from cardiovascular events (stroke, heart attack) and suicide in those taking the drug.the original drug is not sold in Russia (Meridia), but it is quite possible to buy analogues (Reduxine, Goldline).The action of the drug center.The drug reduces the reuptake of serotonin ( "happiness hormone"), thereby increasing its concentration in brain.As a result, it reduced appetite, faster saturation occurs, the patient ceases to overeating and stress "jam".Sibutramine appointed interior, regardless of the meal at a starting dose of 10 mg per day.In addition to loss of appetite, this medication increases the metabolic rate, heat production increases.The strong effect of the drug has for the first months of use, then the appetite can return.Sibutramine should be given preference in bulimia and low saturation occurs.This drug is in any case can not be taken on the advice of friends, or under the influence of advertising, the Internet - is too high risk of complications.It should be noted that ReduksinLayt product does not contain sibutramine and refers to biologically active additives to food.

Orlistat (Xenical) is further recorded in the Russian anti-obesity medication.It is preferred in combination of overweight and hypertension.Orlistat prescribed orally before or during main meals to 120 mg three times a day, no more than 2 years.An advantage of the drug is that it works only in the intestine and has no systemic effect.This means that the risk for cardiac, vascular, mental processes, like sibutramine, is not observed.Orlistat action is that it reduces the activity of enzymes that break down fat in the gut lumen.As a result, most of the fat, incoming food, displays, and is not absorbed.Fat is rich in calories (more than carbohydrates and proteins), so the body "loses" a lot of energy.And then it begins to consume stored fat tissue, and the person loses weight.Orlistat does not negate the diet.On the contrary, it is impossible to overeat fat - can develop diarrhea.Caloric intake should be low.Continuous chronic administration of orlistat leads to vitamin deficiencies of fat-soluble vitamins (A, D, E).This complication may occur no earlier than in 1.5-2 years of continuous use of the drug.Plus orlistat is that it is necessary to drink just before a fatty meal.If you miss a meal or the meal contains no fat, then take orlistat is not necessary.Sometimes patients take the drug occasionally - only to feasts on holidays, or for a single violation of the diet.Orlistat is almost does not help those who overeat carbohydrates.Sugar, candy, marshmallows and absorbed while taking the drug.The same applies to bread, pasta, potatoes.

Myths about medicines for weight loss

So myth is the assertion that a certain drug will help to lose weight without dieting.Whatever we may say - of proven drugs or biologically active additives to food - a diet is an integral part of the treatment and must always accompany the administration of drugs.It is also important to distinguish between drug food additives.The latter can be purchased without a prescription, but in the fight against obesity their action is very doubtful.

Another myth that only medicines for weight loss help weight loss, but only hurt any other, especially hormonal.This is not true.In many endocrine disturbances adequate treatment of the disease helps normalize weight, even without the use of diet pills.

Unfortunately, obesity is rarely a reason for seeking medical help.Someone does not consider overweight a big problem, some prefer to fight on their own.But endocrinologist or physician will be able to diagnose obesity, eliminate its secondary form (as a symptom of other diseases), to identify the complications of the disease, put the real goal of treatment.Only a qualified professional can help to understand the vast amount of information about the excess weight, which saturated the Internet and print media.Your doctor will help you choose an adequate diet and drug therapy.Also it is important to regularly observed and examined during the treatment process, in time to adjust therapy and eliminate any side effects.

Correctly chosen treatment of obesity will reach the ideal weight and most importantly save the result for many years.If you follow all the doctor's recommendations and come to serious lifestyle changes, the weight will fall gradually - by an average of 0.5-1 kg per week, which will lose weight in a few months by 8-10%.Such a loss of body weight has a positive effect on the metabolism and helps maintain health.

endocrinologist Tsvetkova IG