Are Diet Pills or Supplements for Weight Loss Right For Me?
In addition to therapeutic lifestyle changes and medical nutrition plans, weight loss medications may be needed to get the results you are looking for. They come in several categories. Two prominent categories include appetite suppressants, also called anorectics, and those that cause malabsorption.
Diet pills review
A drug called Orlistat, now under the brand name Alli®, which is available over-the-counter, is a drug that inhibits pancreatic lipase, an enzyme that breaks down fat and decreases fat absorption. There are other medications that have been approved for short term use at three month intervals.
Phentermine, which is generic for Adipex® and diethylproprion, which is generic for Tenuate®, are popular drugs used for their appetite suppressing qualities. Both phentermine and diethylproprion are controlled substances and may have side-effects.
New FDA approved diet pill – weight loss medication Qsymia
We are also happy to announce that we prescribe Qsymia™, a newly FDA approved medication for weight loss. W8MD can offer the brand name Qsymia or the generic combination with Phentermine an Topamax at a dollar a pill when medically appropriate as determined by the weight loss doctor after the consultation.
Qsymia must not be used in patients with glaucoma or hyperthyroidism. Qsymia can increase heart rate; this drug’s effect on heart rate in patients at high risk for heart attack or stroke is not known. Therefore, the use of Qsymia in patients with recent (within the last six months) or unstable heart disease or stroke is not recommended. Regular monitoring of heart rate is recommended for all patients taking Qsymia, especially when starting Qsymia or increasing the dose.
The FDA approved Qsymia with a Risk Evaluation and Mitigation Strategy (REMS), which consists of a Medication Guide advising patients about important safety information and elements to assure safe use that include prescriber training and pharmacy certification. The purpose of the REMS is to educate prescribers and their patients about the increased risk of birth defects associated with first trimester exposure to Qsymia, the need for pregnancy prevention, and the need to discontinue therapy if pregnancy occurs. Qsymia will only be dispensed through specially certified pharmacies.
Vivus Inc. will be required to conduct 10 postmarketing requirements, including a long-term cardiovascular outcomes trial to assess the effect of Qsymia on the risk for major adverse cardiac events such as heart attack and stroke.
The most common side effects of Qsymia are tingling of hands and feet (paresthesia), dizziness, altered taste sensation, insomnia, constipation, and dry mouth. Qsymia is marketed by Vivus Inc. in Mountain View, Calif. Learn more on Qsymia.
Orlistat Orlistat (Xenical) reduces intestinal fat absorption by inhibiting pancreatic lipase. Some side-effects of using Orlistat include frequent, oily bowel movements (steatorrhea). But if fat in the diet is reduced, symptoms often improve. Originally available only by prescription, it was approved by the FDA for over-the-counter sale in February 2007. On 26 May 2010, the U.S. Food and Drug Administration (FDA) has approved a revised label for Xenical to include new safety information about cases of severe liver injury that have been reported rarely with the use of this medication. Of the 40 million users of Orlistat worldwide, 13 cases of severe liver damage have been reported.
Diet pill – Belviq
Lorcaserin (Belviq for weight loss) was approved June 28, 2012 for obesity with other co-morbidities. The average weight loss by study participants was modest, but the most common side effects of the drug are considered benign.
An excerpt from the Bloom 1 Study conducted by Arena Pharmaceuticals and later submitted for FDA approval:
At the end of Year 1 of the BLOOM trial, using Intent-to-Treat with Last Observation Carried Forward analysis (ITT-LOCF), the proportion of patients achieving at least 5% body weight loss in the lorcaserin group (47.5%) was more than twice that achieved by the placebo group (20.3%).
Nearly three times as many patients achieved at least 10% weight loss in the lorcaserin group (22.6%) than in the placebo group (7.7%). Learn more on Belviq
New weight loss drugs approved in 2015
Rimonabant weigth loss medication (Acomplia) is a recently developed anti-obesity medication. It is cannabinoid (CB1) receptor antagonist that acts centrally on the brain thus decreasing appetite. It may also act peripherally by increasing thermogenesis and therefore increasing energy expenditure.
Weight loss with Rimonabant however has not been shown to be greater than other available weight-loss medication. Due to safety concerns, primarily psychiatric in nature, the drug has not received approval in the United States or Canada, either as an anti-obesity treatment or as a smoking-cessation drug.
Exenatide Exenatide (Byetta) is a long-acting analogue of the hormone GLP-1, which the intestines secrete in response to the presence of food. Among other effects, GLP-1 delays gastric emptying and promotes a feeling of satiety. Some obese people are deficient in GLP-1, and dieting reduces GLP-1 further.
Pramlintide (Symlin) is a synthetic analogue of the hormone Amylin, which in normal people is secreted by the pancreas in response to eating. Among other effects, Amylin delays gastric emptying and promotes a feeling of satiety. A drawback is that Symlin must be injected at mealtimes.
Other drugs Other weight loss drugs
Alternative medicine Most supplements and alternative medicine has insufficient evidence to support or oppose its use.
Conjugated linoleic acid for weight loss: It is claimed to reduce body fat. It is possibly effective. The side effects include ppset stomach, nausea, loose stools
Green tea extract for weight loss: The claim is that it helps decrease appetite, and increases metabolism, fat cell death. There is insufficient evidence to evaluate this in studies. Side effects of this medication include Dizziness, insomnia, agitation, nausea, vomiting, bloating, gas, diarrhea
Khat weight loss supplement: The claim is that it reduces appetite. It’s long term use (high dosage) may cause liver damage, heart problems
Lipoic acid for weight loss: The claim is that it increases glucose absorption in muscles rather than fat.
ECA Stack for weight loss: The claim is that it increases metabolism. Side effects include severe skin reactions, irritability, nervousness, dizziness, trembling, headache, insomnia, profuse perspiration, dehydration, itchy scalp and skin, vomiting, hyperthermia, irregular heartbeat, seizures, heart attack, stroke, or death.
Raspberry ketone for weight loss: The claim is that it increases norepinephrine-induced lipolysis. There are no large studies to show clinical evidence in humans.
Risks and Benefits
While there are risks and benefits to almost anything in life, one benefit you will find at Dr. Tumpati’s W8MD Medical Weight Loss Center is knowledgeable staff that will take the time to review these medications with you. Ultimately it is up to you and your health provider to safely add medication to any weight loss program.
Weight loss medications are only useful for those already on a healthy lifestyle program who are not losing weight as expected. They are especially beneficial for people with BMI of 27 or greater, who are concerned about their weight, disease risk and current health status.
No matter which program you choose, we are excited to be on your team. Numerous programs place emphasis on vitamin pills or herbs. They may promote certain medications, injections or surgery. Our programs are so flexible they work with any program you may be on. For example, you may want to add medication to the benefits of Weight Watchers® or Jenny Craig®. Any program you use that is effective for you can be continued.
At W8MD medical weight loss centers, we put the person first above all else. When you are first, you can’t lose. We will give the choices with no obligations, setup fees or mandatory products, with insurances accepted for weight loss visits.
This is so affordable compared to $325.00 consultations from some of the “Cash Only” weight loss clinics!
Frequently asked questions related diet pills
- What are the best prescription diet pills?
In a large study with 30,000 patients, that compared the various prescription diet pills, this is what they found:
In this large study published in JAMA, in a sample of 30,000 patients, this is what they found – the goal is a weight loss of at least 5%:
- 75 percent of participants taking phentermine-topiramate
- 63 percent of participants taking liraglutide
- 55 percent taking naltrexone-bupropion
- 49 percent taking lorcaserin
- 44 percent taking orlistat and
- 23 percent of placebo participants had at least 5 percent weight loss
- Do diet pills really work?
Yes. The FDA requirements for approval of any prescription diet pill must demonstrate safety and efficacy with a minimum weight loss of at least 5% of the baseline body weight and must be placebo controlled.
- Are weight loss pills dangerous?
Although like all medications, they do have certain side effects, most weight loss medications are relatively benign and can offer significant health benefits through weight loss. It is important to keep in mind that losing even 5 pounds of weight, if maintained, can lead to overall improvement in morbidity and mortality of about 40% in men and 48% in women.
- What is the best over the counter diet pill for belly fat?
Alli or orlistat might be the only OTC diet pill that has proven results although the side effects such as loose stools can be troublesome.
- Are there any safe diet pills?
The new diet pills such as Saxenda, Contrave, Belviq, Qsymia, or traditional diet pills such as Phentermine, Diethylpropion and Phendimetrazine are safe when used in the right patient under careful medical supervision.
- Are there any pills that burn belly fat?
While there is no way to target some areas versus the other, understanding the cause of the belly fat such as insulin resistance and reversing it via changes in the diet can help.
- What can I take to burn belly fat?
Losing weight will help reduce belly fat.
- Can doctors prescribe anything for weight loss?
Other commonly asked questions at the weight loss doctor consultation:
- What drug suppresses the appetite?
- What is the most effective prescription weight loss pill?
- What is the best appetite suppressant for weight loss?
- What is the safest appetite suppressant?
- What can I eat that has no calories?
- What is the safest appetite suppressant over the counter?
- What is the best over the counter diet pill for belly fat?
- How can I reduce my appetite permanently?
- What is the strongest natural appetite suppressant?
- How can I shrink my stomach and reduce my appetite?
- How can I stop feeling hungry all the time?
- Can you shrink your stomach?
- Why do I still feel hungry after eating a lot?
- How do I stop my stomach from growling without eating?
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Weight Loss Prescription Diet Pills
- Contrave (Bupropion and Naltrexone) – new weight loss medication
- New weight loss drug FDA approved in December of 2014, Saxenda
- Phentermine and Topiramate (Qsymia)- (Phentermine and Topiramate is one of the most popular and most effective weight loss medications) for fast weight loss!
- Lorcaserin (Belviq) – FDA approved in June of 2012.
- Phentermine (Adipex)
- Topiramate (Topamax)
- Phendimetrazine (Bontril)
- Diethylpropion (Tenuate)
- Xenical and others