Updates in obesity pharmacotherapy

Authors: Ubomíra Fábryová 1,2
Authors‘ workplace: Metabol KLINIK s. r. o., Ambulancia pre diabetológiu, poruchy látkovej premeny a výživy, Špecializovaná lipidologická ambulancia, MED PED centrum, Bratislava 1;  Biomedicínske centrum SAV, Bratislava 2
Published in: Forum Diab 2019; 8(2): 71-79


Obesity is a multifactorially conditioned chronic preventable disease defined by excessive fat accumulation due to an imbalance between energy intake and expenditure. It is a huge problem worldwide, independent of gender, ethnicity and age. The number of obese people is constantly increasing. Pharmacological treatment is an important part of obesity management in addition to lifestyle changing. In the European Union, we currently have three drugs for chronic obesity treatment: orlistat, a combination of naltrexone SR / bupropion SR and liraglutide 3.0 mg. Up to now, the expectations we have had regarding to the available pharmacotherapy of obesity have not been met in terms of safety, efficacy and, in particular, long-term sustainability of reduced weight. The future of personalized obesity pharmacotherapy is based on the concept of developing multilevel drugs with minimal adverse events. Looking at the results of preclinical and clinical trials, it is clear that the treatment of type 2 diabetes mellitus and / or obesity will continue to develop the multifunctional peptides – dual, respectively triple (possibly quadruple) agonists that represent more than one pharmacological activity.


bupropion SR – liraglutide – multifunctional peptides – naltrexone SR – pharmacotherapy of obe­sity – semaglutide

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