Prescription Weight Loss / Diet Pills: What Are the Options? Prescription weight loss pills, also called anti-obesity drugs or “diet pills”, are sometimes prescribed to a patient as an additional tool in the treatment for weight loss . Weight loss drugs should not be used as a substitute for healthful eating and a regular exercise program. Most weight loss drugs that suppress the appetite are known as anorexiants . Common "Diet Pills" or Weight Loss Drugs. How Effective are Weight Loss Drugs? Weight loss drugs may not work for everyone. Who are Candidates for Weight Loss Drugs? However, prescription weight loss drugs should be used in addition to diet and exercise. Weight loss drugs should not be used during pregnancy. All weight loss drugs fall under pregnancy category X and are contraindicated in pregnancy.
Also, herbal weight-loss products contain many ingredients, some of which have serious side effects and can lead to dangerous health situations (toxicities). Most people who sell herbal products have limited knowledge how these products work and wouldn’t be able to tell you about reported problems with the herbs or how they might affect the drugs you may be taking. For all of these reasons and lack of proven health benefits, use of herbal products as weight-loss aids is not encouraged. Do not take herbal remedies if you are taking a long-term drug (eg, high blood pressure medications, antidepressants , and other drugs). What are some of these over-the-counter and herbal products and what should I know about each of them? There are many over-the-counter and herbal products. Here are some key points of some of the most popular products and what ‘science’ says today about their effectiveness as weight loss agents. John's wort for weight loss is potentially very dangerous and it should not be used as a weight-loss product. Oral aloe causes bowel movements and many aloe weight-loss products are marketed as "internal cleansers." The use of aloe supplements has not been shown to be effective for permanent weight loss. It is a common ingredient in weight loss products and is mostly used as a laxative for constipation . Many varieties of herbal diuretics are very commonly found in over-the-counter (OTC) weight loss products and herbal weight-loss products. Most of the herbal diuretics do not provide enough diuresis (water loss) to be considered effective weight loss aids.
In order to help you find the one that not only works for you, but also is safe, you need to understand what these supplements actually do. Some products help to block the fats that you ingest from being absorbed into your body. And then there is the most popular variety which helps to raise your metabolic rate for an increase in the overall number of calories that you are able to burn throughout the day. Fat blocking agents will help you to get rid of your body fat by preventing a certain percentage of the dietary fats you ingest from being absorbed. When using this classification of weight loss supplement, key ingredients such as Chitosan and Orlistat enter into your digestive system and bind with the fat in the food that you have eaten. One of the most sought after weight loss supplements on the market today work as appetite suppressants , helping to control your urge to eat when you know you shouldn’t. Although you will feel the initial rush of positive effects when taking metabolic boosters, you should not overdo it with these types of supplements. This will give your body a chance to avoid burnout and will help you to avoid becoming immune to the effects of the stimulants contained in them. In the end, the truth is that most fat loss supplements can be both safe and effective when used as directed. They can help you jumpstart your weight loss if you have hit a plateau and can even help to get you motivated right from the beginning. So, if you are considering using weight loss supplements in your program, the choice is yours to make and it is best to consult your doctor or weight loss specialist about this.
And finally, there are herbal supplements for weight loss that you'll find in many vitamin shops and drug stores. The best resource for information regarding the use of any supplement or weight loss pill is your healthcare provider. The diet pill is prescribed along with a reduced-calorie diet and exercise program to help people lose weight. Non-Prescription Weight Loss Pills and Supplements. This is the only over-the-counter weight loss pill approved by the FDA. Lipozene for weight loss is the most popular product that contains glucomannan. Unfortunately, the studies have been inconclusive and have not been able to confirm that the fiber substance can help you lose weight. However, the NIH found that chromium has no significant benefits for weight loss. There is little evidence to support the use of bee pollen for weight loss. If the weight loss pill that you are interested in is not listed above, visit the National Institutes of Health Dietary Supplement Fact Sheets website. And remember to talk to your doctor about any diet pill or weight loss supplement that you are considering.
While side effects from Alli are slightly lower than with its prescription cousin (because of the lower dose): they remain unpleasant: oily stools and discharge and potential bowel accidents if too much fat is eaten at one sitting. The net weight loss effect with Alli: about 50% greater than diet and exercise alone. Many other over the counter diet supplements are promoted as helping with weight loss, but few have actually been proven to work. Worse, some of the ingredients used in OTC diet supplements may be dangerous. The Food and Drug Administration classifies herbal products as dietary supplements. This means that they are unregulated and can be marketed without the years of testing and regulatory review required for prescription (and nonprescription) drugs. Remember that supplements can have side effects, and you should check with your doctor first before taking any type of supplement, including OTC diet pills. These products contained many other ingredients, and it is unclear which ingredients or doses were associated with the liver problems. Cascara : An effective laxative but ineffective weight loss agent, cascara interacts with other drugs and can throw off the body's mineral balance. Yerba mate: Often used in a tea, yerba mate ingestion can result in high blood pressure and overstimulation of the central nervous system. Guar gum : It is used in the food and pharmaceutical industries as a thickening agent, but taken alone, guar gum can swell on contact with liquid, potentially leading to an obstruction. Use of ephedra can cause high blood pressure and other cardiovascular problems.
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With more than 36 percent of American adults now classified as obese according to the Centers for Disease Control and Prevention, and the numbers still climbing, doctors are clamoring for more pharmaceuticals to treat their patients. But even as doctors have begun scribbling prescriptions for these new weight loss medications, many dieters remember the long and checkered past of diet drugs in this country. Some drugs that were originally viewed as rock stars for weight loss and appetite control were ultimately pulled off the market after it was found they posed serious health risks. "Once people stopped losing weight they would take more and more of the pills, and this left some feeling racy and agitated with a rapid pulse and high blood pressure," said Dr. By the 1970s, the FDA limited its use for weight loss to short-term treatment only. Riding the wave of the supplement's popularity a similar drug named dexfenfluramine and marketed as Redux was quickly approved by the FDA in 1996. Approved in 1997, the drug was found during clinical trials to increase heart rate and blood pressure. The drug's risks proved not to be worth the benefits: Studies found a 16 percent increase of major cardiac events in patients taking Meridia compared with those who weren't taking the drug, with a negligible difference in weight loss. Done often enough, the drug is not as effective and weight loss is minimal. Belviq is approved for the obese and those who are overweight and have other serious health risks. In clinical trials, the average person lost 3 percent to 3.7 percent of his weight after taking Belviq for a year compared to those taking a placebo. The FDA said patients should stop taking Belviq if they fail to lose 5 percent of their body weight after three months of use. Patients are unlikely to see any significant weight loss by staying on the drug, the agency said. About half of the 4,430 overweight and obese patients in the Qsymia studies on the recommended dosage lost an average of 10 percent of their weight in the first year of taking the drug. We are talking about taking a pill to fix what's busted - the circuitry of the brain that misreads the signals of appetite, fat storage and other factors.
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What are weight loss drugs and how do they work? Taking a weight loss drug may not result in weight loss by itself. Signals to indicate fullness come from fat cells and the gastrointestinal tract; these converge with signals in the central nervous system. Only one drug among the weight loss medications works in a different way.
Do Any Over-the-Counter Weight Loss Pills Actually Work? The evidence supporting these products for weight loss is lacking. Consult your healthcare provider before starting any weight loss program. Would you like to view your Health Savvy Programs now, or stay on this page and continue reading this article? In order for us to best serve you and provide you with the best information, can you please tell us if you currently have health insurance? In order for us to create your customized Health Savvy programs, we need a little more information about the health topic(s) that you are interested in. You've chosen to add topics from the topic group to your selected topics. Are you sure you want to add all of these topics? Remember, you need at least one selected topic to use Health Savvy. If you choose this option, it cannot be undone, and you'll need to choose at least new topic to continue using your Health Savvy programs. Are you still sure that you want to clear all of you selected topics?
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| By Craig Smith. Craig Smith. Craig Smith covers weight loss and exercise programming for various online publications. Smith also holds a diploma in exercise physiology and kinesiology from the National Personal Training Institute. Certain over-the-counter supplements have been found to be safe and effective for weight loss. The Mayo Clinic reports, "Chromium supplementation is found to be likely safe, which is the clinic's top classification for safety of over-the-counter supplement use." Chromium is claimed to decrease appetite and elevate metabolic rate while aiding in lean tissue growth; however, insufficient evidence is available to back these claims.
Her friend gave her Oxy ELITE Pro, a weight-loss supplement she said would give Samone the energy she needed to push through it. Samone wasn't worried; she assumed there was more to the story (and in fact, a Pentagon investigation couldn't find direct evidence that DMAA was responsible for those deaths). "We agreed that the soldiers had probably misused it," Samone says. It never occurred to her that the pills might be contributing to her symptoms, and she was determined to lose weight, so she kept taking them. So in early September, she called the FDA to report her suspicions. To her dismay, she found that "it's not the easiest thing to contact the agency. I need to go to the hospital.'" There, a liver specialist quizzed Samone on everything she had done and eaten. She thought he was talking about the first recall, and said she did. Then they checked the date and found that the new version had been recalled too, only days before. It was supposed to be off the market, but his patients didn't know and kept buying it, he says. She spent a week and a half in the hospital in 2013, awaiting the results of a biopsy of her liver.
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And are they a safe option for weight loss? The most effective way to lose weight and keep it off is through lifestyle changes. Weight-loss pills — prescription medicines, nonprescription drugs, herbal medicines or other dietary supplements — are all, at best, tools that may help with weight loss. But there is relatively little research about these products, and the best studied of these are prescription weight-loss drugs. Also, possible side effects and adverse reactions to weight-loss pills can affect the treatment outcome. And researchers know much less about the potential benefits and risks of over-the-counter weight-loss products. The standards for regulating the production and marketing of these two types of treatments are different. The maker of a dietary supplement is responsible for ensuring the safety of a product and making honest claims about possible benefits. Among people completing the trial, the average weight loss in the supplement group was 4.2 pounds (1.9 kilograms). The average weight loss in the placebo group was 0.9 pounds (0.4 kilograms). And the trial was only eight weeks, which is not long enough to know if the supplement will help promote weight loss over the long term. Dietary supplements for weight loss. The use of green coffee extract as a weight loss supplement: A systematic review and meta-analysis of randomised clinical trials.
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To prevent the use of PPA by teenagers for weight loss, the FDA suggested labeling weight loss aids containing PPA, "For use by people 18 years of age and older."  Until PPA is given a clear vote of safety through the provision of adequate safety data to the FDA, pharmacists should not recommend its use by teenagers. Ephedrine has become one of the most widely abused and dangerous OTC ingredients available on the market. Once considered safe and effective for asthma by the FDA, it has recently been the subject of intense scrutiny as a result of abuse. Withdrawal of the popular "fen-phen" diet regimen left dieters without a safe and effective OTC weight loss aid. Many of these products contain ephedrine to mimic the action of phentermine. In light of over 800 adverse event reports for ephedrine from 1994-1997, the FDA has cautioned consumers not to use herbal "fen-phen" products. A 16-year-old took Blast and Burn as directed on the package for several weeks. A 19-year-old took Shape Fast for weight loss, in only half the recommended amount, for one month. She had no past history of seizure and the neurologist could discover no other risk factors. At the termination of the seizure, he experienced residual headache and dizziness. She experienced dizziness, tachycardia, and sleeplessness within two hours.8 The following morning she fainted in the shower, injuring her back and neck. She did not use the product again, and her symptoms did not recur. She fell backward, and was unable to sleep for the following three nights. These cases show that the safety of ephedrine products is highly doubtful. Drugs: Many consumers at risk due to poor labeling, lax federal regulation, and a review process that presents special problems for the elderly.
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SOURCES: JAMA, 2014; GLAXOSMITHKLINE CONSUMER HEALTHCARE, 2014; NATIONAL INSTITUTES OF HEALTH OFFICE OF DIETARY SUPPLEMENTS, 2014; NATURAL MEDICINES COMPREHENSIVE DATABASE, 2014; GASTROENTEROLOGY RESEARCH AND PRACTICE, 2011; JOURNAL OF THE INTERNATIONAL SOCIETY OF SPORTS NUTRITION, 2013. Decreases absorption of dietary fat. Blocks absorption of dietary fat. Conjugated linoleic acid (derived from dairy products and beef) Upset stomach, nausea, constipation, loose stools; may decrease good cholesterol and increase bad cholesterol. Reduces absorption of sugar (glucose), increases calorie and fat metabolism. Possible modest benefit. Decreases fat absorption, increases calorie and fat metabolism. Blocks absorption of dietary fat, increases feeling of fullness. Dietary supplements for weight loss. Long-term drug treatment for obesity: A systematic and clinical review. National Center for Complementary and Alternative Medicine. The use of green coffee extract as a weight loss supplement: A systematic review and meta-analysis of randomised clinical trials.