What is Acomplia?
How does
Acomplia work?
-
Acomplia
acts by selectively blocking CB1 receptors found in the brain
and in peripheral organs important in glucose and lipid (or
fat) metabolism, including adipose tissue, the liver, gastrointestinal
tract and muscle1
-
Acomplia
switches off the same brain circuits that make people hungry
when they smoke cannabis
-
CB1 receptor
blockade with Acomplia acts to decrease the overactivity
of the endocannabinoid system (EC system)2,3. The EC system
is a recently characterised physiological system that includes
receptors such as the CB1 receptor and it has been shown to
play an important role in regulating body weight and in controlling
energy balance, as well as glucose and lipid (or fat) metabolism.
What is Acomplia
used for?
-
Acomplia
is used complementary to diet and exercise to treat obese
or overweight patients who suffer from Type 2 diabetes and
abnormal levels of fat in the blood
-
Acomplia
can also prevent the risk of cardiovascular disease
-
Patients
with large waist circumference (102 cm in men and 88 cm in
women) will mostly benefit from taking the drug.
Does Acomplia
also aid smoking cessation?
Clinical trials
have shown that heavy smokers, after being on a regular supplement
of Acomplia, have stopped smoking altogether. Smokers usually
do not stop smoking for fear of weight-gain, which can be highly
discouraging. However since Acomplia works on the overeating and
smoking factors simultaneously such problems wouldn't arise.
What are the side effects of Acomplia?
The most common
side effects for Acomplia are:
* feeling
nauseous and, occasionally, vomiting;
* diarrhoea;
* headache and dizziness; and
* feeling irritable and restless less commonly, it can
produce anxiety and depression.
Those who
take the lower dosage of 10mg are less likely to experience any
side effects. As with all medications, it is necessary to balance
the benefits achieved against the small risk of some adverse effects.
One of the
problems is that Acomplia is designed to change your mood.
Before taking it, you enjoyed eating. Now you find you do not
want to eat as much. Obviously, this helps you to maintain momentum
on the diet. You may also be healthier because it is easier to
quit smoking and give up recreational drugs. The difficulty some
people face is reconciling their hopes with reality. They begin
with the best intentions of losing weight and rebuilding self
esteem, but when the expected results do not come within days,
they first grow anxious and then depressed.
This is a
not unexpected result, but Acomplia may be a factor in
making such emotions seem stronger. The suggestion is also made
that people do not gain the same emotional satisfaction from exercising
and so lose motivation more rapidly. All weight loss is to some
extent a test of character. No matter how much the medication
may help you to feel less hungry, you have to take the decision
to respond by eating less and eating more healthy food. Similarly,
even though you may feel that the exercise is not working as quickly
as you had hoped, you cannot give up. Exercise burns the calories.
It speeds up the weight loss.
The drug,
marketed in Europe as Acomplia, may ultimately be sold in the
United States as Zimulti -- but that day appears several years
off after an FDA advisory panel voted against sale of rimonabant
in summer 2007 out of concern over its depressive side effects.
The Zimulti
Acomplia Report, updated daily, will track the continuing efforts
of Sanofi to get rimonabant approved for sale in the U.S. The
Zimulti Acomplia Report also will provide news and reviews related
to rimonabant so those eager to try this new anti-obesity drug
will have the latest information on availability, weight-loss
results and side-effects.
The German
state insurance system earlier classified Acomplia a life-style
drug and rejected reimbursing patients, and the French government
has agreed to provide partial coverage only for obese (not simply
overweight) patients who also have inadequately controlled type
2 diabetes.
Acomplia was approved by Brazil for use "as an adjunct to
diet and exercise for the treatment of obese patients (BMI more
than 30) or overweight patients (BMI more than 27) with associated
risk factors, such as type 2 diabetes or dyslipidemia."
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