2018, Número 6
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Med Int Mex 2018; 34 (6)
Actualidades en el tratamiento farmacológico a largo plazo de la obesidad. ¿Una opción terapéutica?
Alarcón-Sotelo A, Gómez-Romero P, De Regules-Silva S, Pardinas-Llergo MJ, Rodríguez-Weber FL, Díaz-Greene EJ
Idioma: Español
Referencias bibliográficas: 59
Paginas: 946-958
Archivo PDF: 428.73 Kb.
RESUMEN
La obesidad es una enfermedad crónica, con afección sistémica y de carácter multifactorial
que constituye un grave problema de salud pública, considerada por la
Organización Mundial de la Salud una epidemia global. La obesidad es resultado del
equilibrio energético positivo por tiempo prolongado, donde la energía derivada de
los alimentos excede la energía gastada en la vida cotidiana. En vía de poner fin a
este problema de salud pública se han buscado opciones de tratamiento, si bien las
modificaciones al estilo de vida, incluida la dieta y el ejercicio, siguen siendo la piedra
angular del tratamiento de la obesidad, estas modificaciones no han permitido mantener
resultados a largo plazo, por esta razón los medicamentos contra la obesidad se
vuelven una opción viable. Son cinco los medicamentos aprobados por la Dirección
de Alimentos y Fármacos de Estados Unidos para el tratamiento a largo plazo de la
obesidad: orlistat, fentarmina/topiramato de liberación prolongada, lorcarserina, naltrexona/
bupropión de liberación prolongada y liraglutida, mismos que han demostrado
eficacia y seguridad necesaria para tomarse en cuenta como una opción terapéutica.
En este artículo revisaremos la eficacia y seguridad de cada uno los medicamentos
aprobados contra la obesidad que se encuentran disponibles.
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