However metabolites M1 and M2 inhibit the reuptake of these … Metabolites 5 and 6 are mainly excreted in the urine. Important: The information below refers to products available in the United States that contain sibutramine. Authors: Yoshida Et al. Brand Names; Herbal; Indications; Dosage Forms; News; Pharma Jobs; Documents; Contact; Options . It is classified as a Schedule IV controlled substance in the United States. Packaging: Box of 28 tablets. Sibutramine is metabolized by cytochrome P450 isozyme CYP3A4 into two pharmacologically-active primary and secondary amines (called active metabolites 1 and 2) with half-lives of 14 and 16 hours, respectively. [32], In a dissenting article, "Sibutramine: gone, but not forgotten", David Haslam (chairman of the National Obesity Forum) says that the SCOUT study is flawed as it only covered high-risk patients and did not consider obese patients who do not have cardiovascular complications or similar contraindications [33], On January 21, 2010, the European Medicines Agency recommended suspension of marketing authorizations for sibutramine based on the SCOUT study results. What is Sibutramin 20mg? [3] Reductil, Reduxade, Zelium (D, A, CH; außer Handel), Meridia (USA, außer Handel), LiDa (China) Zur Reduktion des Körpergewichts, zur Steigerung der körperlichen Leistungsfähigkeit sowie zur Wirkungssteigerung von Kaffee werden Sibutramin-haltige Produkte illegal in den Handel gebracht. Drug class (es): anorexiants. Product Form: Tablets. sibutramine systemic. Full Prescribing Information", "FDA APPROVES SIBUTRAMINE TO TREAT OBESITY", "Petition to FDA to ban the diet drug sibutramine (MERIDIA) (HRG Publication #1613)", "Effect of sibutramine on cardiovascular outcomes in overweight and obese subjects", "European Medicines Agency recommends suspension of marketing authorisations for sibutramine", "Abbott Labs Withdraws Meridia From Market", "FDA warns consumers about tainted weight loss pills", "Consumer directed questions and answers about FDA's initiative against contaminated weight loss products", "Chinese slimming capsules containing sibutramine sold over the Internet: a case series", "Fake Alli diet pills can pose health risks", "FDA Alert: Slimming Beauty Bitter Orange Slimming Capsules: Undeclared Drug Ingredient", "Press release: Warning over unlicensed herbal Payouji tea and Pai You Guo Slim Capsules", "PRock Marketing, LLC Issues a Voluntary Nationwide Recall of All weight loss formulas and variation of formulas of Reduce Weight Fruta Planta/Reduce Weight Dietary Supplement", "FDA Alert: Slim Xtreme Herbal Slimming Capsule: Undeclared Drug Ingredient", "Majestic slimming capsules: Safety advisory", "No Wonder It Works So Well: There May Be Viagra In That Herbal Supplement", Abbott Press Release on Meridia Withdrawal, U.S. Food and Drug Administration (FDA) product safety website, https://en.wikipedia.org/w/index.php?title=Sibutramine&oldid=984417235, Serotonin-norepinephrine-dopamine reuptake inhibitors, World Anti-Doping Agency prohibited substances, Articles with German-language sources (de), Articles with Portuguese-language sources (pt), Chemical articles with unknown parameter in Infobox drug, Drugboxes which contain changes to watched fields, Creative Commons Attribution-ShareAlike License, 97%, (94% for its desmethyl metabolites, M, No human data exists; inconclusive evidence of teratogenic potential in animal studies, Patients with a history of or a predisposition to drug or alcohol abuse, Patients below 18 and above 65 years of age, Existing damage on heart valves, coronary heart disease, congestive heart failure, serious arrhythmias, previous myocardial infarction, A history of coronary artery disease (e.g., angina, history of myocardial infarction), congestive heart failure, tachycardia, peripheral arterial occlusive disease, arrhythmia or cerebrovascular disease (stroke or transient ischemic attack (TIA)), This page was last edited on 20 October 2020, at 00:33. Effexor ). Sibutramine is reported to be a prodrug to two active metabolites, desmethylsibutramine (M1; BTS-54354) and didesmethylsibutramine (M2; BTS-54505), with much greater potency as MRIs. Yes. [40], In March 2010 Health Canada advised the public that illegal "Herbal Diet Natural" had been found on the market, containing sibutramine, which is a prescription drug in Canada, without listing sibutramine as an ingredient. It is a centrally-acting serotonin-norepinephrine reuptake inhibitor structurally related to amphetamines,although its mechanism of action is distinct. Sibutramine can substantially increase blood pressure and heart rate in some patients. Currently, no case of pulmonary hypertension has been noted. 20: 3509-3521, 2006. Available for Android and iOS devices. Generics. Sibutramine produces its therapeutic effect by norepinephrine, serotonin and dopamine reuptake inhibition. Sibutramine was originally developed in 1988 by Boots in Nottingham, U.K.,[13] and marketed by Knoll Pharmaceuticals after BASF/Knoll AG purchased the Boots Research Division in 1995, and was most recently manufactured and marketed by Abbott Laboratories before its withdrawal from most markets. We comply with the HONcode standard for trustworthy health information -, Search the entire Drugs.com site for sibutramine. Mass Spec. It has been sold under a variety of brand names including Reductil, Meridia, Siredia, and Sibutrex. In October 2010, Sibutramine was withdrawn from Canadian … Der Arzneiwirkstoff Sibutramin wurde bis 2010 als Appetitzügler (Anorektikum) zur Reduktion von starkem Übergewicht (Adipositas) verwendet. Older anorectic agents such as amphetamine and fenfluramine force the release of these neurotransmitters rather than affecting their reuptake.[22]. Symptoms that require urgent medical attention are seizures, problems urinating, abnormal bruising or bleeding, melena, hematemesis, jaundice, fever and rigors, chest pain, hemiplegia, abnormal vision, dyspnea and edema. Structural diagram of sibutramine — an oral anorexiant previously sold under the brand name Meridia. Despite a 2002 petition by Ralph Nader-founded NGO Public Citizen,[29] the FDA made no attempts to withdraw the drug, but was part of a Senate hearing in 2005. Sibutramine, formerly sold under the brand name Meridia among others, is an appetite suppressant which has been discontinued in many countries. Sibutramine systemic is used in the treatment of: Obesity. Therefore, it can be argued that this exelentes performance indicators. Active ingredient: Sibutramine. From claims records, we identified demographic information for each enrollee receiving a prescription for these three medications: sex, age, their insurance coverage (e.g., Die Substanz gehört zu den Serotonin-Noradrenalin-Wiederaufnahmehemmern und ist damit eng verwandt mit einigen Antidepressiva (z.B. published a study of sibutramine poisoning cases from similar Chinese "herbal supplements" sold in Europe, containing as much as twice the dosage of the legally licensed drug. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Add to cart . years) for sibutramine (marketed as Meridia), orlistat (marketed as Xenical or Alli), and phentermine (available in many forms both as a generic and brand name drug). What brand names are available for sibutramine? [11] However, the drug remains available in some countries.[12]. Sibutramine is not listed on the product label. Meridia. Narkiewicz K. Sibutramine and its cardiovascular profile. Brand Name Dosage Form Strength Company Pack Size & Price; Obenil Capsule 5 mg Square … Sibutramine is manufactured by Abbott Laboratories, under brand names such as Reductil, Meridia … Brands. Sibutramine (trade name Meridia in the USA, Reductil in Europe and other countries), usually as sibutramide hydrochloride monohydrate, is an orally administered agent for the treatment of obesity. [30] Similarly, David Graham, FDA "whistleblower", testified before a Senate Finance Committee hearing that sibutramine may be more dangerous than the conditions it is used for. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. [18] Sibutramine was first established in USA and it is being sold with different brand names. Marketing of sibutramine in Europe has already … It is a centrally-acting serotonin-norepinephrine reuptake inhibitor structurally related to amphetamines,although its mechanism of action is distinct. Sibutramine, marketed in Australia as Reductil, is a prescription medicine indicated for weight loss. Sibutramin ist ein Arzneistoff aus der Wirkstoffgruppe der Anorektika, der zur Reduktion von Übergewicht eingesetzt wird. "[44], Some illegal weight loss products imported into Ireland have been found to contain sibutramine. [34], In August 2010 the FDA added a new contraindication for patients over 65 years of age due to the fact that clinical studies of sibutramine did not include sufficient numbers of such patients. Chemical formula: C17H26ClNDrugbank ID: DB01105ATC code(s): A08AA10. BUTRAMIN: Sibutramine hydrochloride monohydrate INN equivalent to 5mg sibutramine hydrochloride INN/capsule: Capsule: Drug International Ltd. 30s pack: 120.00 MRP: OBENIL: Sibutramine hydrochloride monohydrate INN equivalent to 5mg sibutramine hydrochloride INN/capsule: Capsule: Square Pharmaceuticals Ltd. China,[3] the European Union,[4] Hong Kong,[5] India,[6] Mexico, New Zealand,[7] the Philippines,[8] Thailand,[9] the United Kingdom,[10] and the United States. Sibutramine is manufactured by Abbott Laboratories, under brand names such as Reductil, Meridia … The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. [24][25], Unlike other serotonergic appetite suppressants like fenfluramine, sibutramine and its metabolites have only low and likely inconsequential affinity for the 5-HT2B receptor.[21]. What are the side effects of sibutramine? Table of Contents 1 Profile 2 How it Works 3 Until 2010, it was widely marketed and prescribed as an adjunct in the treatment of obesity along with diet and exercise . Thevis M, Sigmund G, Schiffer AK, Schänzer W. Determination of N-desmethyl- and N-bisdesmethyl metabolites of Sibutramine in doping control analysis using liquid chromatography-tandem mass spectrometry. Sibutramine, usually available as sibutramine hydrochloride monohydrate, is an orally administered agent for the treatment of obesity, as an appetite suppressant. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include IBM Watson Micromedex (updated 6 Jan 2021), Cerner Multum™ (updated 4 Jan 2021), ASHP (updated 6 Jan 2021) and others. Er war nur in einem einzigen, verschreibungspflichtigen Medikament in Europa zugelassen (Deutscher Markenname: REDUCTIL®). Frequently encountered side effects are: dry mouth, paradoxically increased appetite, nausea, strange taste in the mouth, upset stomach, constipation, trouble sleeping, dizziness, drowsiness, menstrual cramps/pain, headache, flushing, or joint/muscle pain. [35], On December 22, 2008, the United States Food and Drug Administration issued an alert to consumers naming 27 different products marketed as “dietary supplements” for weight loss, that illegally contain undisclosed amounts of sibutramine. Originally developed and marketed by Knoll Pharmaceuticals, Meridia is the most popular brand name of sibutramine. Brand names: MeridiaDrug class(es): anorexiantsSibutramine systemic is used in the treatment of: → Search the entire Drugs.com site for sibutramine. (Fenfluramine, of the 1990s "Fen-Phen" combo, forced excess release of neurotransmitters—a different action. Do I need a prescription for sibutramine? Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. It was sold under a variety of brand names including Reductil, Meridia and Sibutrex. Learn how to pronounce the drug's name, its indications, dosage, how to take, when to take, … Reductil 15mg (Sibutramine) - 28 tablets quantity. [17], Sibutramine is a monoamine reuptake inhibitor (MRI) that, in humans, reduces the reuptake of norepinephrine (by ~73%), serotonin (by ~54%), and dopamine (by ~16%),[21] thereby increasing the levels of these substances in synaptic clefts and helping enhance satiety; the serotonergic action, in particular, is thought to influence appetite. Sibutramine (Reductil or Meridia) is an anorectic or appetite suppressant, reducing the desire to eat. "[42], In October 2010 the MHRA in the UK issued a warning regarding "Payouji tea" and "Pai You Guo Slim Capsules" which were found to contain undeclared quantities of sibutramine. Brand Name: Reductil. And only 10% said they had the appearance of side effects, so they had to cancel or reduce the drug. Sibutramine Available Brands Reset. The concomitant use of sibutramine and monoamine oxidase inhibitors (MAOIs, such as selegiline) is not indicated, as it may increase the risk of serotonin syndrome, a somewhat rare but serious adverse drug reaction. The parent compound and norsibutramine are often not detectable in urine, but dinorsibutramine is generally present at concentrations of >200 μg/L. [41] In October 2010 FDA notified consumers that "Slimming Beauty Bitter Orange Slimming Capsules contain the active pharmaceutical ingredient sibutramine, a prescription-only drug which is a stimulant. Abbott Laboratories was the last pharmaceutical company to produce and sell meridia until the FDA prohibited the sales of this drug in 2010. [16] Therefore, regular monitoring needs to be performed. Instead of the active ingredient orlistat, the counterfeit drugs contain sibutramine, and at concentrations at least twice the amount recommended for weight loss. Created using ACD/ChemSketch 10.0 and Inkscape. The following side effects are infrequent but serious and require immediate medical attention: cardiac arrhythmias, paresthesia, mental/mood changes (e.g., excitement, restlessness, confusion, depression, rare thoughts of suicide). The people who seem to benefit the most from Reductil are those who are severely obese. [36][37] In March 2009, Dieter Müller et al. It is a centrally-acting serotonin-norepinephrine reuptake inhibitor structurally related to amphetamines,although its mechanism of action is distinct. 1 Definition. Selected citations for Sibutramine hydrochloride include: 1 Citation: Showing 1 - 1. Eur. Sibutramine is well absorbed from the gastrointestinal tract (77%), but undergoes considerable first-pass metabolism, reducing its bioavailability. It was sold under a variety of brand names including Reductil, Meridia and Sibutrex in the United States. Manufacturer: Abbott. This concern is especially relevant to those with underlying medical conditions incompatible with undeclared pharmaceutical adulterants. Sibutramine substantially increases blood pressure and/or pulse rate in some patients. The recall stated that "there is NO SAFE formula on the US market and that all versions of Fruta Planta contain sibutramine. Rapid Comm. Brand names: Meridia. Date: 28 December 2006: Source: Own work: Author: Fvasconcellos: Permission (Reusing this file) Sibutramine is manufactured by Abbott Laboratories, under brand names such as Reductil, Meridia … Peak plasma concentrations of active metabolites 1 and 2 are reached after three to four hours. It is classified as a Schedule IV controlled substance in the United States. [47], In October 2011, the FDA warned that 20 brands of dietary supplements were tainted with sibutramine. Sibutramine may increase blood pressure and may cause dry mouth, constipation, headache, and insomnia, and more rarely stroke or heart attack, sometimes fatal. Jain DS, Subbaiah G, Sanyal M, et al. Brand Name : Contains: Dosage Form : Manufacturer: Price(Tk.) Australia,[1] Canada,[2] Dosage: 15mg. Sibutramine was originally developed and marketed by Knoll Pharmaceuticals and was most recently manufactured and marketed by Abbott Laboratories before its withdrawal from the market. [26][27][28], Studies are ongoing into reports of sudden death, heart failure, renal failure and gastrointestinal problems. Plasma levels of these three species are usually in the 1–10 μg/L range in persons undergoing therapy with the drug. [31], Between January 2003 and November 2005, a large randomized-controlled "Sibutramine Cardiovascular OUTcomes" (SCOUT) study with 10,742 patients examined whether or not sibutramine administered within a weight management program reduces the risk for cardiovascular complications in people at high risk for heart disease and concluded that use of silbutramine had a RR 1.16 for the primary outcome (composit of nonfatal MI, nonfatal CVA, cardiac arrest, and CV death). Also a half-life of 1 hour and natural products → drug Classes ; ;. Schedule IV controlled substance in the rare—but clinically significant—heart issues of fenfluramine over-the-counter medicines natural... Drugs.Com site for sibutramine drug in 2010 steroid for weight loss drugs in our prescription weight loss in rare—but... Within two weeks of stopping or starting an MAOI reuptake. 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