Sibutramine
Appetite suppressant / From Wikipedia, the free encyclopedia
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Sibutramine, formerly sold under the brand name Meridia among others, is an appetite suppressant which has been discontinued in many countries. It works as a serotonin–norepinephrine reuptake inhibitor similar to a tricyclic antidepressant. Until 2010, it was widely marketed and prescribed as an adjunct in the treatment of obesity along with diet and exercise. It has been associated with increased cardiovascular diseases and strokes and has been withdrawn from the market in 2010 in several countries and regions including Australia,[2] Canada,[3] China,[4] the European Union,[5] Hong Kong,[6] India,[7] Mexico, New Zealand,[8] the Philippines,[9] Thailand,[10] the United Kingdom,[11] and the United States.[12] However, the drug remains available in some countries.[13]
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Trade names | Meridia, others |
Other names | BTS-54524 |
AHFS/Drugs.com | Monograph |
MedlinePlus | a601110 |
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Routes of administration | Oral (capsules) |
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Bioavailability | Absorption 77%, considerable first-pass metabolism |
Protein binding | 97%, (94% for its desmethyl metabolites, M1 & M2) |
Metabolism | Hepatic (CYP3A4-mediated) |
Elimination half-life | 1 hour (sibutramine), 14 hours (M1) & 16 hours (M2) |
Excretion | Urine (77%), feces (8%) |
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ECHA InfoCard | 100.130.097 |
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Formula | C17H26ClN |
Molar mass | 279.85 g·mol−1 |
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Sibutramine was originally developed in 1988 by Boots in Nottingham, UK,[14] and manufactured and marketed by Abbott Laboratories and sold under a variety of brand names including Reductil, Meridia, Siredia, and Sibutrex before its withdrawal 2010 from most markets. It was classified as a Schedule IV controlled substance in the United States.
As of 2018, the FDA still found sibutramine in over 700 diet supplements marketed as "natural", "traditional" or "herbal remedies".