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Medically reviewed on Sep 26, by L. Additional tools to medication treatment usually include a plan for lower fat and calorie foods, as well as a regular exercise program. There are very few proven choices in over-the-counter OTC or nonprescription medications for effective weight loss. One agent that is available without a prescription is Alli orlistat , a lower-dose version of the prescription drug Xenical. Many people who are trying to lose weight may attempt to use dietary supplements or herbal medications , but many of these products have not been adequately studied for effectiveness or safety.
Herbal or dietary supplements have not been approved by the U. Check with a healthcare provider for advice on using herbal or dietary supplements for weight loss. Prescription weight loss drugs may be an option for patients who have serious health risks, such as high blood pressure, type 2 diabetes, or high cholesterol and cannot control their weight with diet and exercise alone.
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. Some weight loss drugs contain stimulant medication that are classified as controlled substances by the Drug Enforcement Agency DEA. Since that time, several more new weight loss medications have been approved, including Contrave, Saxenda, and Belviq XR.
Weight loss drugs may not work for everyone. It is usually recommended that one to two pounds of weight can be safely lost per week. For a patient weighing pounds, this would translate into losing about 10 to 20 pounds over one year, which would fall within the safe guidelines for weight loss.
While this amount of weight loss seems small, it may be enough to help lower blood pressure or have a positive effect on blood sugar. Generally, most overweight people should initially try to lose weight using diet and exercise. Prescription diet pills are used in more severe circumstances, when weight loss has not been successful and the patient has important health risks associated with being overweight or obese.
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.
Weight loss offers no potential benefit and may result in fetal harm during pregnancy. A certain amount of additional weight gain, and no weight loss, is currently recommended for all pregnant women, including those women already overweight or obese. Example of serious medical risks include:. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Available for Android and iOS devices.
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What Are the Options? Patients who are overweight or obese with any health condition should consult with their physician prior to beginning a weight loss or exercise program. To assess your health risk based on weight, calculate your body mass index BMI here. Not available Qsymia Phentermine and topiramate extended-release capsules. Sources Centers for Disease Control and Prevention. National Heart, Lung and Blood Institute. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults.
Guide to Weight Loss Drugs. Find out everything you need to know about weight loss drugs in our prescription weight loss pill guide. Ozempic Ozempic semaglutide is a glucagon-like peptide-1 GLP-1 analog administered once-weekly for the Sublocade Sublocade buprenorphine is a once-monthly injectable partial opioid agonist formulation for the Clenpiq Clenpiq sodium picosulfate, magnesium oxide, and anhydrous citric acid is a stimulant laxative Belviq , Belviq XR.
Appetite suppressant; use cautiously if prescribed for weight loss due to high potential for abuse, illegal distribution. Phentermine and topiramate extended-release capsules. Combination appetite suppressant-anorectic; exact action of topiramate on weight loss is not known. Lipase inhibitor; prescription form of Alli OTC ; higher dose than Alli; inhibits fat absorption in the intestine. Increases metabolism, suppresses appetite, affects central reward center proposed mechanism.