Meridia

This page contains recent news articles, when available, and an overview of Meridia but does not offer medical advice. You should contact your physician with regard to any health issues or concerns.


Overview:

Meridia
(when available)

Pharmacology and use:
Sibutramine is an orally administered agent for the treatment of obesity. Sibutramine exerts its pharmacological actions predominantly via its secondary (M1) and primary (M2) amine metabolites. The parent compound, sibutramine, is a potent inhibitor of serotonin and norepinephrine reuptake in vivo, but not in vitro. However, metabolites M1 and M2 inhibit the reuptake of these neurotransmitters both in vitro and in vivo. In human brain tissue, M1 and M2 also inhibit dopamine reuptake in vitro, but with ~3-fold lower potency than for the reuptake inhibition of serotonin or norepinephrine. Sibutramine, M1 and M2 exhibit no evidence of anticholinergic or antihistaminergic actions. In addition, receptor binding profiles show that sibutramine, M1 and M2 have low affinity for serotonin (5-HT1, 5-HT1A, 5-HT1B, 5-HT2A, 5-HT2C), norepinephrine (b, b1, b3, a1 and a2), dopamine (D1 and D2), benzodiazepine, and glutamate (NMDA) receptors. These compounds also lack monoamine oxidase inhibitory activity in vitro and in vivo. For the treatment of obesity

Mechanism Of Action:
Sibutramine produces its therapeutic effects by norepinephrine (NE), serotonin reuptake (5-hydroxytryptamine, 5-HT) and dopamine reuptake inhibition. Sibutramine and its major pharmacologically active metabolites (M1 and M2) do not act via release of monoamines.

News Articles on Sibutramine

Meridia Audience Response Introduces 'Get Feedback from PowerPoint'  -  Sep 5, 2008
9/4/2008 - Meridia Audience Response, the industry’s oldest and most experienced audience response system provider, today announced the immediate Exhibitor Online,

Health checkup: Drug mix-ups  -  Sep 10, 2008
More examples of duplicate therapy may include Lyrica and Neurontin for pain, Cymbalta and Effexor or Pristiq for depression and Meridia and any of the Rochester Democrat and Chronicle,

Adult Obesity Rates Rise In 37 States  -  Aug 19, 2008
3/8/08) such as Roche's (RHHBY) Xenical and Abbott Laboratories' (ABT) Meridia, none of which work especially well, say obesity experts. BusinessWeek

Crime on Americas defense meeting agenda  -  Sep 5, 2008
The US has also worked to boost anti-drug partnerships with Mexico and Central American nations through the Meridia Initiative, which would provide up to PR-Inside.com (Pressemitteilung),

Columbus doctor guilty in online prescription case  -  Aug 26, 2008
Hollis approved prescription drugs such as Adipex and Meridia, other drugs used for weight maintenance, for people across the country, Crosby said. Columbus Ledger-Enquirer,

Clinic's osteopathic program receives $5.5 million endowment  -  Sep 8, 2008
Brentwood Hospital merged with Meridia Suburban Hospital in 1994, creating Meridia South Pointe Hospital. The Brentwood Foundation, which is a charitable The Plain Dealer - cleveland.com,

MERIDIA CAPITAL TOMA EL 50% DE TRES HOTELES "SIX SENSES" EN TAILANDIA  -  Sep 2, 2008
El fondo "Meridia Capital Hospitality I", gestionado por MERIDIA CAPITAL PARTNERS, ha adquirido el 50% de un lote de tres hoteles de lujo en Tailandia, Alimarket,

I Rom: Mostra Fotografica di Yves Leresche  -  Sep 9, 2008
Meridia, si avvia a chiudere la sessione estiva con una mostra sulle comunità rom di Romania. "I ROM", questo il titolo della mostra fotografica prodotta in Brundisium.net,

Leki w sieci  -  Sep 4, 2008
Po wpisaniu w wyszukiwarkę słów: „meridia sprzedam� w ofertach można przebierać. Ktoś na przykład proponuje „oryginalną z Czech�. Kurier Szczecinski,

Radfahrverein „Adler“ Empfingen - 23. Radkriterium am Samstag, 30 ...  -  Aug 26, 2008
Allerdings fehlt die Sprintrakete des Meridia-Teams, Andreas Mayr, wegen einer schweren Sturzverletzung. Der zurzeit beste Fahrer der Auswahlmannschaft um radsport-forum.de,

Evason Phuket betreibt Klimaanlage mit Biomasse  -  Aug 25, 2008
Gemeinsam mit den Unternehmen Capital Hotels und Meridia Capital hält der Betreiber des Evason Phuket, die Six Senses Resorts & Spas, nun alle Anteile des lifepr.de,

MDRNA Announces Phase 2 Trial Of PYY(3-36) Does Not Meet Weight ...  -  Aug 4, 2008
PYY dose, nor did PYY meet the secondary efficacy endpoint of greater weight loss than the active control, sibutramine (Meridia®). Medical News Today (press release),

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Drug Makers Seek Antiobesity Blockbuster  -  Jul 28, 2008
...pulled off the market in 1997 after being linked to heart-valve problems; Abbott Laboratories' Meridia, sales of which don't meet Abbott's threshold for Wall Street Journal

Examine the Obesity Drug Markets in the US and EU: Including ...  -  Jul 28, 2008
...of currently marketed obesity drugs with this report’s comparative analysis of Rx and OTC medications including Alli, Meridia, Xenical and Accomplia. Business Wire (press release),

OSI Pharmaceuticals Inc. Q2 2008 Earnings Call Transcript  -  Jul 23, 2008
PSN602 is designed to avoid the acute cardiovascular side effects associated with higher doses of the approved agent, Meridia, while delivering superior Seeking Alpha,

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MDRNA, Inc. to Hold Second Quarter 2008 Earnings Conference on ...  -  Jul 28, 2008
MDRNA, Inc. to Hold Second Quarter 2008 Earnings Conference on Monday, August 4, 2008, at 4:30 pm Eastern TimeBOTHELL, Wash.WA-MDRNA MDRNA, Inc. (Nasdaq: Ad-Hoc-News (Pressemitteilung),

عقار واحد ... يجعلك أنحÙ? بكثير  -  Jul 30, 2008
الذي يمكن شراؤه بوصÙ?Ø© طبية وهو يحمل Ù?ÙŠ السوق اسم «ميريديا» MeridiaØŒ و«أورليستا» الذي يسوَّق كعقار يثبط البدانة، يمكن شراؤه من دون وصÙ?Ø© طبية باسم Alli. الجريدة,

Acacia acquires stake in three Thailand hotels  -  Jul 1, 2008
The joint venture between Acacia Real Estate Ltd, Meridia Capital and Capital Hospitality Group has enabled Acacia to acquire a 50% stake in three Thailand e-Travel Blackboard (press release),

Bahrain's Acacia makes acquisitions in Thai properties  -  Jun 30, 2008
He further pointed out that the company bought the shares through a joint venture with Meridia Capital, a Spain-based private equity group, Middle East North Africa Financial Network,

Finance Academy promi$e$ to teach $tudent$ about $$$  -  Jun 18, 2008
Thanks to a partnership with Meridia Community Credit Union, a student organized and student run credit union will open in the main foyer of the high school Sun,

A pill to fight weight gain? Not so fast  -  Jun 9, 2008
Since 1997, the FDA has approved only two weight-loss medications -- sibutramine (marketed as the prescription drug Meridia) and orlistat (marketed as the Los Angeles Times,

Acacia buys 50pc stake in Thai hotels  -  Jun 29, 2008
The company has bought the shares through a joint venture with Meridia Capital, a Spain-based private equity group, and Capital Hospitality Group, Gulf Daily News,

Acacia acquires three hotels in Thailand  -  Jul 1, 2008
...through a joint venture with Meridia Capital, a Spain-based private equity group, and Capital Hospitality Group, a specialised hotel investment firm. CPI Financial,

Low Glycemic Diets for Obesity Treatment  -  Jun 3, 2008
...as orlistat (Xenical) and sibutramine (Meridia) promote weight loss, but studies have had methodological problems. 3 Exercise and diet are effective. RedOrbit,

Eight Join WRH Staff  -  Jun 30, 2008
She completed her internship at Brentwood Hospital & Health Care in Cleveland and her residency at Meridia South Pointe Hospital in Cleveland. RedOrbit,

Sanofi obesity drug gets final okay from UK's NICE  -  Jun 24, 2008
N: Quote, Profile, Research, Stock Buzz) under the brand names Meridia or Reductil. (Reporting by Ben Hirschler; Editing by David Cowell) Reuters

More Cases of Type 2 Diabetes Increasing in Children, Adolescents  -  Jun 27, 2008
Metformin (Glucophage), as well as Sibutramine (Meridia), have been studied in a small number of overweight adolescents. Metformin is not generally used in RedOrbit,

Pharmaceutical solutions to obesity iffy at best, experts say  -  Jun 18, 2008
Since 1997, the FDA has approved only two weight-loss medications — sibutramine (marketed as the prescription drug Meridia) and orlistat (marketed as the Longview Daily News,

Online Pharmacy Ordered to Pay FTC $15.8 Million  -  Jun 11, 2008
They claimed it was a "naturally occurring, non-prescription drug" that could be substituted for the prescription weight loss drugs Meridia, Law.com (subscription),

Fiber-based Lipozene's weight-loss claims rest on thin evidence  -  Jun 6, 2008
Experts say the Obesity Research Institute product doesn't have enough glucomannan to get the job done. By Chris Woolston, Special to The Times The Product: Los Angeles Times,

State Multi Events  -  02 Jun 2008
4, Vertrees, Melanie, Kent Meridia, 4244. 5, Tri, Brittany, Lake Stevens, 3982. 6, Stevick, Cassidy, Olympia, 3870. 7, Gross, Katy, Cascade-Ever, 3816. The Olympian,

Weight-loss-maintenance drugs tested  -  May 30, 2008
...in 177 overweight men and women by an average of 12.7%, about double the weight loss people typically experience on the medications Xenical and Meridia. Los Angeles Times,

Meridia Audience Response Introduces Get Feedback TM from PowerPoint  -  May 16, 2008
...(BUSINESS WIRE)--Meridia Audience Response, the industry’s oldest and most experienced audience response system provider, today announced the immediate Business Wire (press release),

True weight loss is simple but not easy  -  May 30, 2008
Sibutramine (marketed as Meridia) debuted in 1997 as an alternative to fen-phen drugs. It also suppresses appetite by moderating serotonin levels and ParamusPost.com,

Nastech Pharmaceutical Company Inc. Q1 2008 Earnings Call Transcript  -  May 27, 2008
As a reminder, this is a six-month, randomized, placebo-controlled study, comparing three different doses of PYY with placebo and Meridia, the gold standard Seeking Alpha,

McQuigg receives superior at state  -  May 21, 2008
Meridia Brooks, grade seven, earned an excellent rating for her project titled “How do fears change with age?� Other excellents were awarded to Sarah Fowler Mount Vernon News,

Diet time again?  -  May 13, 2008
...as Xenical and over-the-counter as Alli) and appetite suppressants like Meridia (generic name is sibutramine) and Adipex (generic phentermine). Daily News Transcript,

He's hoping losing face means losing pounds  -  Apr 15, 2008
I'm afraid to take Meridia, and I have the personality that would defeat lap band surgery. Weights, cardio: I have to get back to my 5 am gym regimen. MiamiHerald.com,

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Diet, Weight Drug May Curb Hypertension  -  Mar 25, 2008
The review also included eight studies of the weight loss drugs orlistat, sold under the brand name Xenical, or Meridia. Orlistat is also the active CBS News,

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No reduction in blood pressure found with sibutramine  -  Apr 14, 2008
Overall, body weight was more effectively reduced in patients in the weight-loss diet, orlistat and sibutramine (Meridia, Abbott Laboratories) groups than Endocrine Today,

Mysterious death in '98 keeps family longing for answers  -  Apr 4, 2008
Krista Pantaleano was last seen Sunday evening, April 5, in the Blue Hen Falls area of the park after working that day at Meridia South Pointe Hospital in Akron Beacon Journal,

Nibbles: Obese women skip cancer screens, and online game makes ...  -  Mar 25, 2008
An analysis of previously published studies involving the drugs found that they both decreased weight about the same amount, but Meridia did not lower blood CalorieLab Calorie Counter News,

Rock joins DAGC board  -  Apr 3, 2008
President and CEO of Montefiore, Rock previously served as president of Euclid Hospital, as well as held other executive positions within the Meridia system Cleveland Jewish News,

PPH: Regrets from taking Fen-Phen  -  Mar 27, 2008
After complaining in a second visit, he took me completely off the Fen's and put me on Meridia—another diet drug. I took that for about three weeks but Lawyers and Settlements

Weight-loss diets and orlistat may lower BP, but outcome data lacking  -  Mar 25, 2008
...however, say that the same blood-pressure benefits were not seen if weight loss was achieved by taking the diet drug sibutramine (Meridia/Reductil, TheHeart.Org,

Save Your Heart With Diet and Medication  -  Mar 24, 2008
Researchers say patients asked to follow weight loss diets lost more weight when using drugs like orlistat (alli) or sibutramine (Meridia). Ivanhoe,

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Roche's Xenical helps lower blood pressure: study  -  Mar 24, 2008
Some studies examined sibutramine, a prescription drug marketed by Abbott Laboratories under the brand names Meridia or Reductil. Reuters India,

Today in the Premier League  -  Apr 3, 2008
Fellow countryman Fran Meridia has also penned a new deal. The manager Martin O'Neill said midfielder Wayne Routledge is close to making his debut for the Independent,

Women’s League Resumes In May  -  Apr 12, 2008
Information reaching DAILY GUIDE SPORTS indicated that eight clubs namely Ghatel Ladies of Accra, Meridia Ladies, Athleta Ladies, La ladies, Great Mawuena Modern Ghana,

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Xenical/alli and Meridia Help Adults Lose Weight but Just One ...  -  Mar 24, 2008
March 24, 2008 – Although orlistat, sold as alli or Xenical, and sibutramine (Medidia) both appear to help adults lose weight, orlistat or just a SeniorJournal.com,

Weight loss drugs bring dealers to court  -  Apr 3, 2008
The capsules contained sibutramine (sold under the representative name of Meridia), an ingredient used to control hunger in overweight patients. Vladivostok News,

First completions at Icona spell good news for Olympic area  -  Apr 1, 2008
Icona consists of an iconic 18-storey tower and two lower level buildings, Azura Court and Meridia/Odelia Court, to form a functional and stylish piece of Easier (press release),

If you're binge eating, emotional distress may be the cause  -  Mar 29, 2008
Medications, such as the anti-seizure drug Topamax and anti-obesity drug Meridia, may be helpful for some people. Losing weight is not a cure for binge The Free Lance-Star,

He's hoping losing face means losing pounds  -  Apr 15, 2008
I'm afraid to take Meridia, and I have the personality that would defeat lap band surgery. Weights, cardio: I have to get back to my 5 am gym regimen. MiamiHerald.com,

Brand Names/Synonyms:
Meridia is also known by the following brand names and/or synonymsReductil; Medaria; Sibutraminum [Latin]; Sibutramina [Spanish]; Cyclobutanemethanamine, 1-(4-chlorophenyl)-N,N-dimethyl-alpha-(2-methylpropyl)-; Meridia; Medaria

Drug Category:
Meridia is categorized under the following by the FDA: Appetite Depressants; Antidepressants; Anorexigenic Agents; Stimulants; ATC:A08AA10

Dosage Forms:
CAPSULE

Absorption:
Rapid absorption following oral administration. Absolute bioavailability is not know, but at least 77% of a single oral dose of sibutramine is absorbed.

Interactions:
Interactions for Sibutramine: CNS Active Drugs The use of Sibutramine in combination with other CNS-active drugs, particularly serotonergic agents, has not been systematically evaluated. Consequently, caution is advised if the concomitant administration of Sibutramine with other centrally-acting drugs is indicated. In patients receiving monoamine oxidase inhibitors (MAOIs) (e.g., phenelzine, selegiline) in combination with serotonergic agents (e.g., fluoxetine, fluvoxamine, paroxetine, sertraline, venlafaxine), there have been reports of serious, sometimes fatal, reactions ("serotonin syndrome;" see below). Because Sibutramine inhibits serotonin reuptake, Sibutramine should not be used concomitantly with a MAOI. At least 2 weeks should elapse between discontinuation of a MAOI and initiation of treatment with Sibutramine. Similarly, at least 2 weeks should elapse between discontinuation of Sibutramine and initiation of treatment with a MAOI. The rare, but serious, constellation of symptoms termed "serotonin syndrome" has also been reported with the concomitant use of selective serotonin reuptake inhibitors and agents for migraine therapy, such as Imitrex (sumatriptan succinate) and dihydroergotamine, certain opioids, such as dextromethorphan, meperidine, pentazocine and fentanyl, lithium, or tryptophan. Serotonin syndrome has also been reported with the concomitant use of two serotonin reuptake inhibitors. The syndrome requires immediate medical attention and may include one or more of the following symptoms: excitement, hypomania, restlessness, loss of consciousness, confusion, disorientation, anxiety, agitation, motor weakness, myoclonus, tremor, hemiballismus, hyperreflexia, ataxia, dysarthria, incoordination, hyperthermia, shivering, pupillary dilation, diaphoresis, emesis, and tachycardia. Because Sibutramine inhibits serotonin reuptake, in general, it should not be administered with other serotonergic agents such as those listed above. However, if such a combination is clinically indicated, appropriate observation of the patient is warranted. Drugs That May Raise Blood Pressure and/or Heart Rate: Concomitant use of Sibutramine and other agents that may raise blood pressure or heart rate have not been evaluated. These include certain decongestants, cough, cold, and allergy medications that contain agents such as ephedrine, or pseudoephedrine. Caution should be used when prescribing Sibutramine to patients who use these medications. Drugs That Inhibit Cytochrome P450(3A4) Metabolism: In vitro studies indicated that the cytochrome P450(3A4)-mediated metabolism of sibutramine was inhibited by ketoconazole and to a lesser extent by erythromycin. Clinical interaction trials were conducted on these substrates. The potential for such interactions is described below. Ketoconazole: Concomitant administration of 200 mg doses of ketoconazole twice daily and 20 mg sibutramine once daily for 7 days in 12 uncomplicated obese subjects resulted in moderate increases in AUC and Cmax of 58% and 36% for M1 and of 20% and 19% for M2, respectively. Erythromycin: The steady-state pharmacokinetics of sibutramine and metabolites M1 and M2 were evaluated in 12 uncomplicated obese subjects following concomitant administration of 500 mg of erythromycin three times daily and 20 mg of sibutramine once daily for 7 days. Concomitant erythromycin resulted in small increases in the AUC (less than 14%) for M1 and M2. A small reduction in Cmax for M1 (11%) and a slight increase in Cmax for M2 (10%) were observed. Cimetidine: Concomitant administration of cimetidine 400 mg twice daily and sibutramine 15 mg once daily for 7 days in 12 volunteers resulted in small increases in combined (M1 and M2) plasma Cmax (3.4%) and AUC (7.3%); these differences are unlikely to be of clinical significance. Alcohol: In a double-blind, placebo-controlled, crossover study in 19 volunteers, administration of a single dose of ethanol (0.5 mL/kg) together with 20 mg of sibutramine resulted in no psychomotor interactions of clinical significance between alcohol and sibutramine. However, the concomitant use of Sibutramine and excess alcohol is not recommended. Oral Contraceptives: The suppression of ovulation by oral contraceptives was not inhibited by Sibutramine. In a crossover study, 12 healthy female volunteers on oral steroid contraceptives received placebo in one period and 15 mg sibutramine in another period over the course of 8 weeks. No clinically significant systemic interaction was observed; therefore, no requirement for alternative contraceptive precautions are needed when patients taking oral contraceptives are concurrently prescribed sibutramine. Drugs Highly Bound to Plasma Proteins: Although sibutramine and its active metabolites M1 and M2 are extensively bound to plasma proteins (94%), the low therapeutic concentrations and basic characteristics of these compounds make them unlikely to result in clinically significant protein binding interactions with other highly protein bound drugs such as warfarin and phenytoin. In vitro protein binding interaction studies have not been conducted.



Chemical IUPAC Name:
1-[1-(4-chlorophenyl)cyclobutyl]-N,N,3-trimethyl-butan-1-amine

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