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

Report warns on herbal weight-loss products  -  20 Apr 2009
...showed that they contained high doses of sibutramine -- the active ingredient in an anti-obesity drug sold as Meridia in the US and Reductil in Europe. Reuters India

Obama's Real Plan in Latin America  -  20 Apr 2009
Bush sought to strengthen US influence in both governments by implementing Plan Colombia first, and the Meridia Initiative second (also known as Plan Center for Research on Globalization

The Dangerous Extras Hiding in Weight-Loss Supplements  -  ‎Apr 3, 2009‎
Sibutramine, for example, a controlled substance, was found in many supplements at levels much higher than the maximum daily dosage for Meridia. NBC Bay Area

High Schoolers Work as Credit Union Tellers  -  ‎Apr 5, 2009‎
Inside Hamburg High School you can now find a brand new Meridia Credit Union Branch. Students are getting class credit and introduced to the business world WGRZ-TV

Internist selling 5BD in Solon  -  ‎Apr 9, 2009‎
He practices at Meridia Medical Group and is affiliated with Parma Community General Hospital. He received his MD from Yerevan State Medical University in Blockshopper

Undeclared drugs in herbal and non-botanical dietary supplements  -  ‎Apr 13, 2009‎
...supplements with sibutramine, a prescription amphetamine-like, serotonin/norepinephrine reuptake inhibitor sold in the US and Canada as Meridia ® . ScienceBlogs

Dr. Bill Elliott: Some 'natural' products can be anything but healthy  -  ‎Apr 5, 2009‎
...that is similar to orlistat), as well as Slimbionic and Xsvelten, both of which contain sibutramine (the prescription medication also known as Meridia). Marin Independent-Journal

Buyer Beware  -  ‎Apr 14, 2009‎
Nearly all the supplements that tested positive contain the appetite suppressant sibutramine, the generic name for Meridia, one of two prescription drugs Popular Science

Hopes Fall Short for Arena Pharmaceuticals  -  ‎Mar 30, 2009‎
Abbott Labs' (NYSE: ABT) Meridia and GlaxoSmithKline's (NYSE: GSK) alli have a lackluster effect on the waistline, which has led to lackluster performance Motley Fool

Hollywood Headaches: Supermodels can cook too  -  ‎Apr 6, 2009‎
Powder blend crunch: Two of the following: Phentermine, Xenical, Bontril and Meridia. Mix with celery, iceberg lettuce and white wine vinegar. Colorado Daily

Too Good to Be True  -  ‎Apr 1, 2009‎
...including the controlled substance sibutramine, an appetite suppressant legally sold as the prescription drug Meridia; rimonabant, a drug not approved Newsweek

FDA says these products can put the DIE in ‘Diet’  -  ‎Mar 30, 2009‎
...“Sibutramine, a controlled substance, was found in many of these products at levels much higher than the maximum daily dosage for Meridia, Mansfield Today

Policie varuje pÅ™ed lékem Meridia z internetu  -  ‎Apr 6, 2009‎
Brněnští kriminalisté varují před nákupem prostředku na hubnutí Meridia přes internet. Neznámý podvodník jej prodává za 1265 korun, místo něj ale rozesílá Lidovky.cz

Lecciones sobre las burbujas económicas  -  ‎Apr 15, 2009‎
Pilar de Torres (Ifercat), Ginés Alarcón (Nae), Joan Casaponsa (Indo), Jaume Giró (La Caixa), Javier Faus (Meridia), JuanVerdaguer (Rothschild), Expansión.com

Alerte: produits amincissants contenant des métaux lourds et des ...  -  ‎Mar 29, 2009‎
La sibutramine (commercialisée sous les noms Sibutral, Meridia et Réductil) est un médicament pour aider à maigrir soumis à ordonnance médicale. PsychoMédia

Swissmedic alerte contre des produits pour la perte de poids ...  -  ‎Mar 29, 2009‎
Trois de ces produits contenaient de la sibutramine, un médicament coupe-faim soumis à ordonnance médicale (sous les noms commerciaux Sibutral, Meridia et PsychoMédia

I Servizi Sociali Italiani sottrangono una bimba alla mamma a ...  -  ‎Apr 15, 2009‎
Celebrex, Viramune, Isotretinoina, Zyprexa, Infliximab, Meridia, Reductil, PAROXETINA, PAROXETINA, CLOPIDOGREL, Plavix, è un derivato della Ticlopidina, ECPlanet

Grande successo del corteo di Firenze contro gli abusi psichiatrici  -  ‎Apr 7, 2009‎
Prozac , Ritalin , Celebrex , Viramune , Isotretinoina , Zyprexa, Infliximab, Meridia , Reductil , PAROXETINA , PAROXETINA , CLOPIDOGREL , Plavix, ECPlanet

Creeping Waistline Speeds Path to Grave, Study Says  -  18 Mar 2009
In 2007, diet drugs such as Meridia, by Abbott Park, Illinois-based Abbott Laboratories, generated about $330 million in the US, according to Donny Wong, Bloomberg

Lubbock authorities seize drugs from foreign Internet pharmacies  -  18 Mar 2009
Sibutramine is marketed in the US under the name Meridia, but you can only get it with a prescription, and even then with only up to 15 to 20 milligrams of KCBD-TV

Study: Diet and weight-loss drug helps diabetics lose weight  -  ‎Feb 28, 2009‎
Overweight people with type 2 diabetes have enjoyed success shedding pounds by blending a calorie-conscious diet with the weight loss pill Meridia®, Canada.com

Nibbles: Diabetes and postpartum depression, sugar and acne and ...  -  ‎Mar 1, 2009‎
People taking the weight loss drug Meridia who received regular phone counseling lost almost as much weight as people who had frequent face-to-face CalorieLab Calorie Counter News

Drugs Can Help in Battle of the Bulge  -  ‎Feb 25, 2009‎
Obesity and New Pharmaceutical Approaches describes the compounds currently approved for use in the United States (eg, Meridia, Xenical, Alli) and explains American Council on Science and Health

Your “Naturalâ€? Weight-Loss Supplement May Be a Health Hazard  -  ‎Feb 19, 2009‎
And others contain sibutramine, a prescription weight-loss drug sold as Meridia in the United Sates. However, the supplements often contain more than one Health.com

Hotel partners fight over stakes  -  ‎Feb 20, 2009‎
The Meridia Group - of which Karim Meredia, Rahim Meredia and Murad Hooda are partners - joined hands with Rahim, who had, at that point, Times of India

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From US Phenomenon to Global Powerhouse W Hotels Continues ...  -  ‎Feb 22, 2009‎
Owned by Meridia Capital, a Barcelona-based private equity global real estate fund, W Paris-Opéra will feature 90 stylish guest rooms, a world-class e-Travel Blackboard (press release)

Renub Research releases new report The World Diabetes Market, 2007 ...  -  ‎Mar 12, 2009‎
Anti-obesity drug Meridia and Phentermine Hcl combined corner a market share of more than 65 percent globally from the period of November 2007 to October PharmiWeb.com (press release)

Don't count on pill to lose weight  -  ‎Mar 3, 2009‎
Also in 1997, the FDA approved Abbott Laboratories' Meridia, or sibutramine, which blocks chemicals in the brain involved in regulating appetite. Stuff.co.nz

Low Blood Sugar, Fatalities Linked To Illegal Sexual Enhancers  -  ‎Feb 21, 2009‎
...which is reported to increase blood flow to the penis during sexual intercourse and the weight loss drug sibutramine (Meridia). eMaxHealth.com

Biggest Bust Ever against Mexican Drug Cartels; Violence on Border ...  -  ‎Feb 26, 2009‎
Mexico's president Calderon and his government will also need much more than a half billion of our tax dollars (Meridia Plan) to battle international NewsBlaze

'Because I Say So': The Problem of Unsupported Anecdotal Expert ...  -  ‎Mar 5, 2009‎
In re Meridia, 328 F. Supp. 2d at 799 (where the plaintiffs offer insufficient evidence on general causation, ‘‘it stops plaintiffs from demonstrating Linex Legal

Young in progress, 30 ragazzi al lavoro  -  ‎Mar 10, 2009‎
Il Consorzio “Meridia� ha dato vita al progetto “Young in progress�, e ha dato a questi ragazzi l’opportunità di lavorare, sino a giugno, in imprese baresi BariLive.it

Raport: Polka na diecie  -  ‎Mar 11, 2009‎
Meridia, zelixa, tetralysal, po którym zaczęły wypadać mi włosy – opowiada. – Mama widziała. Tak myślę. Nie reagowała. Czasem chwaliła: "Wiki, jakoś lepiej Pani

Consejería telefónica ayuda a adelgazar  -  ‎Feb 19, 2009‎
...a 376 adultos obesos que, al azar, recibieron varios métodos de asesoramiento sobre estilo de vida y el fármaco para adelgazar sibutramina (Meridia). Terra Colombia

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Lose fat for a happy life and remain fit after 60  -  Feb 2, 2009
Acomplia is one of the best online meds unlike meridia. Acomplia is more effective when taken with meridia because both of them help in the maintenance of NewDesignWorld (press release),

FDA Moves Against Unapproved Obesity Drugs  -  Jan 9, 2009
Sibutramine is the active ingredient in Abbott Labs‘ Meridia, a prescription product. The FDA is not asking that Meridia be removed from the market. BNET,

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You Are Eating Out Your Health With Binge Eating  -  Jan 26, 2009
Appetite suppressants like Meridia and Topamax promise to decrease binge eating but they come with side effects. So try avoiding these as much as possible TheMedGuru,

Obesity gets helped with acomplia and meridian  -  Jan 10, 2009
You can also buy meridia online from a mail order pharmacy. But it is a short time drug that means it cannot be prescribed for a long term. BigNews.biz (press release),

Weight-loss drugs: What works?  -  Jan 22, 2009
The hunger-zapping drug, also known as Meridia, works by increasing levels of norepinephrine and serotonin, two brain chemicals that tell you when you're Homemaker's Magazine,

Abbott Labs 4Q Net Up 28%, Helped By Xience Stent, Humira Sales  -  Jan 21, 2009
...a range of products that includes HIV treatment Norvir, obesity drug Meridia and Ensure nutrition supplements, as well as laboratory diagnostic systems. CNNMoney.com

Highlanders stay perfect  -  Jan 9, 2009
Redford Thurston 59, Taylor Kennedy 25: Renniaa Meridia scored 13 points for Thurston. Allison Peruski scored 14 points for Kennedy. Detroit Free Press,

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Search for Salem coach to kick off  -  Jan 20, 2009
PE) defensive coordinator at Perry Meridia High School in Indiana, coached at Marietta College, University of Alabama, Holy Spirit Catholic High School SalemNews.net,

Wall Street Journal highlights 2008 appointment of Dr Sidney Wolfe ...  -  Jan 9, 2009
...ephedra, varenicline (Chantix, Pfizer), sibutramine (Meridia, Abbot), all of the COX 2 inhibitors, and rosiglitazone (Avandia, GlaxoSmithKline). TheHeart.Org,

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5 groundbreaking weight-loss weapons, plus 22 tips that will work ...  -  Jan 12, 2009
Two are currently approved for long-term use: Meridia works in the brain to suppress appetite; Xenical blocks the absorption of fat -- with unpleasant Reader's Digest,

Dirty Business, Dirty Wars: US-Latin American Relations in the ...  -  Jan 29, 2009
This regional militaristic strategy finally materialized into policy on June 30 when President Bush signed into law the Meridia Initiative, or "Plan Mexico Venezuelanalysis.com,

Obecure Completes Patient Enrollment for Its Confirmatory Phase ...  -  Jan 20, 2009
Current drug therapies, dominated by generic phentermines and the more recent Meridia® and Xenical®, are only moderately effective and are limited by safety Business Wire (press release),

What’s wrong with abdominal fat?  -  Jan 11, 2009
For example, studies of the weight-loss medication sibutramine (Meridia), which was approved in 1997, have shown that the drug’s greatest effects are on The News International,

Multi-billion dollar industry Don't count on pills to lose weight  -  Jan 22, 2009
Also in 1997, the FDA approved Abbott Laboratories' Meridia, or sibutramine, which blocks chemicals in the brain involved in regulating appetite. WELT ONLINE,

Arc Rise Fantasia prend la pose...  -  Jan 31, 2009
Ce RPG développé par Imageepoch (Luminous Arc) mettre en scène un groupe de héros comme Bright ou son amie Alse qui devront défendre Meridia de dragons. Wiiz.fr,

La FDA arremete contra las píldoras milagrosas para adelgazar  -  Jan 9, 2009
La lista de productos que contienen sustancias nocivas para el organismo incluye la sibutramina (Meridia, como es conocida en Estados Unidos), Dmedicina,

Mise en garde contre un produit amaigrissant (Afssaps)  -  Jan 26, 2009
La sibutramine est le principe actif du Sibutral (Reductil ou Meridia dans d'autres pays), médicament disponible en France depuis 2001 sous ordonnance. PsychoMédia,

Notícias por Email Grátis (34.152 assinantes)  -  Jan 22, 2009
A Sibutramina (comercializada com o nome de Reductil ou Meridia) é um medicamento administrado de forma oral e que é usado para emagrecer. HypeScience - A ciência é a grande estrela do mundo real,

å?°å°¼é¢¨çš„魔幻寫實:《蜜蜂與霧》  -  Jan 9, 2009
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Le médicament anti-obésité sans ordonnance Alli est autorisé en Europe  -  Jan 22, 2009
L'orlistat, en version Alli ou Xenical, et la sibutramine (Sibutral en France, Reductil ou Meridia ailleurs) introduite sur le marché français en 2001, PsychoMédia,

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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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