bupropion/naltrexone (Contrave)
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Introduction
FDA approved for treatment of obesity Sept 2014[2]
Indications
- obesity
- weight reduction 4.2% better than placebo
Contraindications
- insomnia is adverse effect, thus relative contraindication
Adverse effects
Notes
- clinical trial safety testing halted due to unauthorized release of data compromising study's integrity[3]
- cardiovascular risks still unknown[4]
More general terms
Components
- bupropion (Wellbutrin, Wellbutrin SR, Zyban, Aplenzin)
- naltrexone (ReVia, Trexan, Vivitrol, Vivitrex)
References
- ↑ Physician's First Watch, Dec 8, 2010 Massachusetts Medical Society http://www.jwatch.org
Astrup A. Is cardiometabolic risk improved by weight-loss drugs? Lancet 2010 Aug 21; 376:567 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20673996 - ↑ 2.0 2.1 Nainggolan L FDA Approves Bupropion/Naltrexone (Contrave) for Obesity. Medscape: Sppt 10, 2014 http://www.medscape.com/viewarticle/831513
FDA News Release. September 10, 2014 FDA approves weight-management drug Contrave. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm413896.htm - ↑ 3.0 3.1 Cleveland Clinic News Release. May 12, 2015 Clinical Trial Testing Safety Of Obesity Drug Contrave Halted; 50 Percent Interim Data Released By The Study's Executive Committee. http://my.clevelandclinic.org/about-cleveland-clinic/newsroom/releases-videos-newsletters/2015-5-12-clinical-trial-testing-safety-of-obesity-drug-contrave-halted
- ↑ 4.0 4.1 Nissen SE, Wolski KE, Prcela L et al Effect of Naltrexone-Bupropion on Major Adverse Cardiovascular Events in Overweight and Obese Patients With Cardiovascular Risk Factors: A Randomized Clinical Trial. JAMA. 2016 Mar 8;315(10):990-1004. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26954408
Sharfstein JM, Psaty BM. Evaluation of the Cardiovascular Risk of Naltrexone-Bupropion: A Study Interrupted. JAMA. 2016 Mar 8;315(10):984-6. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26954405