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Anti-Depressant Drug Shows Promise As Weight-Loss Treatment

g during the first eight weeks appear to be losing additional weight as the treatment is continued past the six-month mark, said Gadde, although researchers have not completed analysis of these data yet. "Here we have a well-tolerated drug that has shown significant clinical benefits in reducing weight," Gadde said. "While we have to approach the results cautiously because the long-term results are not completed, we are very excited about the potential this drug has for treating obesity."

A newer-generation anti-depressant, bupropion SR is in a class by itself and has no appreciable effect on the brain chemical serotonin, as do the majority of newer anti-depressants. Bupropion SR works by increasing available amounts of norepinephrine and dopamine, two other brain chemicals implicated in the reward and pleasure pathways.

Gadde says its unique mechanism of action may account for why patients remark that bupropion does not suppress their appetite, but rather helps them feel satisfied more easily. "A lot of patients have said that, while on the drug, they can eat a small piece of pie and feel satisfied, although not necessarily full. So it appears they feel rewarded much quicker than they normally do without the drug." The only side effect commonly reported in this study was dry mouth. Burpopion SR is not approved by the FDA for weight loss and should not be used by patients with seizure disorders, anorexia or bulimia, Gadde said.

The study will continue for another 18 months. Data also are being collected on bone density and lean muscle mass. Preliminary results should be available later this summer.


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Contact: Rebecca Levine
Levin005@mc.duke.edu
919-684-4148
Duke University Medical Center
18-May-1999


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