Appetite-suppression

Appetite depressants Appetite suppressants Apple Apples... 

Appetite suppressants have been widely used as an adjunct to dietary restriction and sympathomimetic amines have traditionally been used for this purpose. These agents have not proven particularly useful and frequentiy cause unacceptable side effects, hence their popularity has been waning for several years. The most promising newer dmgs work through a serotoninergic mechanism and hold considerable promise at least for certain obese patients. 

Compounds stmcturaHy related to the endogenous sympathomimetic amines epinephrine and norepinephrine have classically been employed as appetite suppressants. These agents, of which amphetamine [300-62-9], is the prototypical example, generally retain the phenethyl amine, but lack... 

This equation describes the steady-state, or zero-order, release of the dmg. When the dmg completely dissolves, its concentration within the system begins to dilute, and the release rate foUows a parabohc decline with time (102). Acutrim (ALZA Corp.), dehvering phenylpropanolamine hydrochloride [154-41 -6] for appetite suppression, is an example of an elementary osmotic pump. 

Acutrim 16 Hour Steady Control Tablets. Acuttim is an appetite suppressant diet aid available without a prescription and marketed by CIBA Consumer Pharmaceuticals. The active ingredient is phenylpropanolamine hydrochloride [154-41 -6] a sympathomimetic amine (see Antiobesity drugs). Acutrim dehvers its dosage at a precisely controlled rate for up to 16 hours. This is achieved through the OROS technology. 

Besides behavior and blood pressure, catecholamine neurons also have important roles in other brain functions. Regulation of neuroendocrine function is a well-known action of catecholamines for example, DA agonists reduce semm prolactin concentration, especially in conditions of hypersecretion. Ingestive behavior can be modulated by brain catecholamines, and some appetite-suppressing dmgs are beheved to act via catecholaminergic influences. Catecholamines also participate in regulation of body temperature. 

An interesting appetite suppressant very distantly related to hexahydroamphetamines is somanta-dine (24). The reported synthesis starts with conversion of 1-adamantanecarboxylic acid (20) via the usual steps to the ester, reduction to the alcohol, transformation to the bromide (21), conversion of the latter to a Grignard reagent with magnesium metal, and transformation to tertiary alcohol 22 by reaction with acetone. Displacement to the fomiamide (23) and hydrolysis to the tertiary amine (24) completes the preparation of somantadine [6]. 

Appetite-suppressing. Neuropqrtide modulators and gut hormones with anorexigenic effects are a-melanocortin-stimulating hormone (a-MSH), cocaine- and amphetamine-regulated transcript (CART), glucagon-like peptide-1 (GLP-1), leptin, insulin, oxyntomodulin, pancreatic peptide PP, peptide YY and PYY3 36, and others. 

Effect Reduced fat absorption Appetite suppression Appetite suppression, peripheral actions... 

The appetite-suppressing effect of (3-phenylethylamine drugs is either related to their sympathomimetic effect (metamphetamine, phentermine, diethylpropion), to... 

Avoid alcohol and nonprescription drug s unless their use has been approved by the primary health care provider. Hypertensive patients should be careful to avoid medications that increase blood pressure, such as over-the-counter drag s for appetite suppression and cold symptoms. 

Methylenedioxymethamphetamine (MDMA), known by the street names ecstasy, XTC, X, Adam, clarity, and lover s speed, was synthesized in 1914 as an appetite suppressant but was never marketed. In the early 1970s, it appeared on the U.S. drug scene under various street names. More recently, the name ecstasy has become synonymous fot MDMA, even in the scien-... 

Boadle-Biber, MC (1993) Regulation of serotonin S5mthesis. Prog. Biophys. Molec. Biol. 60 1-15. Curzon, G, Gibson, EL and Oluyomi, AO (1997) Appetite suppression by commonly used drugs depends on 5-HT receptors but not on 5-HT availability. Trends Pharmacol. Sci. 18 21-25. Gaddum, JH and Picarelli, ZP (1957) Two kinds of tr5 ptamine receptor. Brit. J. Pharmacol. 12 323-328. (Reproduced in Brit. J. Pharmacol. 120 (Suppl) 134-139.)... 

Griffiths, RR. Brady, J.V. and Snell, J.D. Relationship between anorectic and reinforcing properties of appetite suppressant drugs Implieations for assessment of abuse liability. Biol Psychiatry 13 283-290, 1978. 

This sympathomimetic amine exudes similar pharmacologic activity as the amphetamines, resulting in central nervous system stimulation and appetite suppression. This drug is indicated for short-term use in conjunction with a reduced-calorie diet and exercise in obese patients with a BMI of 30 kg/m2 or greater following failed attempts of diet and exercise alone.40... 

Y )- Benzyl morpholine is a potent appetite suppressant drug. The synthesis of 2-(/ )-benzyl-morpholine began with the reduction of the unsaturated bromocinnamaldehyde to the corresponding saturated (X)-bromo-alcohol by baker s yeast, with a very low ee of 63%. However, an efficient transformation can be achieved by controlling the substrate concentration with the addition of hydrophobic resin Amberlite XAD-1180 [26]. With a resin-to-substrate ratio of one and an initial substrate concentration of 5 gL, the saturated (X)-bromo-alcohol was recovered at nearly quantitative yield and 98.6% ee. 

Phenmetrazine Clinically used for short-term appetite suppression in the longer term its supposed benefits for weight control are very doubtful recreational use is rare, with weaker CNS effects than amphetamine, but it is still addictive. 

Figure 3.1 Appetite is controlled by many body processes, as shown here. The arrows indicate things that increase and decrease hunger. All of these processes work by sending signals to the brain to indicate a feeling of hunger or satiety (fullness). Certain diet pills called appetite suppressants may work in the same way as some of these body processes, by sending signals to the brain that indicate satiety and say stop eating ...

Figure 3.2 Normally, when the stomach is full it sends a signal to the brain telling the body to stop eating. This message is carried by neurotransmitters (chemical messengers in the brain) to the hunger center in the hypothalamus (a part of the brain). Examples of neurotransmitters that carry this message are norepinephrine, serotonin, and dopamine. Many diet pills increase these same neurotransmitters that signal the brain that the stomach is full. These diet pills, called appetite suppressants, trick the brain into thinking the stomach is full and therefore decrease hunger.

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