替扎帕肽--肥胖症治疗的革命?

Aleksandra Jaroń, Katarzyna Jastrzębska, Klara Wojciechowska, Monika Turek, Iwona Chaberska, Aleksandra Feruś, Julia Lipska, Karolina Piątkowska
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引用次数: 0

摘要

引言和研究目的:肥胖症是一种与多种健康并发症相关的慢性疾病,患者人数正在稳步增加。治疗肥胖症的药物方法正变得越来越流行。本文旨在回顾有关替扎帕肽疗效和安全性的出版物:GLP-1和GIP的双重激动剂,也是最新用于该适应症的药物。 材料与方法:使用 "替扎帕肽 "和 "肥胖症 "这两个词搜索 Pubmed 和 Medline 这两个数据库。结果研究表明,在使用替扎帕肽作为改变生活方式的辅助药物期间,肥胖患者的体重明显持续下降。在使用 15 毫克剂量的替哌肽时,体重平均下降幅度最大(20.9%)的是没有并发 II 型糖尿病的患者。肥胖患者在最初强化改变生活方式后,如果在治疗中添加替西帕肽,可望进一步显著减轻体重。然而,在最初的体重减轻后停用替西帕肽会导致体重明显反弹。此外,研究表明,在市场上现有的制剂中,使用替扎帕肽能最大程度地减轻体重。该药物还具有其他健康益处,但使用该药物会产生许多不良反应,包括严重的不良反应。结论药物治疗可促进生活方式的改变,但仍属于辅助治疗。在使用替扎帕肽治疗肥胖症期间,重要的是要考虑其对健康的实际益处及其减轻体重的效果,同时牢记其安全性和潜在风险。
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Tirzepatide - A Revolution in Obesity Treatment?
Introduction and aim of study: Obesity is a chronic disease associated with numerous health complications, and the number of patients is steadily increasing. Pharmacological methods for treating obesity are becoming increasingly popular. This paper aims to review publications concerning the efficacy and safety profile of tirzepatide, the only dual agonist of two human incretin receptors: GLP-1 and GIP, and the latest drug used for this indication.  Materials and Methods: Two databases, Pubmed and Medline, were searched using the terms "tirzepatide" and "obesity". Results: Studies indicate significant and sustained weight reduction in obese patients during tirzepatide use as a complement to lifestyle changes. The greatest average weight reduction (20.9%) was observed in patients without concomitant type II diabetes using a 15 mg dose of tirzepatide. Following an initial intensive lifestyle change, obese patients can expect further clinically significant weight loss with the addition of tirzepatide to their treatment. However, discontinuing tirzepatide after initial weight reduction is associated with significant weight regain. Furthermore, studies show that tirzepatide use results in the greatest weight reduction among available market preparations. The drug also has other health benefits, but its use is associated with numerous adverse effects, including severe ones. Conclusions: Pharmacotherapy can facilitate the process of lifestyle modification but remains a supportive treatment. During obesity treatment with tirzepatide, it is important to consider the actual health benefits and its effectiveness in weight reduction, keeping in mind its safety profile and potential risks.
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