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SPORTS MEDICINE :
MEDICAL: CONDITIONS: OBESITY :
MEDICAL: PHARMACY PHARMACEUTICAL PHARMACOLOGY: DRUGS:
Why Aren't Rx Weight-Loss Drugs More in Demand?
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Why Aren't Rx Weight-Loss Drugs More in Demand?
By Rita Rubin
WebMD Health News
Reviewed by Michael W. Smith, MD
Weight Loss and Diet Plans
http://www.webmd.com/diet/news/20140709/prescription-weight-loss-drugs
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Aug. 27, 2014 -- Obesity costs the U.S. health-care system close to $150
billion a year -- not terribly surprising when you consider that more than
a third of American adults are obese.
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That number, from 2009, is the latest reported by the CDC. Other estimates
are even higher, and those costs are expected to rise.
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And yet, less than 1% of that $150 billion goes toward prescription
medications approved to treat obesity. Although the highly anticipated
approval of two newer anti-obesity drugs, Belviq and Qsymia, has bumped up
sales, neither is anywhere close to a blockbuster.
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In 2013, U.S. sales of anti-obesity drugs totaled about $114 million,
according to IMS Health, an international information, services, and
technology company. By comparison, U.S. sales of drugs to treat diabetes,
one type of which is linked to obesity, totaled about $22 billion.
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Obesity experts blame lackluster sales of the drugs on several things:
doctors lack of training in how to treat obesity, concerns about the
medications safety, and a lack of insurance coverage.
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We still as a society believe that the things that work for preventing
obesity are going to work for treatment, says Steven Smith, MD, president
of The Obesity Society, a scientific organization. We have this inherent
belief that willpowers going to help with these kinds of issues. But,
Smith says, diet and exercise alone by and large are ineffective for
treating obesity.
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Most obese people need the help of anti-obesity medication, yet few are
getting prescriptions for them, Smith says. Doctors are more likely to
advise obese patients to eat less and move more or, at the other end of
the spectrum, refer them for weight-loss surgery than prescribe
medication, he says. Smith is the founding scientific director of the
Translational Research Institute for Metabolism and Diabetes at Florida
Hospital in Orlando.
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The gap in the middle is clear, says Smith, who was involved in all phases
of clinical trials of Belviq, the newest anti-obesity medication on the
U.S. market. He spoke on behalf of its manufacturer, Arena
Pharmaceuticals, at an FDA advisory committee meeting on the drug. We are
not educating physicians about how to manage obesity in a busy clinical
practice.
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The complete article may be read at the URL above.
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David Dillard
Temple University
(215) 204 - 4584
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