February 1998: Sibutramine launched in the UK – a centrally acting appetite suppressant- the first in the 'new generation' of obesity treatments
September 1998: Orlistat launched - acts locally on the GI tract to reduce the absorption of dietary fat
July 2006: Rimonabant launched in the UK a centrally acting, cannabinoid receptor antagonist
October 2006: The first reports suggesting side effects with rimonabant- particularly depression – are more common in practice than in clinical trials
October 2008: The European Medicines Agency recommend GPs not prescribe rimonabant due to the risk of psychiatric side effects. The drug is suspended 'temporarily'
January 2009: Orlistat goes OTC in the UK as alli - at 60mg, half the dose of the prescription product Xenical
December 2009: Both the EMEA and the US Food and Drug Administration warn about a potential cardiovascular safety risk with sibutramine in patients at higher risk of CVD
January 2010: The MHRA announces the suspension of sibutramine as 'the increased risk of non-fatal heart attacks and strokes with this medicine outweighs the benefits of weight loss'







Readers' comments
do you mean January 2010? MHRA announces suspension of sibutramine etc...
Thanks for pointing that out - duly corrected!
This is the latest supportive evidence of a personal hypothesis: that the chemical regulation of appetite inside the blood brain barrier and the chemical regulation of the cardiovascular system outside the blood brain barrier use the same chemicals and rely on the blood brain barrier to separate the effects. I think systemic administration of appetite suppressant medication is inexorably linked to this problem.
The last of many anorectic agents promoted over the last three decades which have ended up in the waste bin.
It's interesting with only one anorectic drug left, does this mean more pressure on dietitians and other therapists?