중추신경흥분성 식욕억제제 사용의 부작용에 관한 신속 체계적 문헌고찰

• 영문명: A Rapid Systematic Review on Adverse Effects of Psychostimulant Appetite Suppressants: Focusing on Dependence and Psychosis
• 발행기관: 한국중독정신의학회
• 저자명: 조선진(Sun-Jin Jo) 이해국(Hae Kook Lee) 박병주(Byung-Joo Park) 강훈철(Hoon-Chul Kang) 이승엽(Seung-Yup Lee) 조중범(Joong-Bum Jo)
• 간행물 정보: 『중독정신의학』Vol.25, No.2, 45~57쪽, 전체 13쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2021.09.30

영문 초록

Objectives: Although psychostimulants for suppressing appetite have indications for a short-term use, long-term prescriptions are also frequently encountered in clinical practice. The objective of this study was to overview the empirical evidence on the safety of such psychostimulants. Methods ： A rapid systematic review was conducted using existing systematic review articles or clinical guidelines developed by adopting systematic review methodology. Results ： Four systematic review articles or clinical guidelines were reviewed. Studies on the safety of diethylpropion were all short-term. Six case reports reported psychotic symptoms. Phentermine, phendimetrazine, and diethylpropion have been withdrawn in most countries due to their side effects such as drug abuse and cardiotoxicity. Long-term prescription safety for phentermine or diethylpropion was not addressed in existing clinical guidelines for pharmacological management of adult obesity. Moreover, studies on the efficacy and safety of psychostimulants in the childhood and adolescence obesity management have not been reported yet. Conclusion : The number of studies on the long-term safety of antiobesity psychostimulants prescriptions was too limited to conclude their efficacy and safety for long-term use. Thus, long-term prescriptions of antiobesity psychostimulants should be avoided and closer monitoring is needed even for short-term use of psychostimulants in subjects with mental health risk.

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비만 식욕억제제 부작용 약물요법 체계적 문헌고찰 Body Mass Index Appetite suppressants Adverse effects Pharmacotherapy Systematic review