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DR. MURAT ÇAYCI Obezite ve İlaç tedavisi – Barisafe Clinic
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Obezite ve İlaç tedavisi

Anasayfa / Obezite ve İlaç tedavisi

Obezite ve İlaç tedavisi

Diyet ve egzersiz yapılmasına rağmen kilo verme sürecimiz başarısız olabilir. Bu durumda hafif ve orta düzey kilo sorun olan hastalara ilaç tedavisi başlanabilir. İlaç tedavileri yan etkileri ve sürekli kilo kontrolü sağlayamadıkları için etkinlikleri sınırlıdır.Yaşam sitili değişiklikleri ve ilaç tedavileri ile ancak % 5-10 arasında kilo verilmesini sağlayabiliyoruz. İlaçlar genellikle pahalı ve kötü uyum problemlerine neden olabilmektedir. İki yıllık tedavi sürdürme oranı % 2 den azdır. 

Genellikle kilo fazlası olan hastalarda orlistat (xenical), metformin ve sibutramine (meridia) kullanılmaktadır. Kullanım esnasında ciddi yan etkiler görülebilir. Sibutramin (meridia) tedavisinde kalp çarpıntısı ve tansiyonda artma görülebilir. Kalp krizi ve inme gibi sorunlara düşük oranda neden olabilir. Orlistat (xenical) yağ emilimini azaltır, ancak yoğun gaz, ishal, vitamin eksikliği (yağda çözünen) ve safra kesesi hastalıklarına neden olabilir. Metformin ise 2.basamak tedavide tercih edilir, insülin direnci, karaciğer yağlanması veya adet düzensizliklerinde (polikistik over send) kullanılmaktadır. 

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