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Meridia (Reuctil)
Generic Name : Sibutramine hydrochloride.

Common Uses of Meridia
Meridia helps the seriously overweight shed pounds and keep them off. It is especially recommended for those who in addition to being overweight have other health problems such as high blood pressure, diabetes, or high cholesterol. It is used in conjunction with a low-calorie diet. Meridia works by boosting levels of certain chemical messengers in the nervoussystem, including serotonin, dopamine, and norepinephrine.

Meridia (sibutramine) is FDA approved in 5 mg, 10 mg, and 15 mg capsules. The 20 mg dose (grey and white pill) was not approved due to adverse effects on blood pressure.

In February 1998, Meridia (sibutramine hydrochloride monohydrate) was approved in the USA for treatment of obesity. In clinical trials, 85 percent of subjects lost 5 percent of initial body weight, and 57 percent lost 10 percent. Fifteen percent of subjects did not lose any weight or gained weight taking this medication. (see table below) Meridia is available in 5, 10 and 15 mg capsules. The minimum effective dose is 10 mg. Physicians may increase the dose to 15 mg in patients who do not respond to 10 mg, provided there are no adverse side effects. Meridia is indicated for weight loss in patients with a body mass index (BMI) of 30 or more, 27 or more if comorbidities exist, like type-2 diabetes, high blood pressure, high cholesterol, or a family history of these conditions.

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Meridia - Appetite Suppressant
Meridia works by suppressing the appetite in a person through preventing the degradation of norepinephrine and serotonin, two brain chemicals. This is very similar to what the drug Prozac and other anti-depressants do. These brain chemicals are believed to be responsible for the sense of being satisfied with how much one has eaten.

Still, Meridia, like its predecessors, is intended for obesity, not simple weight loss. For most women, this means being at least 30 pounds overweight. Women with other risk factors such as high blood pressure or diabetes can take Meridia if they are a bit less obese. This is because extra weight causes more health problems for those with high blood pressure or diabetes.

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