title: [Effect of dexfenfluramine on eating behavior and body weight of obese patients: results of a field study of Isomeride in Austrian general practice].
abstract: In a multicenter study by 243 practicing physicians in Austria 819 severely obese subjects of both sexes without overt disease were encouraged to keep a calorie-restricted diet to reduce weight. After a run-in period of more than two weeks of dieting patients started taking 15 mg dexfenfluramine (Isomeride) twice daily for three month. While their weight was fairly stable during the run-in period progressive weight loss occurred during taking dexfenfluramine due to obvious changes in eating habits and appetite allowing to keep the reducing diet more strictly. Females lost 7.7 +/- 3.9 kg while obese men lost 9.32 +/- 4.6 kg. Laboratory tests obtained before starting dexfenfluramine and after 3 months at termination of medication showed blood glucose, cholesterol, LDL and triglycerides to decrease while HDL-cholesterol increased moderately. Dexfenfluramine was well tolerated by the majority of patients. Side effects such as fatigue, sedation, flatulence or diarrhea occurred in only 7.9% of the probands initially and dropped to 2.1% during the third month of the medication. It is concluded that Dexfenfluramine modifies eating habits and appetite thus making weight reducing diets easier acceptable and resulting in weight loss. It is suggested that Dexfenfluramine has a role in treatment regimes for morbid and refractory obesity.
authors.forename: G
authors.initials: G
authors.lastname: Geyer
authors.forename: G
authors.initials: G
authors.lastname: Haidinger
authors.forename: M
authors.initials: M
authors.lastname: Francesconi
authors.forename: N
authors.initials: N
authors.lastname: Langmayr
authors.forename: R
authors.initials: R
authors.lastname: Prager
authors.forename: R
authors.initials: R
authors.lastname: Schoberberger
authors.forename: H
authors.initials: H
authors.lastname: Toplak
authors.forename: G
authors.initials: G
authors.lastname: von Kalckreuth
authors.forename: M
authors.initials: M
authors.lastname: Kunze
mesh_terms: D000328:Adult; D000368:Aged; D001067:Appetite Depressants / Q000009:adverse effects / Q000627:therapeutic use*; D001317:Austria; D001835:Body Weight / Q000187:drug effects*; D003131:Combined Modality Therapy; D004038:Diet, Reducing; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D004435:Eating / Q000187:drug effects*; D002149:Energy Intake / Q000187:drug effects; D005260:Female; D005277:Fenfluramine / Q000009:adverse effects / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000188:drug therapy*
chemical_list: D001067:Appetite Depressants; D005277:Fenfluramine
vernacular_title: Der Einfluss von Dexfenfluramin auf Essverhalten und Körpergewicht von Adipösen: Ergebnisse einer Anwendungsstudie von Isomeride in österreichischen Arztpraxen.