Anorectics, anorexigenics or appetite suppressants are substances (dietary supplements or drugs) that reduce the appetite and cause a person to eat less.
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From the Greek an- = "without" and orexi- = "appetite".
Numerous pharmaceutical compounds are marketed as appetite suppressants.
The following drugs listed as "centrally acting antiobesity preparations" by ATC:[1]
The following are listed as appetite depressants by MeSH.[2]
Other compounds marked as appetite suppressants include:
Epidemics of fatal pulmonary hypertension and heart valve damage associated with pharmaceutical anorectic agents have led to the withdrawal of products from the market. This was the case with aminorex in the 1960s, and again in the 1990s with fenfluramine (see: Fen-phen).[3] Likewise, association of the related appetite suppressant phenylpropanolamine with hemorrhagic stroke led the Food and Drug Administration (FDA) to request its withdrawal from the market in the United States in 2000, and similar concerns regarding ephedrine resulted in an FDA ban on its inclusion in dietary supplements, in 2004 (a Federal judge later overturned this ban in 2005 during a challenge by supplement maker Nutraceuticals). It is also debatable as to whether the ephedrine ban had more to do with its use as a precursor in methamphetamine manufacture rather than legitimate health concerns.
Used on a short term basis clinically to treat obesity, some appetite suppressants are also available over the counter. Appetite suppressants don't have to be approved by the FDA when they are based on a 100% natural basis. There are all kinds of natural appetite suppressants (supplements) on the market helping people to control and limit their food intake. Most common natural appetite suppressants are based on hoodia [1] a genus of 13 species in the flowering plant family Apocynaceae, under the subfamily Asclepiadoideae. On January 18, 2008, the Botanic Gardens Conservation International (representing botanic gardens in 120 countries) stated that "400 medicinal plants are at risk of extinction, from over-collection and deforestation, threatening the discovery of future cures for disease." Also widely used as a basis is green tea with other plant extracts to limit calorie intake. For example, Solo Slim [2] is based on a mix of natural ingredients using green tea as its basis with a mix of other plant extracts and also using fucoxanthin, found naturally in seaweed, [3] in its stronger version to target belly fat. Drugs of this class are frequently stimulants of the phenethylamine family, related to amphetamine (speed).
The German military experimented with issuing amphetamines to soldiers in 1945, when food supplies were very short in Germany. Following the Second World War, amphetamines were re-directed for use on the civilian market. Indeed, amphetamine itself was sold commercially as an appetite suppressant until it was outlawed in most parts of the world in the late 1950s due to increased recreational use. Many amphetamines produce side effects including addiction, tachycardia and hypertension, [4]making prolonged unsupervised use dangerous.
Many people who obtain these drugs are more interested in the amphetamine-like stimulant effects than weight loss. In those cases, it is important to make sure to keep forcing oneself to eat even when it is undesirable.[citation needed][who?]
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