ABSTRACT

Sibutramine was approved by the U.S. FDA for use in

obesity treatment in 1997. It is one of only two medica-

tions (along with orlistat, approved in 1999) approved for

long-term use in the United States. The 2007 review of

rimonabant by the FDA called for additional neuropsychi-

atric safety data, and thus sibutramine remains the only

centrally acting agent approved for long-term use. This

review focuses on the use of sibutramine in medical

practices to help obese patients achieve and sustain health

benefits through weight loss.