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Drug Dev Res ; 79(5): 225-233, 2018 08.
Artículo en Inglés | MEDLINE | ID: mdl-30188585

RESUMEN

Preclinical Research & Development Current drugs for obesity treatment have limited efficacy and considerable adverse effects. Combination of drugs with complementary mechanisms of action at lower doses may produce a greater efficacy with a better safety profile. This study was designed to assess the anorectic effect and safety of a diethylpropion + topiramate mixture in rats. The anorectic effect of drugs was measured using a sweetened milk consumption model, and the corresponding interaction was determined by isobolographic analysis, interaction index and confidence intervals. Additionally, blood pressure was measured using a sphygmomanometer in the rat tail. Diethylpropion and topiramate alone or in combination increased the anorectic effect in a dose-dependent fashion in either nondeprived or 12 hr food-deprived rats. All theoretical ED30 values of diethylpropion + topiramate combinations at 1:1, 1:3, and 3:1 dose ratios were significantly higher than experimental ED30 values. In addition, interaction indices and confidence intervals confirmed the potentiation between both drugs. Theoretical ED30 of diethylpropion + topiramate combination did not affect the blood pressure. Data suggests that low doses of the diethylpropion + topiramate combination can potentiate the anorectic effect of individual drugs with a better safety profile, which deserves further investigation in clinical trials.


Asunto(s)
Depresores del Apetito/administración & dosificación , Dietilpropión/administración & dosificación , Topiramato/administración & dosificación , Animales , Depresores del Apetito/efectos adversos , Presión Sanguínea/efectos de los fármacos , Dietilpropión/efectos adversos , Relación Dosis-Respuesta a Droga , Sinergismo Farmacológico , Humanos , Masculino , Leche , Ratas Wistar , Topiramato/efectos adversos
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