As explained by Peter Salgo, MD, and Yehuda Handelsman, MD, FACP, FACE, FNLA, the obesity guideline published in 2013 doesn’t offer pharmacotherapy treatment options. However, Dr Salgo cites efficacy data that support their use for weight loss.

Dr Salgo explores short- and long-term agents, many of which are now being used as combination therapy, and asks the panelists to discuss their approaches when treating patients with obesity.

Kari Uusinarkaus, MD, FAAFP, FNLA, explains that although pharmacotherapeutic agents are helpful adjuncts in the management of weight loss, not all patients respond to treatment. Dr Uusinarkaus adds that overcoming other treatment barriers still deserves attention.

Dr Handelsman and Jeffrey D. Dunn, PharmD, MBA, emphasize how cost and reimbursement issues with these agents will continue to challenge their overall success. Dr Dunn explains that because more treatment options are becoming available, a coordinated effort to provide coverage is necessary.

Dr Handelsman emphasizes that, although there are effective pharmacotherapeutic options, lifestyle modification remains important. Dr Handelsman explains that not all patients who are obese require medication. Patients with complications should consider pharmacotherapeutic agents in combination with lifestyle interventions. For this reason, physicians need to focus on each patient as an individual when making treatment decisions.

Episode 4 - Role of Pharmacotherapy in the Treatment of Obesity

During this segment, Peter Salgo, MD; Jeffrey D. Dunn, PharmD, MBA; Yehuda Handelsman, MD, FACP, FACE, FNLA; and Kari Uusinarkaus, MD, FAAFP, FNLA, explore the cost, use, and outcomes of pharmacotherapeutic agents used for the treatment of obesity.
Published Online: May 28, 2014
View More From This Discussion
Episode 1 Episode 1 - Prevalence of Diabetes and Obesity in the United States
Episode 2 Episode 2 - Lifestyle Modification Programs-Do They Work?
Episode 3 Episode 3 - Barriers in the Treatment of Obesity
Episode 4 Episode 4 - Role of Pharmacotherapy in the Treatment of Obesity
Episode 5 Episode 5 - Recognizing and Addressing Factors Related to Nonadherence
Episode 6 Episode 6 - Pharmacotherapy Versus Bariatric Surgery
Episode 7 Episode 7 - Barriers When Managing Diabetes
Episode 8 Episode 8 - Changing the T2DM Treatment Paradigm
Episode 9 Episode 9 - Sodium Glucose Cotransporter 2 Inhibitors and Type 2 Diabetes Mellitus
Episode 10 Episode 10 - Additional Sodium Glucose Cotransporter 2 Inhibitors in the Pipeline
Episode 11 Episode 11 - Optimizing Outcomes in Type 2 Diabetes Mellitus
Episode 12 Episode 12 - Support for Patients With Diabetes
Episode 13 Episode 13 - Recognizing and Resolving Clinical Inertia
Episode 14 Episode 14 - Value-Based Care-Can It Work?
Episode 15 Episode 15 - Approaches to Managing the Diabetes Epidemic
Episode 16 Episode 16 - Closing Remarks
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