This is an automatically translated article.
Overweight and obesity are more and more common and have a significant impact on health and aesthetics. Among them, there are many patients who are both overweight, obese and have cardiovascular disease. So can weight loss drugs be used for people with heart disease?1. Can I use weight loss pills for people with heart disease?
Overweight and obesity is an abnormal or excessive accumulation of fat that is dangerous to health. Therefore, after the use of measures such as increased physical activity combined with lifestyle changes and nutrition failed, the use of weight loss drugs to support the combination is necessary to manage weight. heavy.
However, subjects assigned to use weight loss drugs were obese patients with baseline BMI = 30 or overweight patients with BMI = 27 with risk factors such as increased blood pressure, diabetes, dyslipidemia ....
Patients with a lower BMI, especially those who are not overweight, but want to lose weight to get a good figure and figure are not should self-administer weight loss pills.
Overweight and obesity are at an alarming rate, this is also a major risk factor for many dangerous diseases such as cardiovascular disease, diabetes, musculoskeletal and some types of cancer. But currently we don't have many widely used weight loss drugs. Because weight loss drugs have side effects when used.
There have been many weight loss drugs forced to stop circulating on the market. Moreover, weight loss drugs only work to support weight loss by reducing the amount of calories absorbed.
For weight loss to be effective, you still have to do it in sync; Maintaining a healthy lifestyle, exercising, and proper nutrition to metabolize the accumulated fat can be sustainable. Even comfortable eating after taking weight loss pills can have the opposite effect, making you gain weight back more quickly and harder to control.
Licensed weight loss drugs on the market today include:
Orlistat: This is a common active ingredient used in weight control support for adults. This medicine works by inhibiting the enzyme lipase, which is an enzyme that digests fat in the stomach and pancreas, thereby preventing the absorption of fat by the digestive system, but not completely. This drug only works when taken with a high-fat meal, and for a high-carbohydrate (carbohydrate) diet, Orlistat has no effect. This drug may have side effects causing liver dysfunction such as loss of appetite, itching, jaundice, right upper quadrant pain, dark urine, pale stools,... In addition, Orlistat medicine can also cause kidney stones and gallstones. Phentermine (can be combined with topiramate): These are prescription drugs that act on the central nervous system, causing anorexia. This medicine is for short-term use only under the supervision of a doctor. Absolutely do not use this drug together with other weight loss drugs related to nerve effects because of dangerous side effects such as: Pulmonary hypertension, heart valve disease, increased heart rate, mental disorders can happen. These drugs are contraindicated for people with a history of cardiovascular disease such as coronary artery disease, arrhythmia, hypertension, ... and glaucoma. Liraglutide: As a prescription active ingredient used to treat type 2 diabetes, but it is also indicated for weight control in the form of a subcutaneous pen, it has a blood sugar regulation effect and creates a feeling full. Liraglutide has a risk of causing acute pancreatitis, excessive hypoglycemia, and increased heart rate. Setmelanotide: This active ingredient was first approved by the FDA in 2020 for the treatment of obesity caused by rare genetic disorders. Active substances that were once used for weight loss but are now banned because of dangerous side effects on the cardiovascular system, nervous system, liver, kidney and potentially carcinogenic include: Sibutramine, Fenfluramine, Dexfenfluramine, Lorcaserin, Phenolphthalein...
Thus there are weight loss drugs contraindicated for patients with cardiovascular disease. You need to discuss with your doctor to know which weight loss pills are safe for heart disease, do not arbitrarily use any medicine without the consent and guidance of a specialist.
2. How to lose weight safely for people with heart disease
Being overweight increases the risk of heart problems. If you have cardiovascular disease, maintaining a healthy weight becomes an important part of your treatment plan.
You can safely lose weight by changing your diet and exercising regularly to help your weight return to a stable level. Safe ways to lose weight for people with heart disease include:
Change in calories: There are two main changes in living habits to be able to balance calories: Eat less (diet change) and the second is to burn more calories than you eat (change in frequency of physical activity). So, to lose weight in a healthy way, experts recommend cutting your diet down to 500 calories per day. Eating healthy: Increasing the amount of fruits and vegetables in your daily meals is one of the most ideal ways to safely control your body weight. Some suggestions to help you limit your calorie intake without affecting your health: Eat whole grains instead of white grains. Eat seafood instead of red meat and poultry. Use cooking oil to replace solid fat. Use low or fat-free products. Limit foods high in salt. Eat less sugar. Choose cooking methods by steaming, baking or boiling instead of frying or stir-frying. Exercise more: Moderate exercise will also help you lose weight, control body weight and help control blood pressure more effectively. Plus, being active reduces the risk of heart disease and stroke. Each person will have a different intensity and form of exercise, you can try the following: Walk briskly 5 days a week. Set a goal of exercising at least every 30 minutes. Strengthen key muscle groups in your back, chest, abs, arms, legs, hips, and shoulders by lifting light to moderate weights. If you have cardiovascular disease, it's important not to overdo it, but to work closely with your doctor to figure out how much weight to lose that's right for your current health and fitness status. A healthy lifestyle will support cardiovascular health and help maintain a healthy weight.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
