(07-10) 22:09 PDT LEXINGTON, Ky. (AP) --
A drug used to quit smoking and treat depression helps obese
people lose weight and keep it off, researchers report.
The drug, bupropion SR, is sold as Wellbutrin for depression and
Zyban for nicotine addiction. In a yearlong study, it was shown to
help reduce weight and keep it off when combined with diet and
exercise, said Dr. James Anderson, professor of medicine and
clinical nutrition at the University of Kentucky's College of
Medicine.
About 51 million Americans are obese and another 61 million are
overweight, according to the American Obesity Association.
"Obesity is a huge problem, especially among children, and the
treatments we offer aren't very effective," Anderson said Tuesday.
"There are no magic bullets for treating obesity. Diet and
exercise are still the keys to long-term weight loss. But this does
give us another arrow in the quiver in helping to treat it."
The study, reported in July's Obesity Research, was paid for by
the drug's manufacturer, GlaxoSmithKline.
During the first half of the 48-week study, 227 obese people were
randomly assigned to take one of two doses of bupropion or a dummy
pill each day. Participants also were on a restricted diet and asked
to increase their exercise by about 50 percent.
Those on the higher dose of bupropion lost 10 percent of their
body weight compared with 7 percent for those on the lower dosage.
Those who took the dummy pill lost about 5 percent of their body
weight.
In the second 24 weeks, 192 participants who completed the first
part of the study were all given bupropion and were able to sustain
their weight loss.
Those on the higher dose maintained an 8.6 percent loss and those
on the lower dose maintained a 7.5 percent loss.
"This is a drug that people have taken for many years to treat
depression with few problems or side effects," said Dr. Richard
Atkinson, president of the American Obesity Association. "If it can
be just as effective in treating obesity, it has the potential to
help a lot of people."
Anderson said the drug, which has limited side effects like dry
mouth and diarrhea, reduces the flow of behavioral hormones
norepinephrine and dopamine to the brain, helping to reduce the urge
to eat.