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Related Experiment Videos

Orexigenic and anabolic agents.

John E Morley1

  • 1Division of Geriatric Medicine, Saint Louis University School of Medicine, 1402 South Grand Boulevard M238, Saint Louis, MO 63104, USA. morley@slu.edu

Clinics in Geriatric Medicine
|March 1, 2003
PubMed
Summary
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Megestrol acetate and dronabinol are effective anorectic agents for weight loss. Dronabinol is recommended for most patients, while megestrol acetate has specific indications and contraindications.

Area of Science:

  • Geriatrics
  • Pharmacology
  • Internal Medicine

Background:

  • Anorexia and weight loss are significant causes of morbidity and mortality.
  • Current treatments include megestrol acetate and dronabinol.

Purpose of the Study:

  • Compare the efficacy and appropriate use of megestrol acetate and dronabinol.
  • Provide guidance on managing anorexia and weight loss in older adults.

Main Methods:

  • Comparative analysis of megestrol acetate and dronabinol.
  • Review of current treatment guidelines and clinical considerations.

Main Results:

  • Megestrol acetate: suitable for excess cytokine production, requires testosterone in men, avoid in bed-bound patients due to DVT risk.

Related Experiment Videos

  • Dronabinol: recommended for most patients, start low dose (2.5mg) and increase if needed, suitable for end-of-life anorexia.
  • Mirtazapine for depression with anorexia; taste enhancers for taste disturbances; testosterone replacement for older men with low levels.
  • Conclusions:

    • Dronabinol is a generally preferred anorectic agent.
    • Megestrol acetate has specific indications and contraindications.
    • Individualized treatment approaches, including hormonal therapy and supportive measures, are crucial for managing anorexia and weight loss.