Implications of Obesity for Drug Therapy: Limitations and Challenges

被引:149
作者
Jain, R. [1 ,2 ]
Chung, S. M. [1 ,2 ]
Jain, L. [1 ,2 ]
Khurana, M. [1 ,2 ]
Lau, S. W. J. [1 ,2 ]
Lee, J. E. [1 ,2 ]
Vaidyanathan, J. [1 ,2 ]
Zadezensky, I. [1 ,2 ]
Choe, S. [1 ,2 ]
Sahajwalla, C. G. [1 ,2 ]
机构
[1] US FDA, Ctr Drug Evaluat & Res, Off Clin Pharmacol, Silver Spring, MD 20993 USA
[2] US FDA, Ctr Drug Evaluat & Res, Off Translat Sci, Silver Spring, MD USA
关键词
ORAL-CONTRACEPTIVE USE; LEAN BODY-WEIGHT; VENOUS THROMBOSIS; PHARMACOKINETICS; DISPOSITION; CYP2E1; RISK; PHARMACODYNAMICS; DESCRIPTOR; MORTALITY;
D O I
10.1038/clpt.2011.104
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Obesity has become a worldwide challenge with significant health and socioeconomic implications. One of the major implications is its impact on drug therapy. In order to gain a better understanding of this impact, we surveyed the regulatory guidances, the newly approved molecular entity drug products, and drug product labels in the Physician's Desk Reference. This review summarizes the findings of the survey along with the existing knowledge on pharmacokinetic and pharmacodynamic changes associated with obesity.
引用
收藏
页码:77 / 89
页数:13
相关论文
共 83 条
[1]   Obesity: risk of venous thrombosis and the interaction with coagulation factor levels and oral contraceptive use [J].
Abdollahi, M ;
Cushman, M ;
Rosendaal, FR .
THROMBOSIS AND HAEMOSTASIS, 2003, 89 (03) :493-498
[2]   OBESITY, SEX, AND ACETAMINOPHEN DISPOSITION [J].
ABERNETHY, DR ;
DIVOLL, M ;
GREENBLATT, DJ ;
AMEER, B .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 1982, 31 (06) :783-790
[3]   Glomerular filtration rate in severely overweight normotensive humans [J].
Anastasio, P ;
Spitali, L ;
Frangiosa, A ;
Molino, D ;
Stellato, D ;
Cirillo, E ;
Pollastro, RM ;
Capodicasa, L ;
Sepe, J ;
Federico, P ;
De Santo, NG .
AMERICAN JOURNAL OF KIDNEY DISEASES, 2000, 35 (06) :1144-1148
[4]   Mechanism-based concepts of size and maturity in pharmacokinetics [J].
Anderson, B. J. ;
Holford, N. H. G. .
ANNUAL REVIEW OF PHARMACOLOGY AND TOXICOLOGY, 2008, 48 :303-332
[5]  
[Anonymous], 2011, DRUGBANK
[6]  
[Anonymous], 2011, Overweight and obesity
[7]  
[Anonymous], 1976, RES OBESITY
[8]  
[Anonymous], 2001, ORTHO EVRA
[9]  
[Anonymous], 2010, NATAZIA
[10]  
[Anonymous], 2006, IMPLANON