Reducing weight through allopathy (modern medicine)

 Reducing weight through allopathy (modern medicine) is usually approached with lifestyle modifications (diet, exercise) and, if necessary, medical interventions. In India, there are several allopathic medications that can aid in weight loss. These medications are typically prescribed for people who have significant obesity (Body Mass Index, BMI ≥ 30) or overweight with related health conditions (BMI ≥ 27 with conditions like diabetes or high blood pressure). It's important to note that these drugs should be taken under the supervision of a doctor due to potential side effects.

Commonly Prescribed Allopathic Medicines for Weight Loss in India:

1. Orlistat (Xenical, Orlean, Orlip, Slimtop)

   • Mechanism: It works by inhibiting the enzyme lipase, reducing the absorption of dietary fat by about 30%.
   • Usage: Taken with a low-fat, calorie-controlled diet.
   • Side Effects: Gastrointestinal issues such as oily stools, flatulence, and frequent bowel movements.

2. Phentermine-Topiramate (Extended-Release)

   • Not widely available in India but some doctors may prescribe combination therapies.
   • Mechanism: Phentermine suppresses appetite, while topiramate promotes a feeling of fullness.
   • Side Effects: Dizziness, insomnia, constipation, and dry mouth.

3. Liraglutide (Brand: Saxenda, Victoza)

   • Originally used for managing diabetes but is also approved for weight loss.
   • Mechanism: Works by mimicking a hormone that targets areas in the brain regulating appetite.
   • Usage: Administered as an injection.
   • Side Effects: Nausea, vomiting, diarrhea, and risk of pancreatitis.

4. Naltrexone-Bupropion (Brand: Contrave in the U.S., not common in India)

   • Mechanism: This combination reduces hunger and cravings.
   • Side Effects: Nausea, headache, constipation, and dizziness.

Over-the-Counter Supplements and Appetite Suppressants:

These may be available in India, but they generally have limited evidence supporting their effectiveness for weight loss. Always consult a doctor before taking these, as some may interact with other medications or cause unwanted side effects.

Important Considerations:

• Prescription only: Most weight loss drugs are prescription-based and should only be used under medical supervision.
• Lifestyle changes: Medications work best when combined with a healthy diet and regular physical activity.
• Side effects: Many weight loss medications have side effects, so a thorough discussion with a healthcare provider is necessary.

A doctor or dietician can help design a safe, effective weight loss plan tailored to your needs, possibly incorporating one of these medications if appropriate.