Medical Dialogues
  • Dermatology
Login Register
This site is intended for healthcare professionals only
Login Register
  • MD Brand Connect
  • Webinars
  • Vaccine Hub
  • MDTV
    • Breaking News
    • Medical News Today
    • Health News Today
    • Latest
    • Journal Club
    • Medico Legal Update
    • Latest Webinars
    • MD Shorts
    • Health Dialogues
  • Fact Check
  • Health Dialogues
Medical Dialogues
  • Medical News & Guidelines
      • Anesthesiology
      • Cardiology and CTVS
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endocrinology
      • ENT
      • Gastroenterology
      • Medicine
      • Nephrology
      • Neurology
      • Obstretics-Gynaecology
      • Oncology
      • Ophthalmology
      • Orthopaedics
      • Pediatrics-Neonatology
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
      • Laboratory Medicine
      • Diet
      • Nursing
      • Paramedical
      • Physiotherapy
  • Health news
      • Doctor News
      • Government Policies
      • Hospital & Diagnostics
      • International Health News
      • Medical Organization News
      • Medico Legal News
      • NBE News
      • NMC News
  • Fact Check
      • Bone Health Fact Check
      • Brain Health Fact Check
      • Cancer Related Fact Check
      • Child Care Fact Check
      • Dental and oral health fact check
      • Diabetes and metabolic health fact check
      • Diet and Nutrition Fact Check
      • Eye and ENT Care Fact Check
      • Fitness fact check
      • Gut health fact check
      • Heart health fact check
      • Kidney health fact check
      • Medical education fact check
      • Men's health fact check
      • Respiratory fact check
      • Skin and hair care fact check
      • Vaccine and Immunization fact check
      • Women's health fact check
  • AYUSH
    • Ayurveda
    • Homeopathy
    • Siddha
    • Unani
    • Yoga
  • State News
      • Andaman and Nicobar Islands
      • Andhra Pradesh
      • Arunachal Pradesh
      • Assam
      • Bihar
      • Chandigarh
      • Chattisgarh
      • Dadra and Nagar Haveli
      • Daman and Diu
      • Delhi
      • Goa
      • Gujarat
      • Haryana
      • Himachal Pradesh
      • Jammu & Kashmir
      • Jharkhand
      • Karnataka
      • Kerala
      • Ladakh
      • Lakshadweep
      • Madhya Pradesh
      • Maharashtra
      • Manipur
      • Meghalaya
      • Mizoram
      • Nagaland
      • Odisha
      • Puducherry
      • Punjab
      • Rajasthan
      • Sikkim
      • Tamil Nadu
      • Telangana
      • Tripura
      • Uttar Pradesh
      • Uttrakhand
      • West Bengal
  • Medical Education
      • Ayush Education News
      • Dentistry Education News
      • Medical Admission News
      • Medical Colleges News
      • Medical Courses News
      • Medical Universities News
      • Nursing education News
      • Paramedical Education News
      • Study Abroad
  • Industry
      • Health Investment News
      • Health Startup News
      • Medical Devices News
      • Pharma News
      • Pharmacy Education News
      • Industry Perspective
  • MDTV
      • Health Dialogues MDTV
      • Health News today MDTV
      • Latest Videos MDTV
      • Latest Webinars MDTV
      • MD shorts MDTV
      • Medical News Today MDTV
      • Medico Legal Update MDTV
      • Top Videos MDTV
      • Health Perspectives MDTV
      • Journal Club MDTV
      • Medical Dialogues Show
This site is intended for healthcare professionals only
LoginRegister
Medical Dialogues
LoginRegister
  • Home
  • Medical news & Guidelines
    • Anesthesiology
    • Cardiology and CTVS
    • Critical Care
    • Dentistry
    • Dermatology
    • Diabetes and Endocrinology
    • ENT
    • Gastroenterology
    • Medicine
    • Nephrology
    • Neurology
    • Obstretics-Gynaecology
    • Oncology
    • Ophthalmology
    • Orthopaedics
    • Pediatrics-Neonatology
    • Psychiatry
    • Pulmonology
    • Radiology
    • Surgery
    • Urology
    • Laboratory Medicine
    • Diet
    • Nursing
    • Paramedical
    • Physiotherapy
  • Health news
    • Doctor News
    • Government Policies
    • Hospital & Diagnostics
    • International Health News
    • Medical Organization News
    • Medico Legal News
    • NBE News
    • NMC News
  • Fact Check
    • Bone Health Fact Check
    • Brain Health Fact Check
    • Cancer Related Fact Check
    • Child Care Fact Check
    • Dental and oral health fact check
    • Diabetes and metabolic health fact check
    • Diet and Nutrition Fact Check
    • Eye and ENT Care Fact Check
    • Fitness fact check
    • Gut health fact check
    • Heart health fact check
    • Kidney health fact check
    • Medical education fact check
    • Men's health fact check
    • Respiratory fact check
    • Skin and hair care fact check
    • Vaccine and Immunization fact check
    • Women's health fact check
  • AYUSH
    • Ayurveda
      • Ayurveda Giuidelines
      • Ayurveda News
    • Homeopathy
      • Homeopathy Guidelines
      • Homeopathy News
    • Siddha
      • Siddha Guidelines
      • Siddha News
    • Unani
      • Unani Guidelines
      • Unani News
    • Yoga
      • Yoga Guidelines
      • Yoga News
  • State News
    • Andaman and Nicobar Islands
    • Andhra Pradesh
    • Arunachal Pradesh
    • Assam
    • Bihar
    • Chandigarh
    • Chattisgarh
    • Dadra and Nagar Haveli
    • Daman and Diu
    • Delhi
    • Goa
    • Gujarat
    • Haryana
    • Himachal Pradesh
    • Jammu & Kashmir
    • Jharkhand
    • Karnataka
    • Kerala
    • Ladakh
    • Lakshadweep
    • Madhya Pradesh
    • Maharashtra
    • Manipur
    • Meghalaya
    • Mizoram
    • Nagaland
    • Odisha
    • Puducherry
    • Punjab
    • Rajasthan
    • Sikkim
    • Tamil Nadu
    • Telangana
    • Tripura
    • Uttar Pradesh
    • Uttrakhand
    • West Bengal
  • Medical Education
    • Ayush Education News
    • Dentistry Education News
    • Medical Admission News
    • Medical Colleges News
    • Medical Courses News
    • Medical Universities News
    • Nursing education News
    • Paramedical Education News
    • Study Abroad
  • Industry
    • Health Investment News
    • Health Startup News
    • Medical Devices News
    • Pharma News
      • CDSCO (Central Drugs Standard Control Organisation) News
    • Pharmacy Education News
    • Industry Perspective
  • Home
  • Diabetes and Endocrinology
  • Diabetes and Endocrinology News
  • Sibutramine-Topiramate...

Sibutramine-Topiramate Combo Effective for Long-Term Weight Loss in Obesity: Study Finds

Written By : Medha Baranwal |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2025-10-06T08:00:55+05:30  |  Updated On 6 Oct 2025 8:00 AM IST
Sibutramine-Topiramate Combo Effective for Long-Term Weight Loss in Obesity: Study Finds
  • facebook
  • twitter
  • linkedin
  • whatsapp
  • Telegram
  • Email

Brazil: A study published in Diabetology & Metabolic Syndrome has revealed that combining sibutramine and topiramate may offer an effective and affordable long-term weight loss option, with 64% of patients maintaining at least a 5% weight loss and 26.5% maintaining at least a 15% weight loss over a 36-month period.

The global burden of obesity continues to climb. According to the World Obesity Federation, the number of adults living with obesity is projected to nearly double from 810 million in 2020 to 1.53 billion by 2035. While lifestyle changes remain the foundation of management, maintaining weight loss through diet and exercise alone is often difficult, prompting the need for safe and cost-effective medications.
Sibutramine, an appetite suppressant, and topiramate, an anticonvulsant that can reduce food cravings, have been used individually to support weight loss. In some clinical settings, physicians have prescribed them together, but evidence regarding their combined safety and efficacy has been sparse. The SIBAMATE retrospective cohort study, led by Dr. Cintia Cercato and colleagues from the University of São Paulo Medical School Hospital, aimed to address this gap.
The team reviewed records of 246 adults treated between 2012 and 2022 at the hospital’s Obesity Unit. Eligible participants were at least 18 years old and either had a body mass index (BMI) over 30 kg/m² or a BMI above 27 kg/m² with a related condition such as type 2 diabetes, high blood pressure, or abnormal lipid levels. Women made up the majority of the group (86.2%), with an average age of 42.8 years. At baseline, the mean BMI was 39.7 and the average weight was 104.2 kg. Most patients also received guidance on a calorie-restricted diet and regular exercise, supported by a multidisciplinary team of endocrinologists and nutritionists.
Patients were prescribed daily doses averaging 11 mg of sibutramine and about 120 mg of topiramate. After three months, the results were striking:
  • 61.8% of participants lost at least 5% of their starting weight.
  • 29.4% achieved more than 10% weight loss.
  • 10.9% shed over 15% of their initial weight.
  • At 36 months, 64% maintained at least a 5% weight loss.
  • 40.6% maintained a loss of 10% or more.
  • 26.5% continued to exceed 15% weight loss.
  • Reported side effects included tingling sensations, memory issues, slowed thinking, and elevated blood pressure.
  • No major safety concerns were identified during an average follow-up of just over two years.
  • Approximately one-quarter of participants discontinued treatment.
The investigators concluded that this drug combination can provide meaningful, lasting weight reduction in a real-world setting, particularly in regions where affordability is crucial. They suggested that a daily regimen of roughly 10 mg of sibutramine and 100 mg of topiramate was most common in their clinic.
However, the authors cautioned that their single-center, retrospective design limits broader generalization, especially since most participants were relatively young women and the study lacked a control group. Despite these limitations, the findings highlight a practical therapeutic option for carefully selected patients while newer obesity treatments continue to emerge.
Reference:
Cercato, C., Stumpf, M.A.M., da Cunha Freire, G.N. et al. Combination of sibutramine and topiramate for the treatment of obesity: the SIBAMATE retrospective cohort study. Diabetol Metab Syndr 17, 289 (2025). https://doi.org/10.1186/s13098-025-01842-1


Diabetology & Metabolic Syndromesibutraminetopiramateobesity
Source : Diabetology & Metabolic Syndrome
Medha Baranwal
Medha Baranwal

    MSc. Biotechnology

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

    Show Full Article
    Next Story

    Editorial

    Tirzepatide proves to be more effective than semaglutide- Results of Surmount 5 Trial

    Tirzepatide proves to be more effective than semaglutide- Results of Surmount 5 Trial

    Pneumococcal Vaccination in Hematological Malignancies (HM)-Indian Hematology Expert Consensus 2025

    Pneumococcal Vaccination in Hematological Malignancies (HM)-Indian Hematology Expert Consensus 2025

    Negligence vs Misconduct: Where Do Medical Councils Draw the Line?

    Negligence vs Misconduct: Where Do Medical Councils Draw the Line?

    Real-World Case Insight: Triple FDC Therapy in a Young Diabetes Patient - Dr Naresh Kumar

    Real-World Case Insight: Triple FDC Therapy in a Young Diabetes Patient - Dr Naresh Kumar

    Pneumococcal Disease Risk and Vaccination in Cardiac Conditions: Indian Cardiologists Group Recommendations

    Pneumococcal Disease Risk and Vaccination in Cardiac Conditions: Indian Cardiologists' Group...

    View All

    Journal Club Today

    Managing Chest Acne - The Overlooked Breakouts with dermatologist Dr Sravya Tipirneni

    Managing Chest Acne - The Overlooked Breakouts with dermatologist Dr Sravya Tipirneni

    View All

    Health News Today

    Health Bulletin 04/October/2025

    Health Bulletin 04/October/2025

    View All
    © 2022 All Rights Reserved.
    Powered By: Hocalwire
    X
    We use cookies for analytics, advertising and to improve our site. You agree to our use of cookies by continuing to use our site. To know more, see our Cookie Policy and Cookie Settings.Ok