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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest alternative medicine for ciplatrim

I was prescribed Ciplatrim with other drugs to assist with my anxiety, depression & binge eating. To my knowledge the pharmasist advised that this drug has been withdrawn from the South African market.

What is the reason why it was with drawn. Where else in the world can it be purchased or what can be taken in its place.
Mon, 19 May 2014
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Diseases and Conditions ,  
Ayurveda Specialist 's  Response
**
1. Ciplatrim [ sibutramine hydrochloride monohydrate] is indicated for the management of obesity, including weight loss as well as maintenance of weight loss, but 'depression' being one of the ADR [adverse drug reaction] of the drug limited it use in associated depression [which you were having].
2. ciplatrim is contraindicated in binge disorders [bulimia nervosa], thus was not an ideal prescription for you.
3. Medicines Control Council's (MCC's) found that sibutramine increased the risk of heart attacks and strokes in patients, as a result it was agreed to withdraw it from the market.
PS. If you are at present taking any slimming medication purchased in South Africa that contains sibutramine (Reductil, Ectiva or Ciplatrim), please contact the prescribing doctor or your pharmacist and discuss the risks associated with taking the remaining pills in your possession.
4. A multi-disciplinary approach, including dietary, medical and psychotherapeutic methods, should be undertaken to manage obesity.
PS. Use safer options for weight loss such as a balanced, low-fat, low-glycaemic index (GI) diet and regular exercise. It may take longer and you may need to exercise greater self-control, but this is one way of losing weight safely and sensibly.
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