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Correction to Rosenbaum et al., N Engl J Med 337(6):396-407 August 7, 1997.

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Volume 338:64-65 January 1, 1998 Number 1
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Obesity

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 by Rosenbaum, M.
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 by Rosenbaum, M.
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To the Editor: In their article on obesity, Rosenbaum et al. (Aug. 7 issue)1 characterize sibutramine, currently undergoing regulatory review as a drug for the treatment of obesity, as having both catecholaminergic and serotonergic agonist effects. Sibutramine, in fact, is not an agonist at catecholamine or serotonin receptors but instead acts by inhibiting the reuptake of serotonin and norepinephrine at central synapses. Thus, sibutramine's mode of action is similar to that of other monoamine-reuptake inhibitors such as venlafaxine (an inhibitor of serotonin and norepinephrine reuptake) and fluoxetine (a selective serotonin-reuptake inhibitor). The mode of action of drugs that alter appetite . . . [Full Text of this Article]

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