Table 2. All Reports Included in This Review and Additional Information.
References | Description of study | Medications | Dosages | Effects |
---|---|---|---|---|
Bertino et al (1991) [17] | Randomized controlled double-blind study, involving 18 male college students. The objective was to test reduction in intake of food with administration of naltrexone | Naltrexone | 50 mg administered once daily in tablet form | Reduction in intake of food after administration of naltrexone |
Billes (2014) [25] | Systematic review of literature assessing effectiveness of combining naltrexone and bupropion in promoting weight loss | Naltrexone and bupropion | 8 mg of naltrexone + 90 mg of bupropion | Profound and sustained reduction in weight loss |
Drewnowski et al (1995) [23] | Randomized controlled double-blind study assessing effects of naloxone on food consumption | Naloxone | 6 mg bolus followed by a 0.1 mg per kg every hour, administered intravenously for 2.5 h | Reduction in binge eating habits but no significant effect on weight loss |
Holtzman (1979) [24] | Randomized controlled trial involving rats. The objective was to determine effect of naloxone in suppressing eating and drinking habits | Naloxone | 0.3 - 10 mg/kg administered intravenously | Suppression of eating and drinking in a dose-related manner |
Kumar and Aronne (2017) [29] | Book section discussing pharmacotherapy for obesity | Combination of naltrexone and bupropion | Naltrexone 32 mg and bupropion 360 mg | Significant weight loss when combined with lifestyle modification |
Lee and Fujioka (2009) [27] | Extensive systematic review of literature to assess use of naltrexone in treatment of obesity | Naltrexone | 50 mg tablet | Monotherapy is associated with insignificant loss of weight |
Malcolm et al (1985) [28] | Randomized controlled trial assessing effectiveness of naltrexone in obesity reduction. The trial was carried out for 10 weeks and involved 14 subjects who were male and 27 subjects who were female. A placebo was used for the control group | Naltrexone | Daily dosage of 200 mg | No significant reduction in body weight |
Mason et al (2015) [37] | Randomized controlled trial | Naltrexone | 25 mg on day 1 followed by 50 mg daily for 2 days | Reduction in reward-driven eating and craving for food |
Moore et al (1981) [21] | Randomized controlled trial. They sampled 12 female patients who were suffering from anorexia nervosa who were in the inpatient unit of a hospital. These subjects were between the age of 16 years and 38 years, with 37.6 kg as their mean weight. They were subjected to a regimen characterized with punishment and reward, with the inclusion of amitriptyline for treating depression after being admitted at the hospital for a period not less than 2.9 weeks; the subjects were given naloxone through intravenous infusion. Administration of naloxone was continued for 5 weeks, on average. Two of these participants were given normal saline intravenously as a placebo one week prior and a week after infusion with naloxone. Per study protocol, their blood was tested | Naloxone | Initial dose ranged between 1.0 mg every 12 h and 3.2 mg, increased after week 1 to between 3.2 mg and 6.4 mg | Naloxone had antilipolytic effect that was responsible for weight gaining |
Rebello and Greenway (2016) [36] | Systematic literature review | Naltrexone and bupropion combination | 32 mg/360 mg | Reduction in frequency and strength of cravings for food |
Selleck and Baldo (2017) [30] | Systematic literature review: prefrontal cortex-based opioid effects were compared to those elicited from the NAcc, to glean possible common functional principles; the motivational effects of opiates were discussed | Eating was induced by action of opioids in prefrontal cortex and NAcc through enhancement of reactivity to taste | ||
Sinclair (2006) [19] | Patent on use of naloxone to treat eating disorders | Naloxone | Reduction in bulimia | |
Stolar (1988) [20] | Chapter overview on effects of naloxone on eating disorders like hyperphagia | Naloxone | Reduction of severity of hyperphagia | |
Yeomans and Gray (1996) [31] | A randomized placebo-controlled double-blind study to determine effects that naltrexone has on intake of food and its pleasantness | Naltrexone | 50 mg of naltrexone | The amount of food intake reduced but sweetness and saltiness of food was not affected by naltrexone |
Giuliano et al (2012) [26] | In-lab study on rats | GSK1521498 Naltrexone |
GSK1521498 (0.1, 1 and 3 mg/kg) or naltrexone (NTX, 0.1, 1 and 3 mg/kg) | Both compounds reduced binge-like palatable food hyperphagia. Reduced food-seeking behavior |
Yanovski and Yanovski (2015) [32] | Review article | Naltrexone-extended release plus bupropion -extended release (NB) (brand name, Contrave) | This preparation consists of a combination of 360 mg of bupropion and 32 mg of naltrexone | Preparation is effective and FDA-approved for adults with BMI ≥ 30 kg/m2 or with BMI ≥ 27 kg/m2 plus obesity-related comorbidities |