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Lorcaserin Safety in Overweight or Obese Patients
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Lorcaserin Safety in Overweight or Obese Patients
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Lorcaserin Safety in Overweight or Obese Patients
Lorcaserin Safety in Overweight or Obese Patients
Journal Article

Lorcaserin Safety in Overweight or Obese Patients

2019
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Overview
To the Editor: The article by Bohula et al. (Sept. 20 issue) 1 examined the use of lorcaserin, a selective agonist of the 5-hydroxytryptamine 2C serotonin receptor (5-HT2C), in overweight or obese patients. In this trial and previous trials, 2 headache was one of the most common side effects of lorcaserin and a common reason for discontinuation. Meta-chlorophenylpiperazine (mCPP), another 5-HT2C receptor agonist and a major metabolite of trazodone, has been shown to trigger headache with migrainous phenotype among susceptible persons. 3-5 The pharmacology of lorcaserin, with its side effect of headache, reinforces the role of serotonergic mechanisms, specifically the 5-HT2C receptor, in . . .

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