Lorcaserin (previously APD-356), a highly selective 5HT2C receptor agonist, is used for the treatment of obesity. It has been shown to reduce body weight and food intake in animal models of obesity, and it is thought that targeting the 5HT2C receptor may alter body weight by regulating satiety. Lorcaserin is marketed as a salt form called Belviq, which is lorcaserin hydrochloride. In February 2020, the FDA issued a Drug Safety Communication requesting the manufacturer of Belviq (lorcaserin hydrochloride tablets, 10 mg) and Belviq XR (lorcaserin hydrochloride extended-release tablets, 20 mg) to voluntarily withdraw these products from the U.S. market, and the company has submitted a request to voluntarily withdraw the drug. This decision was based on the results of a clinical trial assessing the risk of heart-related problems that found that patients treated with lorcaserin may have a higher risk of cancer.[L44042,L44047]
Synonyms
Lorcaserin hydrochloride hemihydrate
Lorcaserin hydrochloride
Lorcaserin
Lorqess
Brand Names
Belviq XR
Belviq
Indication
For the treatment of obesity, as an adjunct to a reduced-calorie diet and increased physical activity.
Categories
Alimentary Tract and Metabolism
Antidepressive Agents
Antiobesity Preparations, Excl. Diet Products
Central Nervous System Depressants
Centrally Acting Antiobesity Products
Cytochrome P-450 CYP1A1 Substrates
Cytochrome P-450 CYP1A2 Substrates
Cytochrome P-450 CYP2A6 Substrates
Cytochrome P-450 CYP2B6 Substrates
Cytochrome P-450 CYP2C19 Substrates
Cytochrome P-450 CYP2D6 Inhibitors
Cytochrome P-450 CYP2D6 Inhibitors (moderate)
Cytochrome P-450 CYP2D6 Substrates
Cytochrome P-450 CYP3A Substrates
Cytochrome P-450 CYP3A4 Substrates
Cytochrome P-450 Enzyme Inhibitors
Cytochrome P-450 Substrates
Drugs that are Mainly Renally Excreted
Heterocyclic Compounds, Fused-Ring
Serotonergic Drugs Shown to Increase Risk of Serotonin Syndrome
Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison
T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS.
Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682
