PMID- 34231442 OWN - NLM STAT- MEDLINE DCOM- 20211014 LR - 20211014 IS - 1751-2441 (Electronic) IS - 1751-2433 (Linking) VI - 14 IP - 10 DP - 2021 Oct TI - Patient initiation and maintenance of GLP-1 RAs for treatment of obesity. PG - 1193-1204 LID - 10.1080/17512433.2021.1947796 [doi] AB - Introduction: Healthcare providers (HCPs) see many patients with obesity-related complications and are therefore well placed to help treat obesity itself. However, limited collated information exists to help HCPs with the practical use of anti-obesity medications (AOMs). We focus on the initiation and maintenance of a glucagon-like peptide-1 receptor agonist (GLP-1 RA) for weight management, liraglutide 3.0 mg. Literature search was conducted between 25-28 November 2019 on PubMed and ClinicalTrials.gov.Areas covered: Clinical trial and real-world data describing weight-loss efficacy, cardiometabolic risk factors, incidence of adverse events (AEs), and persistence are presented to assist HCPs with patient discussions. Practical considerations to overcome barriers to optimal use are provided, equipping HCPs with the information required to aid with adherence to and persistence with AOMs. The use of other GLP-1- RA therapies in obesity is discussed in light of the recent US Food and Drug Administration approval of semaglutide 2.4 mg for weight management.Expert opinion: Liraglutide 3.0 mg provides benefits regarding weight loss and improvements in cardiometabolic risk factors. Promising areas of future research in the field of obesity include dual receptor agonists and the combination of glucagon-like peptide-1 receptor agonists with other molecules. FAU - Patel, Dhiren AU - Patel D AD - School of Pharmacy, Pharmacy Practice, MCPHS University, Jamaica Plain, Boston, MA, USA. AD - Endocrine Department, VA Boston Healthcare System, Boston, MA, USA. FAU - Smith, April AU - Smith A AD - School of Pharamacy and Health Professions, Creighton University, Omaha, NE, USA. AD - Weight Management Bariatric Center, CHI Immanuel Medical Center, Bariatric & General Surgery, Omaha, NE, USA. LA - eng PT - Journal Article PT - Review DEP - 20210707 PL - England TA - Expert Rev Clin Pharmacol JT - Expert review of clinical pharmacology JID - 101278296 RN - 0 (Anti-Obesity Agents) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 53AXN4NNHX (semaglutide) RN - 62340-29-8 (Glucagon-Like Peptides) RN - 839I73S42A (Liraglutide) SB - IM MH - Animals MH - Anti-Obesity Agents/adverse effects/*pharmacology MH - Cardiometabolic Risk Factors MH - Glucagon-Like Peptide-1 Receptor/*agonists/metabolism MH - Glucagon-Like Peptides/adverse effects/pharmacology MH - Humans MH - Hypoglycemic Agents/adverse effects/pharmacology MH - Liraglutide/adverse effects/pharmacology MH - Obesity/*drug therapy/physiopathology MH - Weight Loss/drug effects OTO - NOTNLM OT - Anti-obesity medication OT - GLP-1 RA OT - liraglutide 3.0 mg OT - obesity OT - weight management EDAT- 2021/07/08 06:00 MHDA- 2021/10/15 06:00 CRDT- 2021/07/07 08:43 PHST- 2021/07/08 06:00 [pubmed] PHST- 2021/10/15 06:00 [medline] PHST- 2021/07/07 08:43 [entrez] AID - 10.1080/17512433.2021.1947796 [doi] PST - ppublish SO - Expert Rev Clin Pharmacol. 2021 Oct;14(10):1193-1204. doi: 10.1080/17512433.2021.1947796. Epub 2021 Jul 7.