Page last updated: 2024-10-22

acetazolamide and Weight Loss

acetazolamide has been researched along with Weight Loss in 26 studies

Acetazolamide: One of the CARBONIC ANHYDRASE INHIBITORS that is sometimes effective against absence seizures. It is sometimes useful also as an adjunct in the treatment of tonic-clonic, myoclonic, and atonic seizures, particularly in women whose seizures occur or are exacerbated at specific times in the menstrual cycle. However, its usefulness is transient often because of rapid development of tolerance. Its antiepileptic effect may be due to its inhibitory effect on brain carbonic anhydrase, which leads to an increased transneuronal chloride gradient, increased chloride current, and increased inhibition. (From Smith and Reynard, Textbook of Pharmacology, 1991, p337)

Weight Loss: Decrease in existing BODY WEIGHT.

Research Excerpts

ExcerptRelevanceReference
" Currently, no standardized treatment guidelines are available and the current management focuses on weight loss and acetazolamide use."9.41Should topiramate be initial therapy in the management of idiopathic intracranial hypertension?: A literature review. ( Goyal, A; Zarroli, K, 2023)
"Patients underwent weight loss and treatment with acetazolamide during a 24-week period."9.08The role of weight loss and acetazolamide in the treatment of idiopathic intracranial hypertension (pseudotumor cerebri) ( Johnson, LN; Krohel, GB; Madsen, RW; March, GA, 1998)
"Acetazolamide (ACZ) lowers intraocular pressure (IOP), acutely in normal eyes and both acutely and chronically in eyes with glaucoma, and cerebrospinal fluid pressure (CSFp), chronically in patients with idiopathic intracranial hypertension (IIH)."7.91The Effect of Acetazolamide and Weight Loss on Intraocular Pressure in Idiopathic Intracranial Hypertension Patients. ( Banik, R; Garvin, MK; Kupersmith, MJ; Wang, JK, 2019)
" Currently, no standardized treatment guidelines are available and the current management focuses on weight loss and acetazolamide use."5.41Should topiramate be initial therapy in the management of idiopathic intracranial hypertension?: A literature review. ( Goyal, A; Zarroli, K, 2023)
" The Idiopathic Intracranial Hypertension Treatment Trial, a large, randomized, collaborative clinical trial, evaluated the efficacy of acetazolamide with weight loss versus placebo with weight loss in participants."5.22Pseudotumor cerebri: What We Have Learned from the Idiopathic Intracranial Hypertension Treatment Trial. ( Johnson, LN; Johnson, MA; Krohel, GB; Thakore, RV, 2016)
"To assess treatment efficacy using spectral-domain (SD) optical coherence tomography (OCT) measurements of papilledema in the Idiopathic Intracranial Hypertension Treatment Trial (IIHTT), which evaluated the effects of acetazolamide and weight management and of placebo and weight management in eyes with mild visual loss."5.20Papilledema Outcomes from the Optical Coherence Tomography Substudy of the Idiopathic Intracranial Hypertension Treatment Trial. ( , 2015)
" The Idiopathic Intracranial Hypertension Treatment Trial was an adult, multicenter study that examined the use of acetazolamide and weight loss on the course of PIH."5.12Pediatric Intracranial Hypertension: A Spotlight on Imaging, the Idiopathic Intracranial Hypertension Treatment Trial, and COVID-19 Associated Cases. ( Aylward, SC; Brun, BN, 2021)
"Patients underwent weight loss and treatment with acetazolamide during a 24-week period."5.08The role of weight loss and acetazolamide in the treatment of idiopathic intracranial hypertension (pseudotumor cerebri) ( Johnson, LN; Krohel, GB; Madsen, RW; March, GA, 1998)
" Both completed trials compared acetazolamide to placebo, in conjunction with a weight loss intervention in both groups."4.91Interventions for idiopathic intracranial hypertension. ( Fouyas, IP; Hughes, MA; Jamjoom, AA; Kalyvas, AV; Piper, RJ; Young, AM, 2015)
" Treatment options are serial lumbar punctures combined with body weight reduction as well as medication with carbonic anhydrase inhibitors, such as acetazolamide and topiramate or diuretic therapy with furosemide."4.91[Characteristic neurological features, differential diagnostic criteria and medicinal treatment of idiopathic intracranial hypertension]. ( Nacimiento, W; Willenborg, KD, 2015)
"This open-label, single-center pilot study suggests that GLP-1-RAs are an effective and safe treatment option for achieving significant weight loss with a favorable effect on headache, leading to reduced acetazolamide dosage in pwIIH."4.31Treatment with GLP-1 receptor agonists is associated with significant weight loss and favorable headache outcomes in idiopathic intracranial hypertension. ( Bsteh, G; Harreiter, J; Itariu, B; Krajnc, N; Macher, S; Marik, W; Michl, M; Novak, K; Pemp, B; Wöber, C, 2023)
"Acetazolamide (ACZ) lowers intraocular pressure (IOP), acutely in normal eyes and both acutely and chronically in eyes with glaucoma, and cerebrospinal fluid pressure (CSFp), chronically in patients with idiopathic intracranial hypertension (IIH)."3.91The Effect of Acetazolamide and Weight Loss on Intraocular Pressure in Idiopathic Intracranial Hypertension Patients. ( Banik, R; Garvin, MK; Kupersmith, MJ; Wang, JK, 2019)
" One child with PTC demonstrated improvement in visual acuity and optic nerve appearance after acetazolamide and weight loss therapy."3.74Pseudotumor cerebri in children with Down syndrome. ( Bradfield, YS; Esmaili, N, 2007)
" This was managed non-operatively with lumbar cerebrospinal fluid tap, weight reduction, nicotinic acid and acetazolamide."3.73Non-operative management of benign intracranial hypertension presenting with complete visual loss and deafness. ( Idowu, OE; Malomo, AO; Nwaorgu, OG; Oluleye, TS; Shokunbi, MT, 2006)
"Prominent weight loss was recorded in the topiramate group."2.73Treatment of idiopathic intracranial hypertension: topiramate vs acetazolamide, an open-label study. ( Akyürekli, O; Celebisoy, N; Gökçay, F; Sirin, H, 2007)
"Some theories - such as the dural sinus stenosis theory - seem to ignore the relationship with weight gain; others have proposed a direct link between obesity and raised intracranial pressure through a specific fat distribution in the body; others through the production of lipokines; and yet others have suggested a converse causation with raised intracranial pressure giving rise to obesity."2.47The syndrome of pseudotumour cerebri and idiopathic intracranial hypertension. ( Fraser, C; Plant, GT, 2011)

Research

Studies (26)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's6 (23.08)18.2507
2000's5 (19.23)29.6817
2010's11 (42.31)24.3611
2020's4 (15.38)2.80

Authors

AuthorsStudies
Brun, BN1
Aylward, SC1
Krajnc, N1
Itariu, B1
Macher, S1
Marik, W1
Harreiter, J1
Michl, M1
Novak, K1
Wöber, C1
Pemp, B1
Bsteh, G1
Goyal, A1
Zarroli, K1
Ybarra, M1
Santos, TJD1
Queiroz, ES1
Rachid, L1
Franco, RR1
Cominato, L1
Moura, FC1
Velhote, MC1
Damiani, D1
Raggi, A1
Grazzi, L1
Bianchi Marzoli, S1
Ciasca, P1
Chiapparini, L1
Erbetta, A1
Faragò, G1
Leonardi, M1
D'Amico, D1
Núñez, J1
Heredia, R1
Payá, A1
Sanchis, I1
Del Prado, S1
Miñana, G1
Santas, E1
de la Espriella, R1
Núñez, E1
Sanchis, J1
Bayés-Genís, A1
Banik, R1
Kupersmith, MJ1
Wang, JK1
Garvin, MK1
Piper, RJ1
Kalyvas, AV1
Young, AM1
Hughes, MA1
Jamjoom, AA1
Fouyas, IP1
Willenborg, KD1
Nacimiento, W1
Thakore, RV1
Johnson, MA1
Krohel, GB2
Johnson, LN2
Wall, M1
Thurtell, MJ1
Landau, K1
Skau, M1
Sander, B1
Milea, D1
Jensen, R1
Fraser, C1
Plant, GT1
Belliveau, MJ1
ten Hove, MW1
Mathews, MK1
Sergott, RC1
Savino, PJ1
Malomo, AO1
Idowu, OE1
Shokunbi, MT1
Nwaorgu, OG1
Oluleye, TS1
Esmaili, N1
Bradfield, YS1
Celebisoy, N1
Gökçay, F1
Sirin, H1
Akyürekli, O1
Kuriyama, T2
Atherton, DJ1
Rustin, MH1
Brostoff, J1
Madsen, RW1
March, GA1
Pomeranz, HD1
McIlwaine, G1
Lueck, C1
Chin, K1
Ohi, M1
Fukui, M1
Hirai, M1
Kuno, K1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Multicenter, Double-blind, Randomized, Placebo-controlled Study of Weight-Reduction and/or Low Sodium Diet Plus Acetazolamide vs Diet Plus Placebo in Subjects With Idiopathic Intracranial Hypertension With Mild Visual Loss[NCT01003639]Phase 2/Phase 3165 participants (Actual)Interventional2010-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Mean Change in Perimetric Mean Deviation

Treatment Effects on the Primary Outcome Variable, Mean change From Baseline to Month 6 in Perimetric Mean Deviation (PMD) in the Study Eye. Perimetric mean deviation is a measure of global visual field loss (mean deviation from age-corrected normal values), with a range of 2 to -32 dB; larger negative values indicate greater vision loss. (NCT01003639)
Timeframe: base line and 6 months

InterventiondB (Mean)
Acetazolamide1.43
Sugar Pill0.71

Mean Change of Papilledema Grade on Fundus Photography

Mean change at month 6 as compared to baseline. Frisén papilledema grade is an ordinal scale that uses ocular fundus features to rate the severity of papilledema; grade 0 indicates no features of papilledema and grade 5 indicates severe papilledema. (NCT01003639)
Timeframe: Baseline and 6 Months

,
Interventionunits on a scale (Mean)
Study eyeFellow eye
Acetazolamide-1.31-1.14
Sugar Pill-0.61-0.52

Visual Acuity (No. of Correct Letters)

(NCT01003639)
Timeframe: Baseline

,
Interventioncorrect letters (Mean)
Study EyeFellow Eye
Acetazolamide56.858.3
Sugar Pill55.656.2

Visual Function Questionnaire (VFQ-25)

Visual Function Questionnaire (VFQ-25) total score, VFQ-25 10-item neuro-ophthalmic supplement total score: 0-100 (higher scores indicate better quality of life) (NCT01003639)
Timeframe: baseline

,
Interventionunits on a scale (Mean)
Total score10-item neuro-ophthalmic supplement
Acetazolamide83.875.8
Sugar Pill82.175.0

Reviews

7 reviews available for acetazolamide and Weight Loss

ArticleYear
Pediatric Intracranial Hypertension: A Spotlight on Imaging, the Idiopathic Intracranial Hypertension Treatment Trial, and COVID-19 Associated Cases.
    Seminars in pediatric neurology, 2021, Volume: 40

    Topics: Acetazolamide; Adolescent; Adult; Carbonic Anhydrase Inhibitors; Child; Combined Modality Therapy; C

2021
Should topiramate be initial therapy in the management of idiopathic intracranial hypertension?: A literature review.
    Medicine, 2023, Oct-20, Volume: 102, Issue:42

    Topics: Acetazolamide; Female; Headache; Humans; Intracranial Hypertension; Intracranial Pressure; Pseudotum

2023
Interventions for idiopathic intracranial hypertension.
    The Cochrane database of systematic reviews, 2015, Aug-07, Issue:8

    Topics: Acetazolamide; Adult; Antihypertensive Agents; Cerebrospinal Fluid Pressure; Female; Headache; Human

2015
[Characteristic neurological features, differential diagnostic criteria and medicinal treatment of idiopathic intracranial hypertension].
    Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft, 2015, Volume: 112, Issue:10

    Topics: Acetazolamide; Cerebrospinal Fluid Shunts; Combined Modality Therapy; Diagnosis, Differential; Fruct

2015
[Neuro-ophthalmology essentials].
    Therapeutische Umschau. Revue therapeutique, 2009, Volume: 66, Issue:3

    Topics: Acetazolamide; Adrenal Cortex Hormones; Adult; Aged; Blepharoptosis; Carbonic Anhydrase Inhibitors;

2009
The syndrome of pseudotumour cerebri and idiopathic intracranial hypertension.
    Current opinion in neurology, 2011, Volume: 24, Issue:1

    Topics: Acetazolamide; Body Mass Index; Carbonic Anhydrase Inhibitors; Constriction, Pathologic; Humans; Int

2011
Pseudotumor cerebri.
    Current opinion in ophthalmology, 2003, Volume: 14, Issue:6

    Topics: Acetazolamide; Adrenal Cortex Hormones; Carbonic Anhydrase Inhibitors; Diagnosis, Differential; Huma

2003

Trials

6 trials available for acetazolamide and Weight Loss

ArticleYear
Papilledema Outcomes from the Optical Coherence Tomography Substudy of the Idiopathic Intracranial Hypertension Treatment Trial.
    Ophthalmology, 2015, Volume: 122, Issue:9

    Topics: Acetazolamide; Carbonic Anhydrase Inhibitors; Double-Blind Method; Follow-Up Studies; Humans; Nerve

2015
Pseudotumor cerebri: What We Have Learned from the Idiopathic Intracranial Hypertension Treatment Trial.
    Rhode Island medical journal (2013), 2016, May-02, Volume: 99, Issue:5

    Topics: Acetazolamide; Adolescent; Adult; Diuretics; Female; Humans; Male; Middle Aged; North America; Obesi

2016
Optic disc haemorrhages at baseline as a risk factor for poor outcome in the Idiopathic Intracranial Hypertension Treatment Trial.
    The British journal of ophthalmology, 2017, Volume: 101, Issue:9

    Topics: Acetazolamide; Adult; Carbonic Anhydrase Inhibitors; Cerebrospinal Fluid Pressure; Combined Modality

2017
Disease activity in idiopathic intracranial hypertension: a 3-month follow-up study.
    Journal of neurology, 2011, Volume: 258, Issue:2

    Topics: Acetazolamide; Adult; Body Mass Index; Diuretics; Female; Follow-Up Studies; Humans; Male; Papillede

2011
Treatment of idiopathic intracranial hypertension: topiramate vs acetazolamide, an open-label study.
    Acta neurologica Scandinavica, 2007, Volume: 116, Issue:5

    Topics: Acetazolamide; Adolescent; Adult; Anticonvulsants; Body Weight; Carbonic Anhydrase Inhibitors; Cereb

2007
The role of weight loss and acetazolamide in the treatment of idiopathic intracranial hypertension (pseudotumor cerebri)
    Ophthalmology, 1998, Volume: 105, Issue:12

    Topics: Acetazolamide; Adult; Body Mass Index; Body Weight; Female; Humans; Middle Aged; Obesity; Papilledem

1998

Other Studies

13 other studies available for acetazolamide and Weight Loss

ArticleYear
Treatment with GLP-1 receptor agonists is associated with significant weight loss and favorable headache outcomes in idiopathic intracranial hypertension.
    The journal of headache and pain, 2023, Jul-18, Volume: 24, Issue:1

    Topics: Acetazolamide; Adult; Female; Glucagon-Like Peptide 1; Glucagon-Like Peptide-1 Receptor; Headache; H

2023
BARIATRIC SURGERY AS A TREATMENT FOR IDIOPATHIC INTRACRANIAL HYPERTENSION IN A MALE ADOLESCENT: CASE REPORT.
    Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo, 2020, Volume: 38

    Topics: Acetazolamide; Adolescent; Aftercare; Bariatric Surgery; Diuretics; Fundus Oculi; Headache; Humans;

2020
The importance of specific rehabilitation for an obese patient with idiopathic intracranial hypertension: a case report.
    International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation, 2018, Volume: 41, Issue:2

    Topics: Acetazolamide; Adult; Carbonic Anhydrase Inhibitors; Diet, Reducing; Female; Humans; Obesity; Papill

2018
Use of acetazolamide in the treatment of patients with refractory congestive heart failure.
    Cardiovascular therapeutics, 2018, Volume: 36, Issue:6

    Topics: Acetazolamide; Administration, Oral; Aged; Aged, 80 and over; Biomarkers; CA-125 Antigen; Diuretics;

2018
The Effect of Acetazolamide and Weight Loss on Intraocular Pressure in Idiopathic Intracranial Hypertension Patients.
    Journal of glaucoma, 2019, Volume: 28, Issue:4

    Topics: Acetazolamide; Adolescent; Adult; Carbonic Anhydrase Inhibitors; Cerebrospinal Fluid Pressure; Femal

2019
Idiopathic intracranial hypertension.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2011, Nov-08, Volume: 183, Issue:16

    Topics: Acetazolamide; Anti-Bacterial Agents; Antidepressive Agents; Body Mass Index; Cerebrospinal Fluid Sh

2011
Non-operative management of benign intracranial hypertension presenting with complete visual loss and deafness.
    Pediatric neurosurgery, 2006, Volume: 42, Issue:1

    Topics: Acetazolamide; Adolescent; Blindness; Deafness; Diuretics; Female; Humans; Niacin; Pseudotumor Cereb

2006
Pseudotumor cerebri in children with Down syndrome.
    Ophthalmology, 2007, Volume: 114, Issue:9

    Topics: Acetazolamide; Child; Child, Preschool; Diuretics; Down Syndrome; Female; Humans; Intracranial Press

2007
Symposium on clinical aspects of sleep-disordered breathing and circulation. Treatment.
    Internal medicine (Tokyo, Japan), 1995, Volume: 34, Issue:4

    Topics: Acetazolamide; Clinical Protocols; Dental Prosthesis; Drug Therapy, Combination; Humans; Progesteron

1995
Need for correct identification of herbs in herbal poisoning.
    Lancet (London, England), 1993, Mar-06, Volume: 341, Issue:8845

    Topics: Acetazolamide; Drug Combinations; Drug Contamination; Drug Interactions; Drugs, Chinese Herbal; Huma

1993
Weight loss, acetazolamide, and pseudotumor cerebri.
    Ophthalmology, 1999, Volume: 106, Issue:9

    Topics: Acetazolamide; Body Weight; Humans; Obesity; Papilledema; Pseudotumor Cerebri; Weight Loss

1999
Weight loss in idiopathic intracranial hypertension.
    Ophthalmology, 1999, Volume: 106, Issue:12

    Topics: Acetazolamide; Diuretics; Humans; Intracranial Hypertension; Papilledema; Weight Loss

1999
[Therapy and clinical symptoms in patients with obstructive sleep apnea in Japan].
    Nihon Kyobu Shikkan Gakkai zasshi, 1992, Volume: 30, Issue:2

    Topics: Accidents, Traffic; Acetazolamide; Adult; Humans; Japan; Middle Aged; Positive-Pressure Respiration;

1992