Accomplian (Rimonabant) was taken off the market and good job too.
What really annoys me is that there is not one medication that is effective. For instance Alli (Xenical) gets rid of fat in food, but because it does so usually with faecal accidents, users stop using it.
Fat intake has to be reduced, but if someone can do that, they are likely cutting down on calories to some extent.
Appetite supressents can cause side effects with blood pressure problems etc. All drugs can have side-effects.
The one item that I personally think is brilliant is Appesat which can be bought over the counter at Boots, Superdrug, and from their website, and it really does control the appetite and is natural, but you should speak to a professional first as it can't be taken with some medications.
When I had it it really controlled the appetite, but I have now been put on diabetic tablets which seem to also control the appetite so I don't take Appesat anymore.
It is not always appetite though that keeps people at a high weight, and it goes deeper than that, with bad habits to certain foods, and addiction to foods.
Eating for boredom, anxiety and all other emotions play a part.
I think more people should be given some sort of counselling. I had CBT which helped me think about certain situations when I would turn to food. CBT plays a part, but there is so much more to someone being super-morbidly obese.
I really wish there was more psychological counselling available - because current weight loss meds are rubbish - and if we had more insight and encouragement that would help.
However, having said that, no-one should underestimate the power of support on websites such as minimins and others, as there is a tremendous amount of support and encouragement on them.