Skip to main content

Appetite stimulants in cystic fibrosis: a systematic review

Buy Article:

$51.00 plus tax (Refund Policy)


Abstract Background 

The use of appetite stimulants in cystic fibrosis (CF) is controversial because of doubts concerning efficacy and side-effects. The aim of the review was to establish whether appetite stimulants should be recommended in CF. Materials and methods 

Medline, AMED, British Nursing Index, Cinahl, Embase, The Cochrane Library, National Research Register and Google were searched. Unpublished studies, case reports and conference abstracts were sought from experts, including authors of identified published articles, and suppliers of appetite stimulants. Results 

Fifty-four articles were located. Fifteen studies were suitable for inclusion in the review: 10 studied, megesterol acetate (MA); 1, dronabinol; 2, mirtazapine; and 2, cyproheptadine. MA showed a beneficial effect on lung function, weight, appetite, fat free and fat mass. Adverse effects for MA included adrenal suppression, abnormalities of glycaemic control, mood changes and testicular failure. There was no consistency in the dose, frequency and duration of therapy for MA. Conclusions 

The review shows MA may have a role in the management of anorexia associated with CF. It is not possible to be conclusive for the other agents given the low numbers in the studies. Larger randomized, controlled trials of MA are necessary to confirm its safety and validate efficacy in CF.

Keywords: anorexia; appetite; cystic fibrosis; megesterol acetate

Document Type: Research Article


Affiliations: 1: Adult Cystic Fibrosis Centre, David Evans Centre, Nottingham University Hospitals, City Campus, Nottingham, UK 2: Trent Research and Development Support Unit, Nottingham University, Nottingham, UK 3: David Evans Centre, Nottingham University Hospitals, City Campus, Nottingham, UK

Publication date: December 1, 2007


Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more