Evaluating the potential of metabolic drugs in obstructive sleep apnea and obesity: a narrative review

Mar 21, 2025Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

Potential of metabolism-related drugs for treating obstructive sleep apnea and obesity

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Abstract

Emerging evidence indicates that **SGLT2 inhibitors, GLP-1 receptor agonists, and dual gastric inhibitory polypeptide/GLP-1 receptor agonists may be beneficial for treating obesity in individuals with obstructive sleep apnea.

  • SGLT2 inhibitors and GLP-1 receptor agonists may lead to weight reduction, with GLP-1 receptor agonists showing slightly better performance.
  • Preliminary studies suggest these medications could improve management of obstructive sleep apnea beyond weight loss alone.
  • Reductions in the apnea-hypopnea index have been observed in association with the use of these metabolic drugs.
  • Potential improvements in other sleep-related outcomes were noted, though further research is needed.
  • There is a recognized need for more therapeutic options for sleep apnea, as current treatments often face adherence challenges.

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