{"id":84869,"date":"2026-06-04T11:58:30","date_gmt":"2026-06-04T11:58:30","guid":{"rendered":"https:\/\/www.cofb.org\/?p=84869"},"modified":"2026-06-08T12:01:40","modified_gmt":"2026-06-08T12:01:40","slug":"el-tractament-del-pacient-cardiometabolic-amb-arglp-1-a-les-tertulies-dactualitat-del-cofb","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/es\/2026\/06\/04\/el-tractament-del-pacient-cardiometabolic-amb-arglp-1-a-les-tertulies-dactualitat-del-cofb\/","title":{"rendered":"El tratamiento del paciente cardiometab\u00f3lico con arGLP-1 en las tertulias de actualidad del COFB"},"content":{"rendered":"<p>El pasado 7 de mayo, el <strong>Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB) <\/strong>organiz\u00f3 la <strong>tertulia de actualidad \u201cAbordaje del paciente cardiometab\u00f3lico con arGLP-1\u201d<\/strong>, con el patrocinio de <a href=\"https:\/\/www.novonordisk.es\/\" target=\"_blank\" rel=\"noreferrer noopener\">Novo Nordisk<\/a>. La tertulia corri\u00f3 a cargo de la doctora <strong>Carla Morer<\/strong>, m\u00e9dica del CAP R\u00edo de Janeiro, coordinadora del Grupo de Investigaci\u00f3n OBES-CAP de Atenci\u00f3n Primaria para el Estudio de la Obesidad, subinvestigadora en la Unidad de Tratamiento Integral de la Obesidad Grupo de Investigaci\u00f3n de Diabetes y Metabolismo del Vall d&#039;Hebron Instituto de Investigaci\u00f3n de la RA SEED; y del farmac\u00e9utico comunitario, <strong>Crist\u00f3bal Talaver\u00f3n<\/strong>. Los vocales del COFB de Oficina de Farmacia, <strong>Merc\u00e8 Barau<\/strong>, y de Alimentaci\u00f3n y Nutrici\u00f3n, <strong>Oscar Llans\u00f3<\/strong>, fueron los encargados de coordinar la sesi\u00f3n.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_1-scaled.jpg\" target=\"_blank\" rel=\" noreferrer noopener\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"771\" src=\"https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_1-1024x771.jpg\" alt=\"\" class=\"wp-image-84872\" srcset=\"https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_1-1024x771.jpg 1024w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_1-300x226.jpg 300w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_1-768x578.jpg 768w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_1-1536x1157.jpg 1536w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_1-2048x1542.jpg 2048w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_1-16x12.jpg 16w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\">La Dra. Carla Morer, Crist\u00f3bal Talaver\u00f3n y Oscar Llans\u00f3 durante la presentaci\u00f3n de la tertulia de actualidad. <\/figcaption><\/figure>\n\n\n\n<p>Los <strong>objetivos<\/strong> de la jornada fueron <strong>conocer la enfermedad cardiometab\u00f3lica y c\u00f3mo los arGLP-1 la regulan<\/strong>, actualizar los <strong>nuevos puntos diana de acci\u00f3n<\/strong>, <strong>revisar el abordaje de la obesidad y la diabetes con los nuevos tratamientos<\/strong>, entender las indicaciones y condiciones de financiaci\u00f3n de las diferentes opciones terap\u00e9uticas, adquirir seguridad y confianza en la dispensaci\u00f3n de los arGLP-1 y fomentar el seguimiento farmacoterap\u00e9utico.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>El paciente cardiometab\u00f3lico<\/strong><\/h2>\n\n\n\n<p>La Dra. Carla Morer inici\u00f3 su exposici\u00f3n explicando que, m\u00e1s all\u00e1 de la inclusi\u00f3n de los f\u00e1rmacos para la obesidad,<strong> &quot;al final lo que estamos intentando prevenir es la enfermedad cardiometab\u00f3lica&quot;<\/strong>. Por ello, indic\u00f3 que es necesario conocer la enfermedad cardiometab\u00f3lica, c\u00f3mo se trata hoy en d\u00eda y c\u00f3mo han cambiado las gu\u00edas de pr\u00e1ctica cl\u00ednica con la inclusi\u00f3n de esta familia de f\u00e1rmacos, junto a los del GLP-2.<\/p>\n\n\n\n<p><strong>\u201cEl concepto paciente cardiometab\u00f3lico hace referencia a que existe s\u00edndrome metab\u00f3lico por un incremento de grasa en zonas alrededor de los \u00f3rganos, que condiciona el riesgo cardiovascular\u201d<\/strong>, expuso la m\u00e9dica. En definitiva, matiz\u00f3, <strong>\u201cesta disfunci\u00f3n metab\u00f3lica afecta a los \u00f3rganos que condicionan directamente nuestra esperanza y calidad de vida: el coraz\u00f3n, el ri\u00f1\u00f3n, el h\u00edgado y el cerebro\u201d<\/strong>.<\/p>\n\n\n\n<p>A continuaci\u00f3n, la Dra. Morer abord\u00f3 la evoluci\u00f3n de la diabetes, detallando el c\u00edrculo vicioso de la resistencia y la inflamaci\u00f3n, y c\u00f3mo se puede influir positivamente en su curso. Relacion\u00f3 esta patolog\u00eda con la enfermedad cardiovascular, puesto que <strong>en Espa\u00f1a 2 de cada 10 pacientes adultos con DM2 sufren<\/strong>. &quot;La obesidad se asocia a mayor riesgo cardiovascular en pacientes con diabetes mellitus tipo 2&quot;, asegur\u00f3.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_2-scaled.jpg\" target=\"_blank\" rel=\" noreferrer noopener\"><img decoding=\"async\" width=\"1024\" height=\"771\" src=\"https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_2-1024x771.jpg\" alt=\"\" class=\"wp-image-84873\" srcset=\"https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_2-1024x771.jpg 1024w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_2-300x226.jpg 300w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_2-768x578.jpg 768w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_2-1536x1157.jpg 1536w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_2-2048x1542.jpg 2048w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_2-16x12.jpg 16w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\">La Dra. Morero en un momento de su presentaci\u00f3n. <\/figcaption><\/figure>\n\n\n\n<p>En relaci\u00f3n con la obesidad, la doctora destac\u00f3 que ha habido un <strong>cambio de paradigma conceptual<\/strong>: &quot;El objetivo terap\u00e9utico ya no es un n\u00famero en la b\u00e1scula, sino recuperar la salud metab\u00f3lica y la calidad de vida&quot;. En este sentido, se\u00f1al\u00f3 las limitaciones del \u00edndice de masa corporal (IMC), puesto que no distingue entre la grasa activa y el m\u00fasculo, no tiene en cuenta sesgos inherentes y oculta el da\u00f1o metab\u00f3lico real. Para evaluar la composici\u00f3n corporal, Carla Morer comparti\u00f3 distintas herramientas como el \u00edndice cintura y altura (ICA), la bioimpedancia el\u00e9ctrica (BIA), la ecograf\u00eda abdominal o la ecuaci\u00f3n CUN-BAE.<\/p>\n\n\n\n<p>Por lo que respecta al tratamiento, la Dra. Morer confirm\u00f3 que ha habido un cambio de enfoque y que &quot;el peso en la b\u00e1scula ya no es el centro gravitatorio de la intervenci\u00f3n&quot; y record\u00f3 que el abordaje multidisciplinar con primaria, endocrinolog\u00eda y farmacia es obligatorio.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Abordaje terap\u00e9utico del paciente cardiometab\u00f3lico<\/strong><\/h2>\n\n\n\n<p>Antes de profundizar en los f\u00e1rmacos, la doctora incidi\u00f3 en la importancia de <strong>el estilo de vida <\/strong>(nutrici\u00f3n, actividad f\u00edsica, higiene del sue\u00f1o y salud emocional), que es<strong> &quot;el eje vertebrador imprescindible antes y durante cualquier f\u00e1rmaco&quot; para poder desarrollar el m\u00e1ximo potencial terap\u00e9utico.<\/strong><\/p>\n\n\n\n<p>Respecto al arsenal terap\u00e9utico actual, se revisaron los distintos <strong>mecanismos de acci\u00f3n y las indicaciones espec\u00edficas<\/strong> establecidas para cada f\u00e1rmaco. En este sentido, hizo referencia a opciones como <strong>el Orlistat<\/strong>, la <strong>combinaci\u00f3n de Naltrexona\/Bupropi\u00f3, la Liraglutida<\/strong> (3,0 mg) y la <strong>Semaglutida <\/strong>(2,4 mg), as\u00ed como la <strong>Tircepatida <\/strong>(en dosis de 5, 10 y 15 mg). Todos estos f\u00e1rmacos est\u00e1n indicados como <strong>complemento de la dieta y la actividad f\u00edsica para el control cr\u00f3nico del peso <\/strong>en pacientes con obesidad o con sobrepeso. Por \u00faltimo, mencion\u00f3 la <strong>Setmelanotida<\/strong>, un f\u00e1rmaco que restablece la actividad alterada de la v\u00eda del receptor MC4D y cuya indicaci\u00f3n queda restringida exclusivamente a pacientes con deficiencia de POMC o causas gen\u00e9ticas de LEPR y MC4R.<\/p>\n\n\n\n<p>Por otra parte, la doctora hizo menci\u00f3n al posicionamiento de las diferentes<strong> gu\u00edas cl\u00ednicas internacionales y nacionales<\/strong> para la obesidad y la diabetes. En cuanto a la farmacia comunitaria, Morer remarc\u00f3 que &quot;es la red de seguridad fundamental para garantizar la adherencia, gestionar la tolerancia y desestigmatizar al paciente&quot;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Agonistas del receptor GLP-1<\/strong><\/h2>\n\n\n\n<p>En la segunda parte de la tertulia de actualidad, el farmac\u00e9utico comunitario, <strong>Crist\u00f3bal Talaver\u00f3n <\/strong>revis\u00f3 las indicaciones y la financiaci\u00f3n de todas las mol\u00e9culas, as\u00ed como las dosis y las presentaciones y aspectos pr\u00e1cticos de administraci\u00f3n y conservaci\u00f3n a tener en cuenta de la <strong>semaglutida inyectable <\/strong>(Ozempic y Wegovy), la <strong>semaglutida oral <\/strong>(Rybelsus), la <strong>Liraglutida <\/strong>y <strong>alternativas gen\u00e9ricas <\/strong>(Diavic y Plyzari) y la <strong>Tircepatida <\/strong>(Mounjaro).<\/p>\n\n\n\n<p>En cuanto a financiaci\u00f3n, Talaver\u00f3n record\u00f3 que <strong>no todas las indicaciones son financiadas<\/strong> por el Sistema Nacional de Salud (SNS).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>La farmacia comunitaria clave en el seguimiento farmac\u00e9utico y en las recomendaciones a los pacientes con tratamiento con arGLP-1<\/strong><\/h2>\n\n\n\n<p><strong>&quot;El seguimiento farmacoterap\u00e9utico de un paciente que utiliza agonistas del receptor GLP-1 es clave para garantizar la adherencia y minimizar el abandono debido a los efectos secundarios&quot;<\/strong>, destac\u00f3 el farmac\u00e9utico. En este sentido, especific\u00f3 que es recomendable centrar los esfuerzos en la gesti\u00f3n de la estrategia de dosificaci\u00f3n y conservaci\u00f3n, la educaci\u00f3n en el manejo de efectos gastrointestinales y la monitorizaci\u00f3n de par\u00e1metros cl\u00ednicos.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_3-scaled.jpg\" target=\"_blank\" rel=\" noreferrer noopener\"><img decoding=\"async\" width=\"1024\" height=\"771\" src=\"https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_3-1024x771.jpg\" alt=\"\" class=\"wp-image-84874\" srcset=\"https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_3-1024x771.jpg 1024w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_3-300x226.jpg 300w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_3-768x578.jpg 768w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_3-1536x1157.jpg 1536w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_3-2048x1542.jpg 2048w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/COFB_GLP-1_04062026_3-16x12.jpg 16w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p>Para evitar <strong>regano ponderal<\/strong>, Talaver\u00f3n recomend\u00f3 realizar ejercicio de fuerza, consumir alimentos ricos en prote\u00edna e individualizar el tratamiento para encontrar la dosis \u00f3ptima para el paciente, siempre bajo prescripci\u00f3n m\u00e9dica.<\/p>\n\n\n\n<p>Para cerrar su exposici\u00f3n, el farmac\u00e9utico record\u00f3 que <strong>&quot;el f\u00e1rmaco es una herramienta m\u00e1s, en el abordaje del paciente con obesidad. Debe ir acompa\u00f1ado de cambios de h\u00e1bitos nutricional y f\u00edsico, y la valoraci\u00f3n de necesidad de intervenci\u00f3n psicol\u00f3gica&quot;<\/strong>.<\/p>\n\n\n\n<p class=\"has-text-align-right\"><strong>Con el patrocinio de:<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image alignright size-full is-resized\"><a href=\"https:\/\/www.novonordisk.es\/\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"494\" src=\"https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/Novi_Nordisk_2025_-transparent_700MC.png\" alt=\"\" class=\"wp-image-84875\" style=\"width:169px;height:auto\" srcset=\"https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/Novi_Nordisk_2025_-transparent_700MC.png 700w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/Novi_Nordisk_2025_-transparent_700MC-300x212.png 300w, https:\/\/www.cofb.org\/wp-content\/uploads\/2026\/06\/Novi_Nordisk_2025_-transparent_700MC-18x12.png 18w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>","protected":false},"excerpt":{"rendered":"<p>El passat 7 de maig, el Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB) va organitzar la tert\u00falia d\u2019actualitat \u201cAbordatge del pacient cardiometab\u00f2lic amb arGLP-1\u201d, amb el patrocini de Novo Nordisk. La tert\u00falia va anar a c\u00e0rrec de la doctora Carla Morer, metgessa del CAP Rio de Janeiro, coordinadora del Grup de [&hellip;]<\/p>","protected":false},"author":3,"featured_media":84874,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[23,57],"tags":[5555,64,3712,18,19,197,5159,5556,68,69,70,5236,5247,2381,76,290,5557],"class_list":["post-84869","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-destacats","category-mon-collegial","tag-analegs","tag-atencio-farmaceutica","tag-cardiovascular","tag-cofb","tag-collegi-de-farmaceutics-de-barcelona","tag-diabetis","tag-diabetis-mellitus","tag-diabetis-mellitus-tipus-2","tag-farmacia","tag-farmacia-comunitaria","tag-formacio","tag-glp-1","tag-malaltia-cardiovascular","tag-obesitat","tag-oficina-de-farmacia","tag-pacient","tag-pacient-cardiometabolic"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>El tractament del pacient cardiometab\u00f2lic amb arGLP-1 a les tert\u00falies d\u2019actualitat del COFB - Col\u00b7legi de Farmac\u00e8utics de Barcelona<\/title>\n<meta name=\"description\" content=\"El passat 7 de maig, el COFB va organitzar la tert\u00falia d\u2019actualitat \u201cAbordatge del pacient cardiometab\u00f2lic amb arGLP-1\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.cofb.org\/es\/2026\/06\/04\/el-tractament-del-pacient-cardiometabolic-amb-arglp-1-a-les-tertulies-dactualitat-del-cofb\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"El tractament del pacient cardiometab\u00f2lic amb arGLP-1 a les tert\u00falies d\u2019actualitat del COFB - Col\u00b7legi de Farmac\u00e8utics de Barcelona\" \/>\n<meta property=\"og:description\" content=\"El passat 7 de maig, el COFB va 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