The best replacement for sibutramine is orlistat.

The best alternatives to sibutramine are rated as following:
★★★★★  orlistat
★★★  ephedrine
★★  meridia
★  duromine
★  rimonabant
  reductil

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No companions for sibutramine have been suggested so far.
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Google Trends

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sibutramine
orlistat
ephedrine