Document Detail


Adjunctive therapy with pramlintide in patients with type 1 or type 2 diabetes mellitus.
MedLine Citation:
PMID:  17064208     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Uncontrolled diabetes mellitus is associated with both microvascular and macrovascular complications. Despite an array of treatment options available, achievement of euglycemia in most patients with diabetes is still lacking. Pramlintide acetate, a synthetic analog of the human hormone amylin and belonging to a new class of agents, was approved in March 2005 as adjunctive treatment in patients with type 1 or 2 diabetes mellitus. To evaluate the data available on the efficacy and safety of pramlintide, we conducted a search of MEDLINE (January 1966-May 2006) and International Pharmaceutical Abstracts (January 1970-May 2006). Bibliographies of clinical trials were reviewed for additional references. The literature reviewed demonstrated that pramlintide is effective in reducing levels of glycosylated hemoglobin and potentially preventing weight gain. The most commonly reported adverse effects associated with pramlintide were nausea, anorexia, and hypoglycemia. These adverse effects occurred more often during the initiation of therapy and were usually mild to moderate in nature. Whether this therapy is a cost-effective option for patients with type 1 or type 2 diabetes mellitus is yet to be determined.
Authors:
Anna Nogid; David Q Pham
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pharmacotherapy     Volume:  26     ISSN:  0277-0008     ISO Abbreviation:  Pharmacotherapy     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-26     Completed Date:  2007-01-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8111305     Medline TA:  Pharmacotherapy     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1626-40     Citation Subset:  IM    
Affiliation:
Department of Pharmacy Practice, Arnold and Marie Schwartz College of Pharmacy and Health Sciences, Long Island University, Brooklyn, New York 11201-5497, USA. anna.nogid@liu.edu
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MeSH Terms
Descriptor/Qualifier:
Amyloid / adverse effects,  pharmacokinetics,  secretion,  therapeutic use*
Clinical Trials as Topic
Diabetes Mellitus, Type 1 / drug therapy*,  metabolism
Diabetes Mellitus, Type 2 / drug therapy*,  metabolism
Hemoglobin A, Glycosylated / metabolism
Humans
Hypoglycemic Agents / adverse effects,  pharmacokinetics,  therapeutic use*
Insulin / secretion
Chemical
Reg. No./Substance:
0/Amyloid; 0/Hemoglobin A, Glycosylated; 0/Hypoglycemic Agents; 106602-62-4/amylin; 11061-68-0/Insulin; 151126-32-8/pramlintide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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