Sitagliptin in clinical practice: a new approach in the treatment of type 2 diabetes

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Florentin, M.
Liberopoulos, E. N.
Mikhailidis, D. P.
Elisaf, M. S.

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peer-reviewed

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Expert Opin Pharmacother

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BACKGROUND: Sitagliptin is a novel agent for the treatment of type 2 diabetes either as monotherapy or in combination with metformin or a thiazolidinedione. OBJECTIVE: To review the efficacy and safety of sitagliptin in clinical trials and comment on drug interactions and safety issues arising from its use. METHODS: Relevant articles were identified through a PubMed search (up to May 2008). RESULTS/CONCLUSIONS: Sitagliptin either used alone or in combination with other hypoglycemic agents has a favorable glucose-lowering effect and safety profile. It has been associated with few side effects, mainly involving the gastrointestinal system and with a low incidence of hypoglycemia, while it generally demonstrated a neutral effect on body weight. Sitagliptin is a safe alternative or complementary option for patients with type 2 diabetes who do not reach the recommended glycosylated hemoglobin level with lifestyle interventions and/or current oral antidiabetic agents.

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Adult, Aged, Blood Pressure/drug effects, Child, Clinical Trials as Topic, Diabetes Mellitus, Type 2/*drug therapy, Dipeptidyl-Peptidase IV Inhibitors/therapeutic use, Drug Interactions, Drug Therapy, Combination, Female, Humans, Hypoglycemic Agents/administration & dosage/adverse effects/*therapeutic use, Lipids/blood, Male, Pregnancy, Pyrazines/administration & dosage/adverse effects/*therapeutic use, Triazoles/administration & dosage/adverse effects/*therapeutic use

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http://www.ncbi.nlm.nih.gov/pubmed/18570604
http://informahealthcare.com/doi/abs/10.1517/14656566.9.10.1705

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en

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Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής

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