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  • 1
    Online Resource
    Online Resource
    IP Innovative Publication Pvt Ltd ; 2023
    In:  Indian Journal of Pharmacy and Pharmacology Vol. 10, No. 1 ( 2023-3-28), p. 50-53
    In: Indian Journal of Pharmacy and Pharmacology, IP Innovative Publication Pvt Ltd, Vol. 10, No. 1 ( 2023-3-28), p. 50-53
    Abstract: DPP-4 inhibitors are present in the market for almost more than a decade. In Management of T2DM, DPP-4 inhibitors are established therapy option. The precise guidance for the pre- and post-approval and also CV safety of the newer antidiabetic agents was released by the USFDA in 2008. A neutral effect of Pooled safety analyses, as well as retrospective meta-analyses of clinical trials, have consistently demonstrated that DPP-4 inhibitors are not associated with any increase in cardiovascular adverse events, and have even pointed towards a risk reduction. The combination therapy of Alogliptin with other agents like metformin and pioglitazone have been shown to provide better and superior efficacy as compared to individual monotherapy. The hypoglycemic risk is less with Alogliptin. Alogliptin has been shown to be associated with less risk of hepatotoxicity, weight gain, and acute pancreatitis. Alogliptin does not worsen outcomes in patients with a history of heart failure (HF), neither does it increase rate of new hospitalization for heart failure (HF), as per the data from EXAMINE trial.
    Type of Medium: Online Resource
    ISSN: 2393-9079 , 2393-9087
    Language: Unknown
    Publisher: IP Innovative Publication Pvt Ltd
    Publication Date: 2023
    Location Call Number Limitation Availability
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  • 2
    Online Resource
    Online Resource
    IP Innovative Publication Pvt Ltd ; 2022
    In:  Indian Journal of Pharmacy and Pharmacology Vol. 9, No. 3 ( 2022-8-28), p. 164-170
    In: Indian Journal of Pharmacy and Pharmacology, IP Innovative Publication Pvt Ltd, Vol. 9, No. 3 ( 2022-8-28), p. 164-170
    Abstract: Atrial fibrillation (AF) is considered as one of the most common cardiac arrhythmias worldwide and is always associated with a significantly increased risk of stroke and thromboembolism. VKAs (Warfarin & Acenocoumarol) are highly effective in reducing the risk of stroke in patients with AF, but bleeding issues & disutility sparked the development of direct oral anticoagulants (DOACs) or NOACs (Novel oral anticoagulants). These drugs, offer the convenience of once or twice daily dosing without the need for laboratory monitoring of coagulation activity (PT/ INR) or routine dose adjustment. Various clinical trials proved their non-inferiority to warfarin (VKA) in reducing the risk of stroke or systemic embolism, and each was associated with markedly lower rates of ICH than well-adjusted warfarin. Yet there are no direct head-to-head comparative trials for the efficacy & safety of NOACs. In this review we try to provide patient centric approach to assist Indian physicians in selecting right OAC therapy for SPAF with respect to best possible evidence and recommendations available worldwide.
    Type of Medium: Online Resource
    ISSN: 2393-9079 , 2393-9087
    Language: Unknown
    Publisher: IP Innovative Publication Pvt Ltd
    Publication Date: 2022
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
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