INVESTIGATION OF ADVERSE DRUG REACTIONS RELATED TO METFORMIN USE IN PATIENTS OF TYPE 2 DIABETES MELLITUS IN A TERTIARY CARE HOSPITAL IN KOLKATA, WEST BENGAL, INDIA

被引:0
作者
Adikari, Anjan [1 ]
Bhowal, Tarit [1 ]
Ray, Moumita [1 ]
Chatterjee , Sudeshna [2 ]
Mukherjee, Apurba Kumar [3 ]
Das, Anup Kumar [1 ]
Roy, Krishnangshu [4 ]
Banerjee, Saswati [5 ]
机构
[1] RG Kar Med Coll & Hosp, Dept Pharmacol, 1 Khudiram Bose Sarani, Kolkata 700004, W Bengal, India
[2] West Bengal Univ Hlth Sci, Salt Lake, W Bengal, India
[3] RG Kar Med Coll & Hosp, Dept Med, Kolkata 700004, W Bengal, India
[4] Inst Hlth & Family Welf, Kolkata, W Bengal, India
[5] ESI Hosp, Dept Pathol, Kolkata, W Bengal, India
关键词
Metformin; Diabetes; Adverse drug reactions; Tertiary care hospital;
D O I
暂无
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
Metformin is one of the most widely used oral anti-diabetic drugs currently considered to be one of the first-choice drugs for Type 2 Diabetes mellitus (T2DM). However, some adverse drug reactions (ADRs) were frequently observed with the treatment with Metformin and its combinations. This study was planned to investigate the ADR profile of Metformin in Type 2 Diabetes mellitus patients attending diabetic Out Patient Department (OPD) of a Tertiary care hospital, Kolkata. An observational cross sectional study with diagnosed cases of Type 2 Diabetes mellitus both male and female, with age group 30-60 years were randomly selected. Present study data revealed that, 61.60% ( 154) out of 250 patients within age of 46-50 yrs had experienced maximum adverse drug reactions where majorities belonged to female 70.12%. Occurrence of hyper acidity and flatulence (61.03%) was high in patients treated with Metformin and its combinations, followed by weakness (29.87%), dizziness (28.57%) and bodyache (20.77%) are other adverse reactions present in majority of patients. Special attention must be provided by the medical professionals to prevent the possible occurrence of ADRs in the patients treated with Metformin and its combinations. This may improve the adherence of Metformin by reducing the prevalence of Metformin-induced ADRs.
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页码:117 / 122
页数:6
相关论文
共 14 条
[1]   Safety and tolerability of pioglitazone, metformin, and gliclazide in the treatment of type 2 diabetes [J].
Belcher, G ;
Lambert, C ;
Edwards, G ;
Urquhart, R ;
Matthews, DR .
DIABETES RESEARCH AND CLINICAL PRACTICE, 2005, 70 (01) :53-62
[2]   EFFICACY OF METFORMIN IN PATIENTS WITH NON-INSULIN-DEPENDENT DIABETES-MELLITUS [J].
DEFRONZO, RA ;
GOODMAN, AM ;
ABELOVE, W ;
REID, E ;
PITA, J ;
CALLAHAN, M ;
JOHNSON, D ;
PELAYO, E ;
PUGH, J ;
SHANK, M ;
GARZA, P ;
HAAG, B ;
KORFF, J ;
ANGELO, A ;
IZENSTEIN, B ;
VANDERLEEDEN, M ;
CATHCART, H ;
TIERNEY, M ;
BIGGS, D ;
KARAM, J ;
NOLTE, M ;
GAVIN, L ;
ELDER, MA ;
CORBOY, J ;
THWAITE, D ;
WONG, S ;
DAVIDSON, M ;
PETERS, A ;
DUNCAN, T ;
KERCHER, S ;
FISCHER, J ;
KIPNES, M ;
RADNICK, BJ ;
ROURA, M ;
ROQUE, J ;
MONTGOMERY, C ;
COLLUM, P ;
RUST, M ;
POHL, S ;
PFEIFER, M ;
ALLWEISS, P ;
LEICHTER, S ;
LEACH, P ;
GALLINA, D ;
MUSEY, V ;
BERKOWITZ, K ;
EASTMAN, R ;
TAYLOR, T ;
DELAPENA, MS ;
ZAWADSKI, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (09) :541-549
[3]   Improved clinical outcomes associated with metformin in patients with diabetes and heart failure [J].
Eurich, DT ;
Majumdar, SR ;
McAlister, FA ;
Tsuyuki, RT ;
Johnson, JA .
DIABETES CARE, 2005, 28 (10) :2345-2351
[4]   Efficacy of metformin in type II diabetes: Results of a double-blind, placebo-controlled, dose-response trial [J].
Garber, AJ ;
Duncan, TG ;
Goodman, AM ;
Mills, DJ ;
Rohlf, JL .
AMERICAN JOURNAL OF MEDICINE, 1997, 103 (06) :491-497
[5]   Decreased mortality associated with the use of metformin compared with sulfonylurea monotherapy in type 2 diabetes [J].
Johnson, JA ;
Majumdar, SR ;
Simpson, SH ;
Toth, EL .
DIABETES CARE, 2002, 25 (12) :2244-2248
[6]   Glycemic durability of rosiglitazone, metformin, or glyburide monotherapy [J].
Kahn, Steven E. ;
Haffner, Steven M. ;
Heise, Mark A. ;
Herman, William H. ;
Holman, Rury R. ;
Jones, Nigel P. ;
Kravitz, Barbara G. ;
Lachin, John M. ;
O'Neill, M. Colleen ;
Zinman, Bernard ;
Viberti, Giancarlo .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (23) :2427-2443
[7]   Medical Management of Hyperglycemia in Type 2 Diabetes: A Consensus Algorithm for the Initiation and Adjustment of Therapy A consensus statement of the American Diabetes Association and the European Association for the Study of Diabetes [J].
Nathan, David M. ;
Buse, John B. ;
Davidson, Mayer B. ;
Ferrannini, Ele ;
Holman, Rury R. ;
Sherwin, Robert ;
Zinman, Bernard .
DIABETES CARE, 2009, 32 (01) :193-203
[8]  
Okayasu S, 2012, BIOL PHARM BULL, V35, P933
[9]   High prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey [J].
Ramachandran, A ;
Snehalatha, C ;
Kapur, A ;
Vijay, V ;
Mohan, V ;
Das, AK ;
Rao, PV ;
Yajnik, CS ;
Kumar, KMP ;
Nair, JD .
DIABETOLOGIA, 2001, 44 (09) :1094-1101
[10]  
Salpeter SR, 2010, COCHRANE DATABASE SY