Journal
EXPERT OPINION ON PHARMACOTHERAPY
Volume 12, Issue 9, Pages 1439-1451Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1517/14656566.2011.581663
Keywords
amylin; hemoglobin A1c; postprandial glucose; pramlintide; type 1 diabetes mellitus; type 2 diabetes mellitus; weight loss
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Introduction: Postprandial glucose excursions negatively affect glycemic control and markers of cardiovascular health. Pramlintide, an amylinomimetic, is approved for treatment of elevated postprandial glucose levels in type 1 and type 2 diabetes mellitus. Areas covered: A literature search of PubMed was conducted to locate articles (up to January 2011) pertaining to original preclinical and clinical research and reviews of amylin and pramlintide. Additional sources were selected from reference lists within articles obtained through the original literature search and from the internet. This article describes the known effects of endogenous amylin and the pharmacodynamics, pharmacokinetics and clinical efficacy of pramlintide. Drug-drug interactions and safety and tolerability are also reviewed. Expert opinion: Pramlintide significantly reduces hemoglobin A(1c) and body weight in patients with type 1 and type 2 diabetes mellitus. Newer research is focusing on weight loss effects of pramlintide and pramlintide plus metreleptin in nondiabetic obese individuals. Preliminary results of these studies are discussed.
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