Adverse Effects of HMG CoA Reductase Inhibitor and Garlic on Renal Function in Patients with Diabetic Dyslipidemia

N. Siddiqui, Imran Ishaque, Yousra Rahat, N. Akhtar, Umaya Tehreem, Rafia Javed, R. Ali
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Abstract

Objectives: To analyze the adverse effects of HMG CoA reductase inhibitor (statin) and garlic (Allium sativum) on renal function in diabetic dyslipidemic patients.Methods: This clinical trial was conducted at Surgeon Munawar Memorial Hospital, Karachi from 1st March 2019 to 30th August 2019. Total of 60 patients of 30-70 years of age with abnormal lipid profile were enrolled for this study after a written consent. The study was conducted to assess the side effects of statin (20 mg/day) and garlic (300 mg/day) in diabetic dyslipidemia patients. The study period consisted of six months. Blood pressure, body weight and height of subjects were assessed. The patient answered the questionnaire on health complaints, smoking, social role, drug usage, family history and dietary pattern. The initial inclusion criteria of the patient were 1) Age between 30-70 years old of either sex, 2) Patients with diabetic dyslipidemia. The exclusion criteria were 1) Pregnancy or lactation, 2) Patients with liver diseases, 3) Patients with renal diseases. Detailed medical history and physical examination of all patients were carried out.Results: This study included 60 patients with an abnormal lipid profile of age 30-70 years. Internationalstatin product (20 mg/day) and local garlic product (300 mg/day) for 08 weeks were used for oral administration in patients. Urea and creatinine levels in the serum of diabetic dyslipidemic patients were measured before and after treatment with an international statin (20 mg/day) and a local garlic product (300 mg/day). Conclusion: According to the findings of this study, statins increase the serum level of urea and creatinine while garlic has no effect on urea and creatinine serum level.
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HMG辅酶a还原酶抑制剂和大蒜对糖尿病血脂异常患者肾功能的不良影响
目的:分析HMG辅酶a还原酶抑制剂(他汀类)和大蒜(Allium sativum)对糖尿病血脂异常患者肾功能的不良影响。方法:该临床试验于2019年3月1日至2019年8月30日在卡拉奇穆纳瓦尔外科医生纪念医院进行。共有60名30-70岁的血脂异常患者经书面同意入组本研究。该研究旨在评估他汀类药物(20mg /天)和大蒜(300mg /天)对糖尿病血脂异常患者的副作用。研究期为六个月。评估受试者的血压、体重和身高。患者回答了健康投诉、吸烟情况、社会角色、药物使用情况、家族史和饮食习惯等问题。患者的初始纳入标准为:1)年龄在30-70岁之间,男女不限;2)糖尿病性血脂异常患者。排除标准为:1)妊娠或哺乳期,2)肝脏疾病患者,3)肾脏疾病患者。对所有患者进行详细的病史和体格检查。结果:本研究包括60例30-70岁的血脂异常患者。患者口服他汀类药物(20mg /d)和本地大蒜制品(300mg /d),疗程为08周。在使用国际他汀类药物(20mg /天)和当地大蒜产品(300mg /天)治疗前后,测量糖尿病血脂异常患者血清尿素和肌酐水平。结论:本研究发现,他汀类药物可提高血清尿素和肌酐水平,而大蒜对血清尿素和肌酐水平无影响。
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