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KNOWLEDGE, ATTITUDE AND APPLICATION OF HEMOVIGILANCE BY POSTGRADUATES AND INTERNS IN A TERTIARY CARE HOSPITAL 一家三级医院的研究生和实习生对血液警戒的认识、态度和应用
Pub Date : 2024-07-01 DOI: 10.22159/ijpps.2024v16i7.51206
SWETHA K., V. K.
Objective: This study was conducted to assess the knowledge, attitude and application of hemovigilance by postgraduates and interns in a tertiary care hospital.Methods: A pre-validated questionnaire is used in this cross-sectional investigation. Postgraduates’ and interns’ Knowledge, Attitude and Practice (KAP) about hemovigilance, potential reasons for under-reporting, and strategies for enhancing transfusion reaction reporting were all intended to be evaluated in this study. The study was carried out over a period of 2 mo and included all the clinical PGs and interns who willingly gave consent.Results: The questionnaire was completed by 243 individuals in total. A mean of 94% of postgraduate students and 92% of interns were familiar with transfusion reactions. Merely 68% of the respondents possessed knowledge of India's Hemovigilance initiative. A total of 90% of participants concurred that it is essential to report adverse transfusion reactions. The idea of hemovigilance should be taught in UG curricula, according to 92% of participants overall. The majority of participants exhibited a favourable attitude towards the idea of hemovigilance. All the participants were willing to report unfavourable transfusion reactions.Conclusion: Although most participants have a good attitude towards reporting transfusion reactions, there is a lack of information about the hemovigilance program and the reporting process. For this reason, our research recommends that reporting procedures be included in undergraduate curricula and that seminars like training programs be held for postgraduates and practitioners.
目的:本研究旨在评估三甲医院研究生和实习生对血液警戒的认识、态度和应用:本研究旨在评估一家三甲医院的研究生和实习生对血液警戒的认识、态度和应用:方法:本横断面调查采用了一份预先验证的问卷。研究生和实习生对血液警戒的知识、态度和实践(KAP),报告不足的潜在原因,以及加强输血反应报告的策略都将在本研究中进行评估。研究为期 2 个月,包括所有自愿同意的临床 PG 和实习生:共有 243 人填写了调查问卷。平均 94% 的研究生和 92% 的实习生熟悉输血反应。只有 68% 的受访者了解印度的血液警戒计划。共有 90% 的受访者认为有必要报告输血不良反应。92%的参与者认为,应在大学本科课程中讲授血液警戒的理念。大多数参与者对血液警戒理念持赞成态度。所有参与者都愿意报告不良输血反应:尽管大多数参与者对报告输血反应持良好态度,但他们对血液警戒计划和报告流程缺乏了解。因此,我们的研究建议将报告程序纳入本科生课程,并为研究生和从业人员举办类似培训计划的研讨会。
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引用次数: 0
A SIMULATION APPROACH FOR NOVEL 1,3,4 THIADIAZOLE ACETAMIDE MOIETIES AS POTENT ANTIMYCOBACTERIAL AGENTS 新型 1,3,4-噻二唑乙酰胺分子作为强效抗霉菌剂的模拟方法
Pub Date : 2024-07-01 DOI: 10.22159/ijpps.2024v16i7.51356
Saira Susan Varghese, S. M. Mathews
Objective: To design novel series of 1,3,4 thiadiazoles and to evaluate their anti-mycobacterial potency via In silico modeling.Methods: In silico modeling comprising of Lipinski rule evaluation, ADMET prediction, Molecular docking and Simulation studies aimed to identify potent 1,3,4 thiadiazoles.Results: The various physiochemical parameters and molecular descriptors of the proposed 1,3,4 thiadiazoles were predicted. And they exhibited good binding score compared with standard drug INH. The simulation studies showed minimal fluctuation of the ligand receptor complexes.Conclusion: The MD simulation and binding affinity of designed 1,3,4 thiadiazoles proved their  efficiency as InhA inhibitors. The potency of the selected derivatives can be confirmed by further in vitro and in vivo experiments.
目的设计新型 1,3,4-噻二唑系列,并通过硅学建模评估其抗霉菌效力:方法:硅学建模包括利宾斯基规则评估、ADMET 预测、分子对接和模拟研究,旨在确定有效的 1,3,4-噻二唑:结果:预测了所提出的 1,3,4-噻二唑的各种理化参数和分子描述因子。与标准药物 INH 相比,它们表现出良好的结合得分。模拟研究表明配体受体复合物的波动极小:所设计的 1,3,4-噻二唑的 MD 模拟和结合亲和力证明了它们作为 InhA 抑制剂的有效性。结论:所设计的 1,3,4-噻二唑类化合物的 MD 模拟和结合亲和力证明了它们作为 InhA 抑制剂的有效性。
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引用次数: 0
GENERIC DRUG REGISTRATION AND COUNTRY-SPECIFIC REQUIREMENTS IN SAUDI ARABIA, QATAR, BAHRAIN, AND OMAN 沙特阿拉伯、卡塔尔、巴林和阿曼的仿制药注册和国别要求
Pub Date : 2024-07-01 DOI: 10.22159/ijpps.2024v16i7.50699
G. J., A. K. M.
Objective: This research aims to examine the regulatory framework and prerequisites for generic drug registration in the Middle East and North Africa (MENA) region, with a specific focus on the countries that make up the Gulf Cooperation Council (GCC). This will enable a deeper understanding of the procedures, records, schedules, and discrepancies related to registration.Methods: The study makes use of an extensive examination of the rules, regulations, and practices about the registration of generic drugs in the MENA. Official government sites, regulatory agencies, and respectable trade journals for the pharmaceutical sector were used as sources of information. The main procedures for registering generic drugs were explained and inspected, encompassing the submission of documents, dossier preparation, bioavailability/bioequivalence tests, and application filing.Results: There are substantial growth prospects for generics. Research highlights the sequential registration process for generic drugs, submitting documents electronically using the Common Technical Document (eCTD) method. For registration to be successful, specific records and data such as bioavailability/bioequivalence research data must be provided.Conclusion: The effective registration of generic medications in the MENA region, especially in the GCC nations, depends on understanding and abiding by nation-specific regulatory standards. The research offers a tactical guide that outlines the essential procedures, paperwork needs, and regional variances in the generic medicine registration process. The goal is to offer affordable healthcare solutions by navigating the regulatory landscape meticulously and streamlining the approval and market entry process for generic pharmaceuticals in the MENA region.
目的:本研究旨在考察中东和北非地区(MENA)仿制药注册的监管框架和先决条件,特别关注海湾合作委员会(GCC)成员国。这将有助于深入了解与注册有关的程序、记录、时间表和差异:本研究广泛考察了中东和北非地区非专利药注册的规则、法规和实践。信息来源包括政府官方网站、监管机构和医药行业的权威行业期刊。对仿制药注册的主要程序进行了解释和检查,包括提交文件、准备档案、生物可用性/生物等效性测试和提交申请:结果:仿制药的发展前景广阔。研究强调了仿制药的顺序注册过程,使用通用技术文件(eCTD)方法提交电子文件。要想成功注册,必须提供具体的记录和数据,如生物利用率/生物等效性研究数据:在中东和北非地区,尤其是海湾合作委员会国家,仿制药的有效注册取决于对各国监管标准的理解和遵守。本研究提供了一份战术指南,概述了仿制药注册过程中的基本程序、文书需求和地区差异。其目标是通过精心驾驭监管环境,简化中东和北非地区仿制药的审批和市场准入流程,提供经济实惠的医疗保健解决方案。
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引用次数: 0
ETHNIC STUDY OF ADUWA KO JAANR, A LESSER-KNOWN FERMENTED GINGER MILD ALCOHOLIC BEVERAGE OF EASTERN HIMALAYAS 对东部喜马拉雅地区一种鲜为人知的发酵生姜温和酒精饮料 Aduwa Ko Jaanr 的民族研究
Pub Date : 2024-07-01 DOI: 10.22159/ijpps.2024v16i7.51116
Aawaj Rai, S. R. Joshi
Consumption of fermented foods and beverages is a part of the dietary cultures of the Himalayan community and is prevalent amongst various ethnic groups in this region. Native of the Himalayan range ferment food and beverages using 'ethno-microbiological' knowledge acquired and practiced since ages, which lacks documentation. This knowledge is transmitted through practice and verbally to new generations. Women folk are engaged in this traditional fermentation culture with cultural and ethnic significance. In addition to its distinctive tastes, fermented foods and beverages provide health advantages to indigenous people. It becomes essential to highlight their scientific value due to their health benefits and ethnic relevance. The diverse nature of fermented foods and beverages, the fermentation process, and the traditional knowledge behind fermentation are a heritage of the eastern Himalayas. Traditional fermentation, in which raw materials are organic and natural starter culture is used, is part of the people's socio-economic lifestyle. Their preservation highlights organic and conventional practices as an excellent alternative to a healthy lifestyle. The present study documents a lesser-known mild-alcoholic fermented beverage, 'Aduwa ko Jaanr,' from the Eastern Himalayan region. A steady decline in traditional fermentation practices has recently been observed due to changes in food habits and culinary practices.
食用发酵食品和饮料是喜马拉雅社区饮食文化的一部分,在该地区各民族中十分普遍。喜马拉雅山脉的当地人利用自古以来获得和实践的 "民族微生物学 "知识发酵食物和饮料,这些知识缺乏文献记载。这些知识通过实践和口头传授给下一代。民间妇女从事这种具有文化和民族意义的传统发酵文化。除了独特的口味,发酵食品和饮料还为原住民提供了健康益处。由于其健康益处和民族相关性,突出其科学价值变得至关重要。发酵食品和饮料的多样性、发酵过程以及发酵背后的传统知识是喜马拉雅山脉东部的遗产。传统发酵使用有机原料和天然发酵培养基,是人们社会经济生活方式的一部分。对他们的保护凸显了有机和传统做法是健康生活方式的绝佳选择。本研究记录了东喜马拉雅地区一种鲜为人知的低度酒精发酵饮料 "Aduwa ko Jaanr"。最近,由于饮食习惯和烹饪方法的改变,传统发酵做法逐渐减少。
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引用次数: 0
EXPLORING THE CLINICAL SPECTRUM AND INDIVIDUALIZED DRUG THERAPY IN PEMPHIGUS VULGAR IS: A CASE SERIES 探索寻常型天疱疮的临床谱系和个体化药物治疗:病例系列
Pub Date : 2024-07-01 DOI: 10.22159/ijpps.2024v16i7.51143
Evangeline Gladwin, Priyanshi Shah, Himani Shah, Krunal Tralsawala
Pemphigus Vulgaris (PV) is a rare, chronic, life-threatening immunopathogenic disease that is characterized by flaccid, easily ruptured intraepithelial bullae, mostly found on the skin and mucous membranes. Attempting to keep the treatment plan of this potentially deadly disorder in primary focus, we have observed five patients with Pemphigus vulgaris. All patients have been presented with oral lesions or ulcers resulting in difficulty in swallowing. Patient one had a family history of the disease, while the other patients did not present any family history. All five patients had diverse ways of dealing with the disease before getting hospitalized. Microcytic anaemia and hypoalbuminemia have been found in all of them. Patients 1 and 3 had leucocytosis, while patient three had platelets in clumps with Hypercobalaminemia and the presence of ketone bodies in urine analysis. The Desmoglein I and Desmoglein III Antibody along with Punch biopsy results, confirmed the diagnosis. All patients were given systemic corticosteroids on hospitalization, but the case series observed variations in the dosages emphasizing individualized drug therapy. Some developed psychological impairment, some had generalized headaches or cardiac impairment, while ophthalmic involvement was seen in the other patients. Healthcare providers should do close monitoring while providing individualized drug therapy to prevent any systemic involvement and further complications.
丘疹性荨麻疹(Pemphigus Vulgaris,PV)是一种罕见的、慢性的、危及生命的免疫致病性疾病,其特征是松弛的、易破裂的上皮内大疱,主要出现在皮肤和粘膜上。为了使这种可能致命的疾病的治疗方案成为主要焦点,我们观察了五名寻常型天疱疮患者。所有患者都有口腔病变或溃疡,导致吞咽困难。其中一名患者有家族病史,其他患者则没有任何家族病史。五名患者在入院前都有不同的处理方式。他们都患有小红细胞性贫血和低白蛋白血症。1 号和 3 号患者白细胞增多,而 3 号患者血小板成团,伴有高钴胺血症,尿液分析中出现酮体。去甲斑蝥素 I 和去甲斑蝥素 III 抗体以及冲孔活检结果证实了这一诊断。所有患者在住院期间都接受了全身皮质类固醇治疗,但该病例系列观察到的剂量差异强调了药物治疗的个体化。一些患者出现了心理障碍,一些患者出现了全身性头痛或心功能损害,而其他患者则出现了眼部受累。医护人员在提供个体化药物治疗的同时,应进行密切监测,以防止出现任何全身性并发症。
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引用次数: 0
GASTRORETENTIVE EFFERVESCENT FLOATING TABLETS (GREFT) OF DRUGS ACTING ON CARDIOVASCULAR DISEASES 治疗心血管疾病药物的胃复安泡腾片(GREFT)
Pub Date : 2024-07-01 DOI: 10.22159/ijpps.2024v16i7.51296
S. Majee, Trisha Mishra, Souvik Gupti
Incidences of Cardio Vascular Diseases (CVDs) are increasing in an alarming proportion in India. Conventional oral dosage forms cannot be retained in the stomach for long owing to gastric emptying. Moreover, drugs which are commonly employed in management of chronic CVDs either have reduced solubility at alkaline pH, undergo colonic degradation, exhibit site-specific absorption or varying bioavailability with combination therapy. Gastro-retentive drug delivery systems (GRDDS) are designed to overcome these challenges. Since 2006, Food and Drug Administration has approved only few GRDDS for treating CVDs. The aim of the present review is to summarize the outcomes of research carried on GRRDS with drugs for CVDs since last 15 y and comprehensive analysis of limitations of such studies due to which no product has been approved or commercialized in over last 18 y. Literature survey includes single unit, multi-particulate, monolayer and bilayer dosage forms with or without effervescence-inducing agents and made of natural and/or synthetic polymers like hydroxypropylmethyl cellulose, natural gums etc. Efforts have been made to compile in vitro buoyancy data such as floating lag time, total floating time, swelling index, release profile and release kinetics. Among various studies reported on monolayer and bilayer Gastro-Retentive Effervescent Floating Tablets, only 3 involved bioavailability studies in human volunteers. Toxicity studies in animals or stability studies are totally lacking. Observation with floating-type multi-particulate GRDDS is more disappointing. lack of safety, efficacy data, stability data, in vivo imaging studies and in vitro-in vivo correlation data might be actually responsible for lack of commercialization of any GRDDS for drugs acting on CVDs in 21st century.
在印度,心血管疾病(CVDs)的发病率正在以惊人的比例上升。由于胃排空的原因,传统口服剂型无法在胃中保留很长时间。此外,通常用于治疗慢性心血管疾病的药物要么在碱性 pH 值下溶解度降低,要么在结肠中降解,要么表现出特定部位的吸收,要么在联合治疗时生物利用度不同。胃肠保留给药系统(GRDDS)就是为了克服这些难题而设计的。自 2006 年以来,美国食品和药物管理局仅批准了少数几种胃肠保留给药系统用于治疗心血管疾病。本综述旨在总结自过去 15 年以来有关胃复安给药系统与治疗心血管疾病药物的研究成果,并全面分析此类研究的局限性,由于这些局限性,过去 18 年中没有任何产品获得批准或实现商业化。文献调查包括单体、多颗粒、单层和双层剂型,无论是否使用了起泡剂,也无论是否由羟丙基甲基纤维素、天然胶等天然和/或合成聚合物制成。人们一直在努力汇编体外浮力数据,如漂浮滞后时间、总漂浮时间、膨胀指数、释放曲线和释放动力学。在报告的有关单层和双层胃复安泡腾片的各种研究中,只有 3 项涉及在人类志愿者中进行的生物利用度研究。完全缺乏动物毒性研究或稳定性研究。缺乏安全性、疗效数据、稳定性数据、体内成像研究和体外-体内相关性数据,可能是 21 世纪针对心血管疾病药物的胃药泡腾片商业化不足的真正原因。
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引用次数: 0
REVIEW ON CHEMICAL CONSTITUENTS AND BIOLOGICAL ACTIVITIES OF GENUS JUNIPER 杜松属化学成分和生物活性综述
Pub Date : 2024-07-01 DOI: 10.22159/ijpps.2024v16i7.51144
Ghina Abdul Majid, Mohamad Ali Hijazi, Abdalla EL LAKANY, Maha Aboul Ela
Juniper species belonging to the family Cupressaceae are evergreen shrubs or trees that thrive in dry, rocky, or sandy soils. There are roughly 67 species in the genus, all indigenous to the northern hemisphere. Several species of this genus have been reported to have a variety of pharmacological activities, including diuretic, anti-inflammatory, anti-fungal, hepatoprotective, antidiabetic, and anti-hyperlipidemic properties. Additionally, some species have been shown to have antioxidant, antimicrobial, and neuroprotective properties in Parkinson's disease patients. The majority of these activities are caused by the phytochemical constituents found in these species. This article covers most of the constituents of plants of the genus juniper reported from 2010 to 2023. Furthermore, the biological activities of plants of the genus juniper are presented.
杜松属是常绿灌木或乔木,在干燥、多岩石或沙质土壤中生长茂盛。该属大约有 67 个物种,都是北半球的原生植物。据报道,该属的一些物种具有多种药理活性,包括利尿、消炎、抗真菌、保肝、抗糖尿病和抗高血脂等特性。此外,一些物种还被证明对帕金森病患者具有抗氧化、抗菌和神经保护作用。这些活性大多是由这些物种中的植物化学成分引起的。本文涵盖了 2010 年至 2023 年期间报道的杜松属植物的大部分成分。此外,还介绍了杜松属植物的生物活性。
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引用次数: 1
ACETAMINOPHEN-INDUCED TOXIC EPIDERMAL NECROLYSIS IN PEDIATRIC PATIENTS-A CASE SERIES 对乙酰氨基酚诱发的儿科中毒性表皮坏死症--病例系列
Pub Date : 2024-07-01 DOI: 10.22159/ijpps.2024v16i7.48175
Dharmesh Mevada, Pratik Chabhadiya, Anil Singh
Acetaminophen is the most widely used over-the-counter medication for treating fever and pain. While adverse reactions to this drug are infrequent, they can occasionally result in severe and potentially fatal events, such as Toxic Epidermal Necrolysis (TEN). Due to the rarity of such reactions, there is a limited amount of information available about toxic epidermal necrolysis caused by acetaminophen. This case series will contribute to the existing knowledge in this area. In our cases, acetaminophen is the most suspected drug for the development of toxic epidermal necrolysis in patients. Causality assessment in all of these adverse drug reaction in context with World Health Organization (WHO) causality assessment scale suggests “Possible.” This case series concludes that severe hypersensitivity reactions like TEN caused by acetaminophen use and which can be potentially life-threatening which needs additional treatment.
对乙酰氨基酚是治疗发烧和疼痛最广泛使用的非处方药。虽然这种药物的不良反应并不常见,但偶尔也会导致严重和潜在的致命事件,如中毒性表皮坏死(TEN)。由于此类不良反应非常罕见,有关对乙酰氨基酚引起的中毒性表皮坏死的信息非常有限。本系列病例将有助于丰富该领域的现有知识。在我们的病例中,对乙酰氨基酚是最有可能导致患者发生中毒性表皮坏死的药物。根据世界卫生组织(WHO)的因果关系评估表,所有这些药物不良反应的因果关系评估均显示为 "可能"。本系列病例得出结论,使用对乙酰氨基酚引起的 TEN 等严重超敏反应可能会危及生命,需要进行额外治疗。
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引用次数: 0
A REVIEW ON THE CHEMICAL-INDUCED EXPERIMENTAL MODEL OF CARDIOTOXICITY 化学物质诱导的心脏毒性实验模型综述
Pub Date : 2024-07-01 DOI: 10.22159/ijpps.2024v16i7.51028
Monishaa Rai, Akshit Sinha, Supriya Roy
Drug-induced cardiotoxicity is a major concern during drug development, prompting the need for reliable experimental models to thoroughly assess potential cardioprotective drugs. The review delves into the intricacies of various models for drug-induced cardiotoxicity in experimental animals, with a specific focus on streptozotocin, isoprenaline, and antineoplastic drugs like cisplatin, doxorubicin, and 5-fluorouracil in rats and mice. Streptozotocin-induced cardiotoxicity is characterized by oxidative stress, inflammation, and mitochondrial dysfunction, resulting in myocardial damage and impaired cardiac function. Preclinical studies employing streptozotocin-induced cardiotoxicity models have revealed crucial pathways related to diabetic cardiomyopathy, aiding the evaluation of potential cardioprotective interventions. Isoprenaline, a beta-adrenergic agonist, is known for inducing acute myocardial injury resembling cardiac ischemia and heart failure in animals. Its mechanism involves overstimulation of beta-adrenergic receptors, calcium overload, oxidative stress, and apoptosis. Isoprenaline-induced models have offered insights into acute myocardial injury pathophysiology and facilitated the screening of cardioprotective agents against Myocardial Infarction (MI) and injury. Antineoplastic drugs, such as cisplatin, doxorubicin, and 5-fluorouracil, are linked to significant cardiotoxic effects, including cardiomyopathy and heart failure. Animal models have revealed dose-dependent cardiomyopathy, shedding light on underlying mechanisms like oxidative stress, Deoxyribonucleic Acid (DNA) damage, and mitochondrial dysfunction. The article aims to consolidate the current understanding of the pathophysiology and mechanisms behind drug-induced cardiac damage. Additionally, it underscores the importance of using animal models in preclinical evaluations to assess drug safety and efficacy and to develop potential cardioprotective therapies.
药物诱导的心脏毒性是药物开发过程中的一个主要问题,因此需要可靠的实验模型来全面评估潜在的心脏保护药物。这篇综述深入探讨了各种实验动物药物诱导心脏毒性模型的复杂性,特别关注链脲佐菌素、异丙肾上腺素以及顺铂、多柔比星和 5-氟尿嘧啶等抗肿瘤药物在大鼠和小鼠中的应用。链脲佐菌素诱导的心脏毒性以氧化应激、炎症和线粒体功能障碍为特征,导致心肌损伤和心脏功能受损。采用链脲佐菌素诱导的心脏毒性模型进行的临床前研究揭示了与糖尿病心肌病相关的关键通路,有助于评估潜在的心脏保护干预措施。异丙肾上腺素是一种β肾上腺素能激动剂,可诱发急性心肌损伤,类似于动物的心肌缺血和心力衰竭。其机制包括过度刺激肾上腺素能受体、钙超载、氧化应激和细胞凋亡。异丙肾上腺素诱导的模型使人们对急性心肌损伤的病理生理学有了更深入的了解,并促进了针对心肌梗塞(MI)和损伤的心脏保护药物的筛选。顺铂、多柔比星和 5-氟尿嘧啶等抗肿瘤药物具有明显的心脏毒性作用,包括心肌病和心力衰竭。动物模型揭示了心肌病的剂量依赖性,揭示了氧化应激、脱氧核糖核酸(DNA)损伤和线粒体功能障碍等潜在机制。文章旨在巩固目前对药物诱发心肌损伤背后的病理生理学和机制的认识。此外,文章还强调了在临床前评估中使用动物模型来评估药物安全性和有效性以及开发潜在心脏保护疗法的重要性。
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引用次数: 0
EXPLORING THE UNINTENDED CONSEQUENCES OF MISUSE OF WEGOVY AND OZEMPIC IN WEIGHT MANAGEMENT: A COMPREHENSIVE REVIEW 探讨滥用 wegovy 和 ozempic 进行体重管理的意外后果:综述
Pub Date : 2024-06-01 DOI: 10.22159/ijpps.2024v16i6.50611
Sarthak A. Kute, Madhura S. Chothave, Prajakta B. Rote, Anupama A. Kapadnis, Vaishnavi V. Kale
In recent years, Glucagon-Like Peptide-1 (GLP-1) receptor agonists have emerged as promising options for weight management, offering not only glycemic control benefits but also significant reductions in body weight. Among these agents, Wegovy (semaglutide) and Ozempic (semaglutide) have gained attention for their efficacy in promoting weight loss, even in individuals without diabetes. However, the off-label use of these medications for weight management raises several questions and concerns regarding their safety, efficacy, and long-term effects. This comprehensive review aims to explore the complexities of GLP-1 agonists in weight management, focusing on their mechanism of action, clinical evidence, safety profile, dosing considerations, potential interactions, and future directions.
近年来,胰高血糖素样肽-1(GLP-1)受体激动剂已成为体重管理的理想选择,不仅能控制血糖,还能显著减轻体重。在这些药物中,Wegovy(semaglutide)和Ozempic(semaglutide)因其促进体重减轻的疗效而备受关注,即使是没有糖尿病的患者也不例外。然而,在标签外使用这些药物进行体重管理引发了一些有关其安全性、疗效和长期影响的问题和担忧。本综述旨在探讨 GLP-1 激动剂在体重管理方面的复杂性,重点关注其作用机制、临床证据、安全性、用药注意事项、潜在的相互作用以及未来发展方向。
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引用次数: 0
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International Journal of Pharmacy and Pharmaceutical Sciences
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