2018
DOI: 10.1177/2042018818767220
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Drug interactions of meglitinide antidiabetics involving CYP enzymes and OATP1B1 transporter

Abstract: Meglitinides such as repaglinide and nateglinide are useful to treat type 2 diabetes patients who follow a flexible lifestyle. They are short-acting insulin secretagogues and are associated with less risk of hypoglycemia, weight gain and chronic hyperinsulinemia compared with sulfonylureas. Meglitinides are the substrates of cytochrome P450 (CYP) enzymes and organic anion transporting polypeptide 1B1 (OATP1B1 transporter) and the coadministration of the drugs affecting them will result in pharmacokinetic drug … Show more

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Cited by 20 publications
(12 citation statements)
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“… 3 Patients with type 2 diabetes are usually treated with oral antidiabetic drugs such as metformin, sulfonylureas, meglitinides, thiazolidinediones (TZDs), dipeptidyl peptidase 4 (DPP4) inhibitors and SGLT2 inhibitors. 4 5 …”
Section: Introductionmentioning
confidence: 99%
“… 3 Patients with type 2 diabetes are usually treated with oral antidiabetic drugs such as metformin, sulfonylureas, meglitinides, thiazolidinediones (TZDs), dipeptidyl peptidase 4 (DPP4) inhibitors and SGLT2 inhibitors. 4 5 …”
Section: Introductionmentioning
confidence: 99%
“…11 Meglitinide analogues (repaglinide and nateglinide) also are insulin secretagogues, but are shorter and faster acting. 12 DPP-4 inhibitors prevent the breakdown of glucagon like peptide-1 (GLP-1) secreted by intestinal tract, which inhibits glucagon release, gluconeogenesis and gastric emptying gets delayed. 13 There has been a better understanding of kidney's role in glucose homeostasis leading to development of SGLT-2 inhibitors.…”
Section: Introductionmentioning
confidence: 99%
“…5 Modification of effects of one drug by other drug(s), supplements, food, smoking or alcohol consumption, is termed as Drug interaction. 6 And the drug interaction resulting in elevated risk of adverse effects or decreased therapeutic efficacy is termed Adverse Drug Interaction. 7 GLP-1 agonists may slow down the absorption of certain orally administered medications through delayed gastric emptying.…”
Section: Introductionmentioning
confidence: 99%