2009
DOI: 10.1111/j.1464-5491.2009.02766.x
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Efficacy of octreotide but not long‐acting somatostatin analogue for severe refractory diabetic diarrhoea

Abstract: 5 UK Prospective Diabetes Study Group. Tight blood pressure control and risk of macrovascular and microvascular complications. Br Med J 1998; 317: 703-713. 6 Hardy KJ, Gill GV. Relationship of treatment and knowledge amongst diabetic patients. Pract Diabetes 1990; 7: 67-68. 7 Hardy K, McNulty S. Prescription charge exemption and Type 2 diabetes mellitus.JC has received lecture fees from Sanofi-Aventis. AC has nothing to declare.

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Cited by 9 publications
(5 citation statements)
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“…Tricyclic antidepressants may be beneficial because of their anticholinergic properties. Case reports have supported the efficacy of somatostatin analogs in otherwise refractory, apparently secretory, diarrhea in patients with autonomic neuropathy (84). Clonidine, an a-2-adrenergic RA is effective in the treatment of refractory diarrhea (85), but patients must be monitored for hypotension, especially when dehydrated.…”
Section: Managementmentioning
confidence: 99%
“…Tricyclic antidepressants may be beneficial because of their anticholinergic properties. Case reports have supported the efficacy of somatostatin analogs in otherwise refractory, apparently secretory, diarrhea in patients with autonomic neuropathy (84). Clonidine, an a-2-adrenergic RA is effective in the treatment of refractory diarrhea (85), but patients must be monitored for hypotension, especially when dehydrated.…”
Section: Managementmentioning
confidence: 99%
“…Трициклічні антидепресанти можуть бути корисними через антихолінергічні властивості. Клінічні випадки підтвердили ефективність аналогів соматостатину у разі рефрактерної секреторної діареї у пацієнтів з вегетативною нейропатією [43]. Клонідин, α 2 -адренергічний агоніст рецепторів, ефективний при лікуванні рефрактерної діареї, але слід контролювати вияви гіпотонії, особливо при явищах зневоднення [44].…”
Section: ураження кишечникаunclassified
“…Loperamide and codeine are used but neither is recommended for long‐term treatment and they may not be very effective. Both octreotide and lanreotide have been tried to treat the autonomic component …”
Section: ‘Diabetic Diarrhoea’mentioning
confidence: 99%