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Dapagliflozin을 복용 중인 제2형 당뇨병 환자에서 황련해독탕 병용투여의 약력학적 약물상호작용 평가

Pharmacodynamic Herb-drug Interaction between Hwangryunhaedok-tang and Dapagliflozin in Type 2 Diabetes Melitus

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Objective: This study evaluated potential pharmacodynamic herb-drug interaction of Hwangryunhaedok-tang (HRHDT) when co-administered with dapagliflozin in patients with type 2 diabetes mellitus (T2DM). Methods: In this retrospective study, patients with T2DM receiving both HRHDT and dapagliflozin were assessed for fasting blood sugar (FBS), 2-h postprandial glucose (PP2), and glycated hemoglobin (HbA1c) levels before and after co-administration. Liver enzymes and renal function parameters were evaluated for safety. Subgroup analyses were conducted based on insulin use and other oral hypoglycemic agents. Results: Twenty patients with T2DM co-administering HRHDT and dapagliflozin were included. No significant changes were observed in FBS, PP2, or HbA1c after HRHDT co-administration. Subgroup analyses also showed no significant glycemic differences. ALP, GGT, and BUN levels decreased, while other liver and renal parameters remained stable. Conclusions: Co-administration of HRHDT and dapagliflozin showed no pharmacodynamic interactions and no significant safety concerns.

Abstract

Objective: This study evaluated potential pharmacodynamic herb-drug interaction of Hwangryunhaedok-tang (HRHDT) when co-administered with dapagliflozin in patients with type 2 diabetes mellitus (T2DM). Methods: In this retrospective study, patients with T2DM receiving both HRHDT and dapagliflozin were assessed for fasting blood sugar (FBS), 2-h postprandial glucose (PP2), and glycated hemoglobin (HbA1c) levels before and after co-administration. Liver enzymes and renal function parameters were evaluated for safety. Subgroup analyses were conducted based on insulin use and other oral hypoglycemic agents. Results: Twenty patients with T2DM co-administering HRHDT and dapagliflozin were included. No significant changes were observed in FBS, PP2, or HbA1c after HRHDT co-administration. Subgroup analyses also showed no significant glycemic differences. ALP, GGT, and BUN levels decreased, while other liver and renal parameters remained stable. Conclusions: Co-administration of HRHDT and dapagliflozin showed no pharmacodynamic interactions and no significant safety concerns.

관련 논문AI추천

합병증을 동반하지 않은 2형 당뇨병 환자에 대한 황련해독탕의 혈당 강하 효과에 대한 유효성과 안전성 : 체계적 문헌 고찰과 메타분석백지수, 신동국, 신선미, 조충식대한한방내과학회 · 대한한방내과학회지2021 · 제42권 제4호표준 치료를 받고 있는 제2형 당뇨병 환자에서 오령산 병용 투여의 후향적 약물 상호작용 연구송미령, 안세영, 안영민, 유연주, 이민승, 이병철, 정우녕대한한방내과학회 · 대한한방내과학회지2024 · 제45권 제4호제2형 당뇨병 환자에서 혈당강하제와 보중익기탕 병용 투여가 혈당 변화에 미치는 영향 및 안전성 연구노지원, 송미령, 안세영, 안영민, 오승현, 이병철, 정우녕대한한방내과학회 · 대한한방내과학회지2023 · 제44권 제3호제2형 당뇨병 환자에게 한방의료보험용 혼합엑기스산제와 경구혈당강하제 병용요법이 혈당 변화에 미치는 영향노지원, 안세영, 안영민, 양희권, 이민승, 이병철, 정수민대한한방내과학회 · 대한한방내과학회지2020 · 제41권 제6호오적산 병용투여가 혈당강하 치료를 받고 있는 제2형 당뇨병 환자의 혈당에 미치는 영향안세영, 안영민, 오승현, 이민승, 이병철, 이한영, 임형근, 정수민대한한방내과학회 · 대한한방내과학회지2021 · 제42권 제1호합병증을 동반하지 않은 2형 당뇨병에 대한 갈근황금황련탕의 혈당개선 효과와 안전성 연구 : 체계적 문헌고찰과 메타분석백지수, 신재익, 조충식대한한방내과학회 · 대한한방내과학회지2022 · 제43권 제1호

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