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New-class diabetic medications called sitagliptin is still being observed for other possible side effects, health experts say. Health care providers and patients are encouraged to know about the prescribing information of sitagliptin, according to the Food and Drug Administration (FDA), because there are some changes in response to the growing number of cases of pancreatic infection.  Patient education helps prevent majority of diseases and is one of the main thrust used in the prevention of pancreatitis in men and women taking sitagliptin. The sudden swelling and inflammation of the pancreas that affects men more than women is one of the reasons that patients file lawsuits for Januvia settlements.
 
Sitagliptin is prescribed for patients with type 2 diabetes to manage their blood sugar. These medications may be taken together with other drugs that help lower the blood sugar and is advised to be taken on the same time daily to work effectively. Patients are reminded that taking the medication together with diet and exercise is also part of the treatment regimen will help in managing diabetes but not cure it. Several studies are being done to know the effects of this new class of medication. Independent studies showed unexpected results that linked sitagliptin to pancreatitis and possibly pancreatic cancer.


The prescribing information for Januvia and Janumet, sitagliptin available in the market, was revised by the FDA as the number of cases of acute pancreatitis piles up. The number of men and women who have been using these drugs that reported infection of the pancreas has reached 88 from 2006 to 2009. Pharmaceutical companies manufacturing both medications are working hand-in-hand with the FDA to revise the prescribing information to inform patients and health care providers of the risks associated with the use of the drugs. The adverse effects of medications experienced by patients taking any kind of medication including sitagliptin may be reported in the FDA MedWatch program.


Health care professionals are advised to encourage their patients to reports symptoms of nausea, vomiting, persistent severe abdominal pain (may radiate to the back) and anorexia. The drug may be discontinued by doctors if the patient shows any of the signs. However, it recommended that patients inform their health care providers of their symptoms first before stopping their medication. Laboratory studies such as amylase/creatinine ratio, electrolytes, serum and urine amylase, serum calcium, lipase and glucose may be taken to diagnose the problem. Early detection is important in preventing complications and death in acute pancreatitis.


URL References:


fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/DrugSafetyInformationforHeathcareProfessionals/ucm183764.htm
nlm.nih.gov/medlineplus/druginfo/meds/a606023.html
fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm183768.htm

 

Januvia, also known by its generic name sitagliptin, is an oral medication indicated for the regulation of blood sugar levels in diabetes-afflicted patients, according to medical journals. An increasingly popular drug that belongs to the class of insulin mimetics, it primarily functions by mimicking a natural hormone in the body that encourages the production of insulin by the pancreas after eating.
 
Potential Side Effects
 
As all forms of treatment, Januvia may also bear its own distinct unwanted effects, according to medical experts. As with other medications or treatments, Januvia has also been reported to bring about a string of side effects, medical experts say. Some of the side effects that may result from Januvia intake are as follows:
 
  • Headache
  • Dizziness
  • Nausea
  • Sore throat
  • Stuffy or runny nose
  • Swelling of hands and feet
  • Constipation
  • Diarrhea
  • Muscle pain
 
Possible Deleterious Ties to Serious Pancreatic Problems
 
Since acquiring the clearance to enter the American consumer market in 2006, Januvia has reportedly become one of the most widely prescribed anti-diabetes drugs in the country, bringing $4 billion in sales for its manufacturer, second-largest US drug maker, Merck. However, studies linking the popular drug to serious problems that may affect the pancreas, a vital organ that plays a major role in producing insulin against diabetes, have also reportedly started to arise not long after the drug has been released.
 
In a study published in the journal Gastroenterology, researchers have reportedly found a sixfold increase of reported cases of pancreatitis in patients using Januvia or Byetta, an injectable anti-diabetes medication; and a 2.7-fold increase of reported pancreatic cancers among patients taking Januvia. A new study published in the JAMA Internal Medicine, also revealed findings that link Januvia, and other newer forms of diabetes drugs, to an increased risk of acute pancreatitis — a serious condition characterized by the inflammation of the pancreas over a short period of time, in those who are taking them.
 
What Does the FDA Have to Say?
 
The government agency has reportedly released an early communication in March expressing their intent to further conduct a review on unpublished findings that zero in on the potential adverse effects tied to Januvia and other similar anti-high glucose drugs, according to online media reports. While the US FDA recommends that patients continue using their medication as prescribed, some of them, particularly those who may have had a first-hand encounter with these alleged side effects have reportedly began seeking professional advice from a Januvia lawyer in possibly embarking on a legal course.
 
 
 
Sources:
  • diabetes.webmd.com/incretin-mimetics-for-type-2-diabetes
  • chealth.canoe.ca/drug_info_details.asp?brand_name_id=4850&page_no=2
  • bloomberg.com/news/2013-02-25/merck-bristol-diabetes-drugs-linked-to-pancreatitis-risk.html
  • usatoday30.usatoday.com/news/health/medical/story/2011-09-23/Popular-diabetes-drugs-may-raise-pancreatic-cancer-risk-study-suggests/50531776/1
  • fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm343805.htm
  • nhs.uk/conditions/Pancreatitis/Pages/Introduction.aspx