二甲双胍缓释片的应用优势与适用人群解析

2017-11-23 佚名 国际糖尿病

二甲双胍缓释片有何应用优势?哪些人群适合使用?

格华止®降糖疗效肯定,已经获得普遍认可。那么,在其基础上进行了工艺改良的格华止?XR(二甲双胍缓释片)有何应用优势?哪些人群适合使用?围绕这些问题,《国际糖尿病》邀请中国人民解放军总医院母义明教授为我们进行了专业解答。

二甲双胍缓释片的应用优势

二甲双胍除了常规使用的剂型之外,有很多缓释制剂开始陆续上市,在市场上所占的比例越来越大,主要理由有以下几个:

第一,二甲双胍缓释片服用更加方便,一天一次的用药大大提高了很多患者的顺应性,也使得更多患者能够接受这种治疗。

第二,二甲双胍缓释片的副作用相对较小,所致胃肠道反应大大下降。

第三,与普通片相比,二甲双胍缓释片的疗效更加平稳。

因此,二甲双胍缓释片在未来会成为二甲双胍在临床上使用的一个主要剂型,期待二甲双胍缓释制剂的大力推广为患者带来更多益处,包括副作用更小而疗效更加卓越。

二甲双胍缓释片的适用人群

相对普通片来讲,二甲双胍缓释片的适用人群会更广。众所周知,二甲双胍普通片的最大缺陷是胃肠道反应较大,若换成二甲双胍缓释片,副作用会更小,疗效更稳定。几乎所有能够服用二甲双胍的患者都可以应用二甲双胍缓释片。另外,对部分二甲双胍普通片胃肠道反应较大的患者,也可考虑使用二甲双胍缓释片。缓释片服用效果较好,且服药比较灵活,基本不受时间、餐前或餐后等特殊条件的限制。因此:

第一,在所有二甲双胍单独应用有效的患者,或部分使用二甲双胍后有一定副作用者,都可使用二甲双胍缓释片。

第二,二甲双胍缓释片几乎可与各种糖尿病药物联合使用,包括口服药及胰岛素。

《二甲双胍临床应用专家共识》中建议,所有使用胰岛素的患者都应使用二甲双胍,尤其二甲双胍缓释片。因为二甲双胍可减少胰岛素用量,降低胰岛素的低血糖风险,另外可减少胰岛素带来的体重增加,当然两者配合对血糖控制更好,可以预防很多并发症。

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    2018-10-02 hongbochen
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    2017-11-23 131****1460

    学习了受益匪浅

    0

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    2017-11-23 changjiu

    学习一下谢谢

    0

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    2017-11-23 明月清辉

    谢谢分享.学习了

    0