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Evaluation of the efficacy and safety of bromocriptine QR in type 2 diabetes

Karuna Balwant Ramteke, Sunita Jaiprakash Ramanand, Jaiprakash B Ramanand and 5 more

Indian Journal of Endocrinology and Metabolism · 2011

doi:10.4103/2230-8210.83062 (opens in a new tab)

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Abstract

Context: Diabetes mellitus is a chronic metabolic disorder of endocrinal origin with multiorgan involement. Today′s physician has a lot many options to choose for treating type 2 diabetes, but does not always manages to achieve optimal glycemic control. The newer drug bromocriptine acts by novel hypothalamic circadian rhythm resetting mechanism. Objective: To evaluate the efficacy and safety of bromocriptine QR in type 2 diabetes. Materials and Methods: 105 patients according to inclusion and exclusion criteria were randomized into three groups by simple randomization. Group 1 received bromocriprine 2.4 mg once daily, group 2 received metformin 500 mg twice daily while group 3 received bromocriprine 1.6 mg daily and metformin 500 mg twice daily. Baseline measurement of fasting and postprandial blood sugar, HbA1 C and BMI were followed up at 6 th and 12 th weeks. Safety evaluation was done by questioning the patient and also through routine hematological and biochemical parameters. Z test was used for analysis. Results: Group 1 showed significant reduction in fasting and postprandial sugar and HbA 1c at 12 weeks. While groups 2 and 3 showed even higher reduction in these parameters albeit with slightly more adverse drug events like nausea, vomiting compared to group 1. Conclusion: Bromocriptine QR is an effective and safe antidiabetic drug which can be employed as monotherapy or in conjuction with metformin to achieve and maintain optimal glycemic control.

Abstract licence: CC BY-NC-SA

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