2021, Número 2
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Med Int Mex 2021; 37 (2)
Seguridad cardiovascular de los medicamentos antidiabéticos
González-Gálvez G, Castro-Martínez MG
Idioma: Español
Referencias bibliográficas: 26
Paginas: 244-255
Archivo PDF: 414.26 Kb.
RESUMEN
En la actualidad, cualquier medicamento nuevo para el tratamiento de la diabetes
tipo 2 necesita someterse a estudios de desenlace cardiovascular para mostrarle a
las instancias regulatorias que son medicamentos seguros desde el punto de vista
cardiovascular. Los inhibidores de la DPP-4 han cumplido este requerimiento al
demostrar en estos estudios la no inferioridad comparada contra placebo en el
riesgo de eventos cardiovasculares mostrando un efecto neutro en este desenlace.
Los ar-GLP1 han demostrado que no solo son seguros, sino que también son
capaces de lograr reducción en la aparición de eventos cardiovasculares y los
inhibidores de SGLT-2, además de haber demostrado que son seguros, también
ofrecen el beneficio de reducción de mortalidad cardiovascular y de hospitalización
por insuficiencia cardiaca de forma temprana después de su administración
y el potencial de nefroprotección en los análisis secundarios de los estudios de
desenlaces cardiovasculares.
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