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Home Medication Thiazolidinediones

Thiazolidinediones



Database Evaluation of the Effects of Long-Term Rosiglitazone Treatment on Cardiovascular Outcomes in Patients With Type 2 Diabetes

In this community-based cohort, 30 months of therapy with rosiglitazone treatment was associated with increased risk of congestive heart failure (CHF) but was not associated with increased risk of acute myocardial infarction (AMI), acute coronary syndrome (ACS), coronary revascularization, or all-cause mortality.
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Rosiglitazone and cognitive stability in older persons with type 2 diabetes and mild cognitive impairment

Rosiglitazone may protect against cognitive decline in older persons with type 2 diabetes and mild cognitive impairment (MCI).
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Association between industry affiliation and position on cardiovascular risk with rosiglitazone: cross sectional systematic review

Disclosure rates for financial conflicts of interest were unexpectedly low, and there was a clear and strong link between the orientation of authors' expressed views on the rosiglitazone controversy and their financial conflicts of interest with pharmaceutical companies.
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Hepatotoxicity with thiazolidinediones: is it a class effect?

While regular monitoring of liver enzymes is still recommended and more long term data are desirable, current evidence from clinical trials and postmarketing experience in the US supports the conclusion that rosiglitazone and pioglitazone do not share the hepatotoxic profile of troglitazone.
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Mitochondrial dysfunction and delayed hepatotoxicity: another lesson from troglitazone

Analysis of these cases and of the experimental troglitazone toxicity data points to mitochondrial toxicity as a central factor.
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How safe is the use of thiazolidinediones in clinical practice?

Thiazolidinediones are usually well tolerated; however, their use may be associated with several adverse effects. The first TZD, troglitazone, was withdrawn from the market owing to serious hepatotoxicity.
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Direct toxicity effects of sulfo-conjugated troglitazone on human hepatocytes

In conclusion, our study demonstrated for the first time that TGZS (Troglitazone sulfo-conjugated metabolite) has direct toxicity effect on human liver cells and may be partially responsible for the hepatotoxicity of TGZ (Troglitazone).
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Improving cardiovascular risk--applying evidence-based medicine to glucose-lowering therapy with thiazolidinediones in patients with type 2 diabetes

Pioglitazone is the preferred thiazolidinedione to reduce cardiovascular risk in people with type 2 diabetes.
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Effects of bed-time insulin versus pioglitazone on abdominal fat accumulation, inflammation and gene expression in adipose tissue in patients with type 2 diabetes

This suggests that a 24-week treatment with pioglitazone or bed-time insulin has a similar impact on intra-abdominal fat mass and systemic low-grade inflammation.
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CHICAGO, PERISCOPE and PROactive: CV risk modification in diabetes with pioglitazone

These findings strongly suggest that pioglitazone has an important place in the management of type 2 diabetes.
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Pioglitazone induced reversible pancytopenia

To the best of our knowledge this is the first reported case of pancytopenia induced by pioglitazone therapy.
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Pioglitazone enhances pyruvate and lactate oxidation in cultured neurons but not in cultured astroglia

These results indicate that pioglitazone may enhance the efficiency of glucose metabolism in the brain.
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Potentiation by candesartan of protective effects of pioglitazone against type 2 diabetic cardiovascular and renal complications in obese mice

Thus, the combination of pioglitazone with candesartan is potentially a promising therapeutic strategy for type 2 diabetes.
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Efficacy of PPAR-gamma agonist pioglitazone in mild Alzheimer disease

Pioglitazone may offer a novel strategy for the treatment of AD.
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Long-term glycaemic control with metformin-sulphonylurea-pioglitazone triple therapy in PROactive (PROactive 17)

The advantages and disadvantages of adding pioglitazone instead of adding basal insulin should be assessed further.
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Pioglitazone suppresses the lipopolysaccharide-induced production of inflammatory factors in mouse macrophages by inactivating NF-kappaB

Pioglitazone appears to play an anti-inflammatory role in atherosclerosis process.
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Comparative effects of pioglitazone and rosiglitazone on plasma levels of soluble receptor for advanced glycation end products in type 2 diabetes mellitus patients

We conclude that, in type 2 diabetes mellitus patients, pioglitazone-but not rosiglitazone-significantly raised sRAGE, which may contribute to its antiatherogenic effects.
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Risk of cardiovascular disease and all cause mortality among patients with type 2 diabetes prescribed oral antidiabetes drugs: retrospective cohort study using UK general practice research database

Pioglitazone also had a favourable risk profile compared with rosiglitazone; although this requires replication in other studies, it may have implications for prescribing within this class of drugs.
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Modulation of adipokines and vascular remodelling markers during OGTT with acarbose or pioglitazone treatment

Pioglitazone improves glucose metabolism and insulin-resistance compared to acarbose in type 2 diabetic patients already treated with metformin and sulphonilureas.
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Long-term glycaemic effects of pioglitazone compared with placebo as add-on treatment to metformin or sulphonylurea monotherapy in PROactive (PROactive 18)

The efficacy and safety of adding pioglitazone to either metformin monotherapy or sulphonylurea monotherapy were good.
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