انسولین دگلودک/لیراگلوتاید

انسولین دگلودک/لیراگلوتاید
ترکیبی از
انسولین دگلودک	Insulin analog
لیراگلوتاید	Glucagon-like peptide-1 receptor agonist (GLP-1)
داده‌های بالینی
نام‌های تجاری	Xultophy
AHFS/Drugs.com
داده‌ها	US DailyMed: Insulin_degludec_and_liraglutide;
روش مصرف دارو	تزریق زیرجلدی
کد ATC	A10AE56 ;
وضعیت قانونی
وضعیت قانونی	UK: فقط ℞ (POM) ; US: فقط ℞ ; EU: Rx-only ; ℞ (Prescription only);
شناسه‌ها
شمارهٔ سی‌ای‌اس	844439-96-9;
UNII	54Q18076QB;
KEGG	D11567;

انسولین دگلودک/لیراگلوتاید، که با نام تجاری Xultophy عرضه می‌شود، یک داروی ترکیبی برای بزرگسالان مبتلا به دیابت نوع ۲ به منظور بهبود کنترل قند خون در ترکیب با رژیم غذایی و ورزش است.^[۲]^[۳] این دارو حاوی انسولین دگلودک و لیراگلوتید است^[۴]^[۵] و به صورت تزریق زیرجلدی تجویز می‌شود.

شایعترین عوارض جانبی شامل هیپوگلیسمی (افت قند خون) است.^[۶] عوارض جانبی بر روی دستگاه گوارش شامل حالت تهوع، اسهال، استفراغ، یبوست، سو هاضمه، ورم معده (التهاب معده)، درد شکم (درد معده)، نفخ معده، ریفلاکس معده (بازگشت اسید معده به سمت دهان) و اتساع (تورم) شکم است.^[۷]

انسولین دگلودک یک انسولین جایگزین است که مانند انسولین تولید شده طبیعی عمل می‌کند و به گلوکز کمک می‌کند تا از طریق خون وارد سلول شود.^[۸] با کنترل سطح گلوکز خون، علائم و عوارض دیابت کاهش می‌یابد.^[۹] انسولین دگلودک با انسولین انسانی کمی متفاوت است زیرا بعد از تزریق به بدن، با سرعت کمتر و به صورت منظم جذب بدن می‌شود و برای مدت طولانی اثرگذار است.^[۱۰]

لیراگلوتید در گروه داروهای دیابت است که به عنوان آگونیست‌های گیرنده GLP-1 شناخته می‌شوند.^[۱۱] این دارو با افزایش مقدار انسولینی که لوزالمعده در پاسخ به غذا آزاد می‌کند، همانند اینکرتین‌ها (هورمون‌های تولید شده در روده) عمل می‌کند.^[۱۲]این ماده به کنترل سطح گلوکز خون کمک می‌کند.^[۱۳]

تاریخچه[ویرایش]

انسولین دگلودک/لیراگلوتاید برای مصارف پزشکی در اتحادیه اروپا در سپتامبر ۲۰۱۴،^[۱۴] و در ایالات متحده در نوامبر ۲۰۱۶ تأیید شد.^[۱۵]^[۱۶]

منابع[ویرایش]

↑ "Xultophy 100 units/ml insulin degludec + 3.6 mg/mL liraglutide solution for injection in a pre-filled pen - Summary of Product Characteristics (SmPC)". (emc). 8 October 2019. Retrieved 15 May 2020.
↑ "Xultophy 100/3.6 (- insulin degludec and liraglutide injection, solution". DailyMed. 15 November 2019. Retrieved 15 May 2020.
↑ "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
↑ "Xultophy 100/3.6 (- insulin degludec and liraglutide injection, solution". DailyMed. 15 November 2019. Retrieved 15 May 2020.
↑ "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
↑ "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
↑ "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
↑ "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
↑ "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
↑ "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
↑ "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
↑ "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
↑ "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
↑ "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
↑ "Xultophy 100/3.6 (insulin degludec and liraglutide) Injection". U.S. Food and Drug Administration (FDA). 27 November 2017. Retrieved 15 May 2020.
↑ "Xultophy: FDA-Approved Drugs". U.S. Food and Drug Administration (FDA). 23 March 2020. Retrieved 15 May 2020.

پیوند به بیرون[ویرایش]

"Insulin degludec mixture with liraglutide". Drug Information Portal. U.S. National Library of Medicine.

[1] "Xultophy 100 units/ml insulin degludec + 3.6 mg/mL liraglutide solution for injection in a pre-filled pen - Summary of Product Characteristics (SmPC)". (emc). 8 October 2019. Retrieved 15 May 2020.

[Xultophy_FDA_label2-2] "Xultophy 100/3.6 (- insulin degludec and liraglutide injection, solution". DailyMed. 15 November 2019. Retrieved 15 May 2020.

[Xultophy_EPAR2-3] "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.

[Xultophy_FDA_label3-4] "Xultophy 100/3.6 (- insulin degludec and liraglutide injection, solution". DailyMed. 15 November 2019. Retrieved 15 May 2020.

[Xultophy_EPAR3-5] "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.

[Xultophy_EPAR4-6] "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.

[Xultophy_EPAR5-7] "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.

[Xultophy_EPAR7-8] "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.

[Xultophy_EPAR8-9] "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.

[Xultophy_EPAR9-10] "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.

[Xultophy_EPAR10-11] "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.

[Xultophy_EPAR11-12] "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.

[Xultophy_EPAR12-13] "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.

[Xultophy_EPAR6-14] "Xultophy EPAR". آژانس دارویی اروپا (EMA). Retrieved 15 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.

[15] "Xultophy 100/3.6 (insulin degludec and liraglutide) Injection". U.S. Food and Drug Administration (FDA). 27 November 2017. Retrieved 15 May 2020.

[16] "Xultophy: FDA-Approved Drugs". U.S. Food and Drug Administration (FDA). 23 March 2020. Retrieved 15 May 2020.

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