Drug class review on fixed dose combination drug products for the treatment of type 2 diabetes and hyperlipidemia final report

The combination of 2 drug entities in one dosage form is known as a fixed-dose combination product (FDCP). For the treatment of type 2 diabetes, there are 2 products that combine a sulfonylurea with metformin, 2 that combine metformin with a thiazolidinedione, 1 that combines metformin with a Dipept...

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Bibliographic Details
Main Author: McDonagh, Marian S.
Corporate Author: Oregon Health & Science University
Format: eBook
Language:English
Published: Portland, Or. Oregon Health & Science University c2007, 2007
Series:Drug class reviews
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
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245 0 0 |a Drug class review on fixed dose combination drug products for the treatment of type 2 diabetes and hyperlipidemia  |h Elektronische Ressource  |b final report  |c Marian McDonagh ... [et al.] 
260 |a Portland, Or.  |b Oregon Health & Science University  |c c2007, 2007 
300 |a PDF file (72 p.) 
505 0 |a Includes bibliographical references 
653 |a Drug Evaluation 
653 |a Diabetes Mellitus, Type 2 / drug therapy 
653 |a Drug Therapy, Combination 
653 |a Hyperlipidemias / drug therapy 
710 2 |a Oregon Health & Science University 
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989 |b NCBI  |a National Center for Biotechnology Information 
490 0 |a Drug class reviews 
500 |a Title from PDF title page (viewed June 3, 2011) 
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520 |a The combination of 2 drug entities in one dosage form is known as a fixed-dose combination product (FDCP). For the treatment of type 2 diabetes, there are 2 products that combine a sulfonylurea with metformin, 2 that combine metformin with a thiazolidinedione, 1 that combines metformin with a Dipeptidyl-Peptidase 4 (DPP-4) Inhibitor, and 2 that combine a thiazolidinedione with a sulfonylurea. For treatment of hyperlipidemia, 2 FDCPs are available: Vytorin and Advicor. Advicor is a combination of an HMG-CoA Reductase Inhibitor (statin) - lovastatin with an extended release formulation of niacin, while Vytorin is a combination of another statin, simvastatin, and a newer drug ezetimibe. Although the individual components of the FDCPs in this report have been shown to improve health outcomes, we believe it is still important to show whether outcomes are the same under the conditions of the FDCP where it is suggested that adherence and convenience are improved but dose adjustments are more difficult. The purpose of this review is to determine whether the purported advantages of taking 1 pill rather than 2 to treat hyperlipidemia and type 2 diabetes outweigh the potential disadvantages of not being able to adjust the doses of the two drugs separately