Сахароснижающие препараты и риск развития лекарственно-индуцированного острого панкреатита

Филиппова А.В., Кочетков А.И., Гусенбекова Д.Г., Остроумова О.Д. Сахароснижающие препараты и риск развития лекарственно-индуцированного острого панкреатита. FOCUS Эндокринология. 2021; 2: 52–58. DOI: 10.47407/ef2021.2.2.0025

Filippova A.V., Kochetkov A.I., Gusenbekova D.G., Ostroumova O.D. Antidiabetic drugs and the risk of developing drug-induced acute pancreatitis. FOCUS Endocrinology. 2021; 2: 52–58. DOI: 10.47407/ef2021.2.2.0025

Сахарный диабет 2-го типа (СД 2) – одно из самых распространенных заболеваний во всем мире. Только в России на 2020 г. насчитывается около 5 млн людей с СД. В связи с этим остро стоит вопрос о безопасной и рациональной медикаментозной терапии. Но, как и большинство лекарственных средств (ЛС), препараты для лечения СД имеют ряд нежелательных реакций, к которым относится развитие острого панкреатита (ОП). Цель данного обзора – анализ литературных данных о ЛС, предназначенных для лечения больных СД 2, которые могут приводить к развитию лекарственно-индуцированного острого панкреатита (ЛИОП), и механизмах развития данной патологии на фоне приема конкретных ЛС. С развитием ЛИОП ассоциирован прием бигуанидов (метформин), производных сульфонилмочевины (глибенкламид, глимепирид, гликлазид), инкретин-направленной терапии (эксенатид, ситаглиптин и др.). Литературные данные о развитии ЛИОП представлены в большинстве публикаций описанием отдельных клинических случаев/серии случаев, однако в случае ЛИОП, ассоциированного с приемом производных сульфонилмочевины и инкретин-направленной терапии, имеются данные когортных ретроспективных наблюдательных, проспективных наблюдательных по типу «случай–контроль», рандомизированных контролируемых исследований, метаанализов и субанализов.

Ключевые слова: острый панкреатит, лекарственно-индуцированный панкреатит, лекарственное поражение поджелудочной железы, нежелательные лекарственные реакции, сахарный диабет 2-го типа, пероральные сахароснижающие препараты, ингибиторы дипептидилпептидазы 4-го типа.

Филиппова Анастасия Витальевна - ординатор каф. терапии и полиморбидной патологии, ФГБОУ ДПО РМАНПО
Кочетков Алексей Иванович - канд. мед. наук, доцент каф. терапии и полиморбидной патологии, ФГБОУ ДПО РМАНПО
Гусенбекова Динара Гаджимагомедовна - канд. мед. наук, ассистент каф. терапии и полиморбидной патологии, ФГБОУ ДПО РМАНПО
Остроумова Ольга Дмитриевна - проф., д-р мед. наук, зав. каф. терапии и полиморбидной патологии, ФГБОУ ДПО РМАНПО

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