DAPAGLIFLOZIN

DAPAGLIFLOZIN


DAPAGLIFLOZIN

  • An SGLT-2 inhibitor drug of gliflozin class.
  • Used in type 2 diabetes treatment. 
  • Efficacy & safety yet to be proved.
MECHANISM OF ACTION:
  • Glucose is reabsorbed completely in proximal tubules by sodium-glucose cotransporter-2 SGLT-2. 
  • Dapagliflozin acts by inhibiting SGLT-2 transporter.

METABOLISM:

  • Are effective orally.
Effects:
  • Single daily dose produces continuous glucosuria lowering blood glucose levels.

SIDE EFFECTS:

Main effects:

  • Havey glycosuria (Up to 70 grams/day).
  • Causes rapid weight loss & tiredness.
  • Increased incidence of urinary tract infections & genital infections (candidiasis).
  • Because increased urinary glucose worsens infections already associated with diabetes.
  • Increased risk of diabetic ketoacidosis.
  • Increased urinary frequency.

Other effects:

  • Decreases bone mineral density → Increases risk of fractures.
  • Higher rates of breast & bladder cancers reported.
  • Hypotensive reactions.

Exam Important

DAPAGLIFLOZIN

  • Dapagliflozin acts by inhibiting SGLT-2 transporter.
  • Dapagliflozin is an SGLT-2 inhibitor drug.
  • A single daily dose of dapagliflozin produces continuous glucosuria lowering blood glucose levels, thus results in rapid weight loss, tiredness & increased incidence of urinary tract infections & genital infections
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