Pharmacology: DPP4 inhibitors Flashcards

1
Q

what is the mechanism of DPP4

A

it breaks down and inactivates peptides, such as GLP-1 and GIP

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2
Q

what result do DPP4 inhibitors gave on the incretin effect

A

inhibit DPP4 breakdown of GLP-1 and GIP, therefore increased incretin effect

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3
Q

what effect do DPP4 inhibitors have on insulin secretion

A

increase insulin secretion

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4
Q

what type of drugs are DPP4 inhibitors

A

insulin secretagogues

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5
Q

do DPP4 inhibitors cause hypoglycaemia

A

no, because incretin action is glucose dependant

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6
Q

how potent are DPP4 inhibitors

A

not very, only reduce HbA1c by5-8mmol/ml

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7
Q

what effect do DPP4 inhibitors have on weight

A

weight neutral

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8
Q

what is the most often used DPP4 inhibitor

A

Sitagliptin, 100mg od

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9
Q

describe the side effects of DPP4 inhibitors

A

minimal, generally very well tolerated(liked by patients), but in around 1 in 1000 increased risk of pancreatitis

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