Prakt. lékáren. 2022; 18(4): 208-213 | DOI: 10.36290/lek.2022.044

Current trends in pharmacotherapy of metabolic syndrome

Lenka Ťupová, Aleš Šorf
Katedra sociální a klinické farmacie, Farmaceutická fakulta UK v Hradci Králové, Hradec Králové

Metabolic syndrome (MS) can be defined as a cluster of risk factors that significantly predict the development of life-threatening cardiovascular complications. The cornerstones of MS management are identification of patients in early stages and their positive motivation to change the lifestyle which is critical to properly compensate individual components of MS. Pharmacists also play a key role in the management of MS. When regimen changes are found insufficient or when the disease state is decompensated, the pharmacological treatment is indicated. Alongside the gold standard medicines such as ACE inhibitors, statins or metformin, new modern drugs come to the fore and their introduction is the aim of this article. These modern drugs often affect multiple components of MS at the same time including abdominal obesity which has recently been recognized as a full-fledged diagnosis. Furthermore, emphasis is being put on choosing the advantageous combinations of drugs so that their effect is maximized, and their adverse effects are prevented, e.g. in case of potential weight gain or cardiovascular disorders.

Keywords: metabolic syndrome, abdominal obesity, insulin resistance, pharmacotherapy.

Accepted: December 1, 2022; Published: December 15, 2022  Show citation

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Ťupová L, Šorf A. Current trends in pharmacotherapy of metabolic syndrome. Praktické lékárenství. 2022;18(4):208-213. doi: 10.36290/lek.2022.044.
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References

  1. Fahed G, Aoun L, Bou Zerdan M, et al. Metabolic Syndrome: Updates on Pathophysiology and Management in 2021. Int J Mol Sci. 2022;23(2):786. doi:10.3390/ijms23020786. Go to original source... Go to PubMed...
  2. Yip J, Facchini FS, Reaven GM. Resistance to Insulin­‑Mediated Glucose Disposal as a Predictor of Cardiovascular Disease. J Clin Endocrinol Metab. 1998;83(8):2773-2776. doi:10.1210/jcem.83. 8. 5005. Go to original source...
  3. Alberti KGMM, Eckel RH, Grundy SM, et al. Harmonizing the Metabolic Syndrome. Circulation. 2009;120(16):1640-1645. doi:10.1161/CIRCULATIONAHA.109.192644. Go to original source... Go to PubMed...
  4. Karen I, Rosolová H, Souček M, Svačina Š, Vrablík M, Moravčíková D. Metabolický syndrom. In: Doporučené Diagnostické a Terapeutické Postupy pro Všeobecné Praktické Lékaře. Společnost všeobecného lékařství ČLS JEP; 2019.
  5. Svačina Š. Současné pohledy na metabolický syndrom. Vnitr Lek. 2018;64(12):1156-1159. Go to original source...
  6. Svačina Š. Současnost a perspektivy farmakoterapie obezity. Vnitr Lek. 2020;66(8):478-482. Go to original source... Go to PubMed...
  7. Kučera K, Malinovská J, Jenšovský M, Lustigová M, Brož J. Metabolický syndrom v ordinaci praktického lékaře. Prakt Lek. 2020;100(4):182-185.
  8. Matoulek M, Cibulková N, Kádě O, Hašpicová M. Fyzická aktivita v léčbě obezity v praxi. Vnitr Lek. 2020;66(8):483-488. Go to original source... Go to PubMed...
  9. Aaseth J, Ellefsen S, Alehagen U, Sundfør TM, Alexander J. Diets and drugs for weight loss and health in obesity - An update. Biomedicine & Pharmacotherapy. 2021;140:111789. doi:10.1016/j.biopha.2021.111789. Go to original source... Go to PubMed...
  10. Müllerová D, Haluzík M, Sucharda P, et al. Společné stanovisko odborných společností k farmakologické léčbě obezity. Prakt Lek. 2021;101(1):32-47.
  11. Perreault L. Obesity in adults: Drug therapy. In: UpToDate®.; 2022. Accessed October 17, 2022. https://www­‑uptodate­‑com.ezproxy.is.cuni.cz/contents/obesity­‑in­‑adults­‑drug­‑therapy
  12. Karen I, Svačina Š. Prediabetes. In: Doporučené Diagnostické a Terapeutické Postupy pro Všeobecné Praktické Lékaře. Společnost všeobecného lékařství ČLS JEP; 2022.
  13. Státní ústav pro kontrolu léčiv. Databáze léků. Accessed October 17, 2022. https://www.sukl.cz/modules/medication/search.php
  14. Karen I, Svačina Š. Diabetes mellitus a komorbidity. In: Doporučené Diagnostické a Terapeutické Postupy pro Všeobecné Praktické Lékaře. 2. Společnost všeobecného lékařství ČLS JEP; 2021.
  15. Padhi S, Nayak AK, Behera A. Type II diabetes mellitus: a review on recent drug based therapeutics. Biomedicine & Pharmacotherapy. 2020;131:110708. doi:10.1016/j.biopha.2020.110708. Go to original source... Go to PubMed...
  16. Stroes E, Stiekema L, Rosenson E. PCSK9 inhibitors: Pharmacology, adverse effects, and use. In: UpToDate®.; 2022. Accessed October 17, 2022. https://www­‑uptodate­‑com.ezproxy.is.cuni.cz/contents/pcsk9-inhibitors­‑pharmacology­‑adverse­‑effects­‑and­‑use?search=inclisiran & source=search_result & selectedTitle=2~4 & usage_type=default & display_rank=1
  17. Češka R, Herber O, Prokeš M, Vrablík M. Dyslipidemie. In: Doporučené Diagnostické a Terapeutické Postupy pro Všeobecné Praktické Lékaře. Společnost všeobecného lékařství ČLS JEP; 2021.
  18. Atar D, Jukema JW, Molemans B, et al. New cardiovascular prevention guidelines: How to optimally manage dyslipidaemia and cardiovascular risk in 2021 in patients needing secondary prevention? Atherosclerosis. 2021;319:51-61. doi:10.1016/j.atherosclerosis.2020. 12. 013. Go to original source...
  19. Vráblík M, Piťha J, Blaha V, et al. Stanovisko výboru ČSAT k doporučením ESC/EAS pro diagnostiku a léčbu dyslipidemií z roku 2019. Athero Review. 2019;4(3):126-137. Go to original source...
  20. Litwin M, Kułaga Z. Obesity, metabolic syndrome, and primary hypertension. Pediatric Nephrology. 2021;36(4):825-837. doi:10.1007/s00467-020-04579-3 Go to original source... Go to PubMed...




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