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Avandia Heart Attack
Many patients who stopped using the diabetes drug rosiglitazone (Avandia) due to concerns about the drug's safety received less treatment and developed higher blood glucose levels, U.S. researchers report.
Avandia heart attacks have been analyzed by scientific evidence released in 2007. They found that Avandia increased the risk of cardiovascular disease and heart attacks, which led many doctors and patients to discontinue use of the drug.
Of the diabetes patients in this new study, 89 percent were using combination therapy before discontinuing use of Avandia. After discontinuation, 33 percent of patients were on combination therapy. Another 13 percent of patients weren't prescribed any diabetes medications.
The blood sugar control of patients was also affected after they stopped taking the drug, said Dr. Etta Fanning, of the University of Texas Health Science Center, and colleagues.
"In patients who received combination therapy, and who had laboratory values in both pre- and post-discontinuation periods, significant increases were observed in both fasting blood glucose and A1c," the authors said in a news release from the journal Endocrine Practice, which published the study.
This study reaffirms that patients who discontinue use of Avandia and another thiazolidinedione (TZD) called pioglitazone (Actos) are at increased risk for higher fasting blood glucose and hemoglobin A1c levels, which may increase their cardiovascular risk, cardiologists Dr. Stuart Zarich of Yale Medical School and Dr. Richard Nesto of the Lahey Clinic, wrote in an accompanying journal editorial.
