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Clinical efficacy of pravastatin for hyperlipidemia in patients with type 2 diabetes mellitus.

Abstract
The efficacy of pravastatin (CAS 81131-70-6) on serum lipid levels in 91 type 2 diabetic patients with mean glycosylated hemoglobin of 8.5% was investigated up to 12 weeks. Oral administration of 10 to 20 mg/d of pravastatin significantly decreased total cholesterol by 18.4 +/- 1.5% after 4 weeks. When analyzed separately in type IIa and IIb hyperlipidemia, the reduction of total cholesterol by pravastatin was more prominent in the former. Low-density lipoprotein cholesterol were also significantly decreased 22.2 +/- 2.7% after 4 weeks. The effect of pravastatin in reducing triglyceride was more prominent in patients with higher triglyceride compared to those with lower triglyceride before the administration of the drug. High-density lipoprotein cholesterol showed a slight but significant increase by 4.2 +/- 1.9% after 4 weeks. Among the apolipoproteins examined, apolipoprotein B was significantly decreased after 4 weeks. Atherogenic index and apolipoprotein B/apolipoprotein A-I ratio were also significantly decreased after 4 weeks. The efficacy of pravastatin was also observed after 12 weeks to the same extent as after 4 weeks. No major side effects or abnormalities of laboratory parameters have been observed. These data lead to the conclusion that pravastatin is useful for the treatment of hyperlipidemia in type 2 diabetic patients with poor glycemic control without major adverse effects.
AuthorsM Tawata, I Miwa, K Tsuchiya, M Ozawa, H Shindo, M Wakasugi, T Onaya
JournalArzneimittel-Forschung (Arzneimittelforschung) Vol. 45 Issue 6 Pg. 704-8 (Jun 1995) ISSN: 0004-4172 [Print] Germany
PMID7646575 (Publication Type: Clinical Trial, Journal Article)
Chemical References
  • Apolipoprotein A-I
  • Apolipoproteins
  • Apolipoproteins B
  • Apolipoproteins E
  • Cholesterol, HDL
  • Lipids
  • Triglycerides
  • Pravastatin
Topics
  • Adult
  • Aged
  • Apolipoprotein A-I (blood)
  • Apolipoproteins (blood)
  • Apolipoproteins B (blood)
  • Apolipoproteins E (blood)
  • Cholesterol, HDL (blood)
  • Diabetes Mellitus, Type 2 (blood, complications)
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Hyperlipidemias (blood, drug therapy, etiology)
  • Lipids (blood)
  • Male
  • Middle Aged
  • Pravastatin (administration & dosage, adverse effects, therapeutic use)
  • Triglycerides (blood)

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