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DOC News    December 1, 2007
Volume 4 Number 12 p. 5
© 2007 American Diabetes Association

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Byetta alert issued

Andrew Keegan

The U.S. Food and Drug Administration has issued an advisory concerning a possible association between use of exenatide (Byetta, Amylin/Eli Lilly) and acute pancreatitis, saying that medical providers should be aware of the potential connection and "instruct patients taking Byetta to seek prompt medical care if they experience unexplained, persistent, severe abdominal pain, which may or may not be accompanied by vomiting."

The agency is not advising physicians to discontinue use of this product, and patients should not stop taking it without consulting a health care provider.

Byetta is designed for use by people with type 2 diabetes who also take metformin, sulfonylureas, or thiazolidinediones and who still need better blood glucose control. It enhances pancreatic insulin production, slows emptying of the stomach, and prevents the liver from making too much glucose, all of which act to lower post-meal glucose. The drug also may suppress appetite and result in weight loss.

There have been 30 reported cases of pancreatitis among the 700,000 people who have used Byetta; it is not clear if the drug was the direct cause. In the future, information about acute pancreatitis will be listed in the "precautions" section of Byetta's product label.

Footnotes

FYI

The alert for health care professionals about exenatide is available on the Food and Drug Administration Web site at www.fda.gov/cder/drug/infopage/exenatide/default.htm.


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