Thursday, June 13, 2013

Are Users of the DPP-4 Inhibitor Januvia at a Higher Risk of Pancreatitis and Pancreatic Cancer?


Pancreatitis Symptoms
Pancreatitis occurs when the pancreas—located behind the stomach in the upper part of the abdomen—becomes inflamed. The pancreas is a gland which produces digestive juices which break down proteins and fats in foods eaten so the nutrients can be properly absorbed. The bicarbonate in those digestive juices neutralizes stomach acids. The pancreas also produces the digestive hormones, insulin and glucagon which control the body’s blood sugar levels and can play a key role in diabetes when not functioning correctly. When the pancreas becomes inflamed, the digestive juices may end up trapped, leading them to actually begin digesting the pancreas itself. The pancreas loses its ability to carry out normal functions when it is inflamed, and in certain cases pancreatitis can be so severe that it is life-threatening.

When Pancreatitis Leads to Pancreatic Cancer
Acute or chronic pancreatitis may eventually lead to pancreatic cancer. Symptoms of pancreatic cancer can often be elusive therefore many of those diagnosed with pancreatic cancer do not receive the diagnosis until the disease is fairly advanced. According to the American Cancer Society, only about 23% of patients with exocrine cancer of the pancreas will remain alive a year after the initial diagnosis.  Pain in the upper or middle abdomen and back, unexplained weight loss, depression, fatigue and loss of appetite are all symptoms of pancreatic cancer, yet can also be symptoms of many other illnesses as well. While diabetics do appear to suffer a higher risk of developing pancreatitis, research on Type 2 diabetic drugs such as the DPP-4 Inhibitor Januvia show a higher risk among patients taking the active ingredient in Januvia—sitagliptin. 

The DPP-4 Inhibitor Januvia and Adverse FDA Reports
Januvia, manufactured by Merck, blocks DPP-4 (dipeptidyl peptidase-4), allowing the body to control glucose levels in a more efficient manner. Any excess sugar produced by the liver can also be handled through the use of Januvia. Januvia gained FDA approval in 2006, yet only a few short years later adverse reports regarding the drug and a higher incidence of pancreatitis began coming in. From 2006 to 2009, 88 cases of pancreatitis—sixty-six of which required hospitalization—were reported to the FDA. Of those, over half of the cases resolved when Januvia was discontinued.  Nineteen of those patients developed pancreatitis less than thirty days after beginning Januvia. Januvia has also—rarely—been linked to severe allergic reactions and the development of a skin disorder known as Stevens-Johnson Syndrome. Januvia thyroid cancer is also a potential risk as at least one study showed that laboratory rats developed thyroid cancer when given sitagliptin.

Significant Risks of Januvia Require Experienced Legal Representation
A study done at UCLA and reported in the journal Gastroenterology revealed that those taking Januvia had approximately six time the risk of developing pancreatitis and 2.9 times the risk of pancreatic cancer. These risks are significant and those who have developed a serious illness from a drug they believed to be safe are advised to contact qualified Januvia Pancreatic Cancer Attorneys. Failure to warn consumers of the potential risks associated with Januviaas well as negligence on the part of Merck may have led to your serious health issues.



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