Rosiglitazone chemical structure
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Avandia

Rosiglitazone is an anti-diabetic drug from the thiazolidinedione class. It is being marketed as Avandia® by the pharmaceutical company GlaxoSmithKline, both as a standalone preparation and in combination with metformin (Avandamet®). Another combination drug approved by the FDA is Avandaryl® (with glimepiride). more...

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Like other thiazolidinediones, its mechanism of action is by activation of the intracellular receptor class of the peroxisome proliferator-activated receptors (PPARs), specifically PPARγ. Rosiglitazone is a pure ligand of PPARγ, and has no PPARα-binding action. Apart from its effect on insulin resistance, it appears to have an anti-inflammatory effect: nuclear factor kappa-B (NFκB) levels fall and inhibitor (IκB) levels increase in patients on rosiglitazone (Mohanty et al).

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Diabetes drug helps women with ovary disorder
From Shape, 10/1/04

A common diabetes drug prompts ovulation in some women with polycystic ovary syndrome (PCOS), a hormonal disorder that can make women infertile, as well as overweight and insulin-resistant (or "pre-diabetic"). Forty-two insulin-resistant PCOS patients were treated with Avandia (rosiglitazone), an insulin sensitizer, for 42 weeks. Not only did the drug allow more cells to properly receive insulin, but also more than half of the women ovulated--some within two weeks of starting the drug. Lead researcher Nicholas Cataldo, M.D., a reproductive endocrinologist at Stanford University in Stanford, Calif., advocates only short-term use (three months or less) of Avandia in PCOS women with insulin and fertility troubles until more studies are done.

--C.P.

COPYRIGHT 2004 Weider Publications
COPYRIGHT 2004 Gale Group

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