Changes in medication adherence and unused drugs after switching from daily dipeptidyl peptidase-4 inhibitors to once-weekly trelagliptin in patients with type 2 diabetes

The changes in patients’ satisfaction with the treatment, medication adherence and unused drugs before and after switching from daily DPP-4 inhibitors to once-weekly trelagliptin administration were prospectively investigated in patients with type 2 diabetes. After excluding 46 patients who declined...

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Veröffentlicht in:Diabetes research and clinical practice 2019-07, Vol.153, p.41-48
Hauptverfasser: Ito, Hiroyuki, Ando, Shigenori, Tsugami, Emiko, Araki, Rie, Kusano, Eiji, Matsumoto, Suzuko, Uemura, Kosuke, Nishio, Shinya, Antoku, Shinichi, Yamasaki, Tomoko, Mori, Toshiko, Togane, Michiko
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container_start_page 41
container_title Diabetes research and clinical practice
container_volume 153
creator Ito, Hiroyuki
Ando, Shigenori
Tsugami, Emiko
Araki, Rie
Kusano, Eiji
Matsumoto, Suzuko
Uemura, Kosuke
Nishio, Shinya
Antoku, Shinichi
Yamasaki, Tomoko
Mori, Toshiko
Togane, Michiko
description The changes in patients’ satisfaction with the treatment, medication adherence and unused drugs before and after switching from daily DPP-4 inhibitors to once-weekly trelagliptin administration were prospectively investigated in patients with type 2 diabetes. After excluding 46 patients who declined to switch from daily DPP-4 inhibitors, 79 subjects were included in the present study. The clinical parameters and results of questionnaire surveys regarding satisfaction with treatment as well as impressions of the amount of medicine/number of doses, medication adherence, and unused drug were examined at the baseline and 3 months after switching from daily DPP-4 inhibitors to trelagliptin in 75 patients with type 2 diabetes. Although the value of HbA1c did not change (7.0% ± 0.5% to 7.0% ± 0.6%), the scores representing satisfaction with the treatment (25.2 ± 6.4 to 26.4 ± 6.0), impression of the amount of medicine (−0.3 ± 1.0 to 0.3 ± 1.0) and number of doses (0.3 ± 1.0 to 0.8 ± 0.6), and medication adherence (0.8 ± 0.4 to 0.9 ± 0.3) as assessed by the questionnaire surveys were significantly improved after switching from DPP-4 inhibitors. The self-reported amount of unused drugs was significantly reduced after switching. Switching from daily DPP-4 inhibitors to once-weekly trelagliptin improved the satisfaction with the treatment, impression of the prescribed medicine and medication adherence in the type 2 diabetic patients who expresses a desire to reduce their prescription medicines. In such patients, improvements in the glycemic control and long-term prognosis might be expected through the reduction of unused drugs.
doi_str_mv 10.1016/j.diabres.2019.05.025
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subjects Adherence
DPP-4 inhibitor
Once-weekly
Treatment satisfaction
Trelagliptin
Unused drug
title Changes in medication adherence and unused drugs after switching from daily dipeptidyl peptidase-4 inhibitors to once-weekly trelagliptin in patients with type 2 diabetes
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