CHINESE JOURNAL OF DRUG EVALUATION ›› 2023, Vol. 40 ›› Issue (2): 167-172.

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A Network Meta-Analysis of Headache Risk in Type 2 Diabetes Patients Caused by SGLT-2 Inhibitors

  

  1. 1.Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou, Gansu 730050, China;
    2.Gansu Provincial People′s Hospital, Lanzhou, Gansu 730030,China;  3.Gansu University of Traditional Chinese Medicine,Lanzhou, Gansu 730030, China; 4.Gansu Armed Police Corps Hospital, Lanzhou, Gansu 730050, China
  • Received:2023-01-18 Revised:2023-03-27 Online:2023-04-28 Published:2023-04-28

Abstract: Objective:To evaluate the risk of headache in patients with type 2 diabetes(T2DM) treated with different SGLT-2 inhibitors. Methods:The literatures on different SGLT-2 inhibitors for the treatment of type 2 diabetes published in the databases(from the establishment to October 15, 2022)was retrieved, and then the literatures screening and data extraction were performed, the network Meta analysis was performed with Stata 15.1 software. Results: A total of 20 articles were included, and the results of network meta-analysis showed that, compared with Dapagliflozin 20 mg and Dapagliflozin 10 mg, Canagliflozin 100 mg and Canagliflozin 300 mg increased the incidence of headache adverse reactions in patients with type 2 diabetes during drug administration. The risk of headache in patients with type 2 diabetes was increased by using Ertugliflozin10 mg compared withCanagliflozin 300 mg and Canagliflozin 100 mg.At the same time,compared with Ipragliflozi 200 mg and Ipragliflozi 300 mg,Canagliflozin 100 mg, can increase the occurrence of headache adverse reactions in patients with type 2 diabetes. Conclusion:In order to reduce the occurrence of headache adverse reactions as much as possible when using different doses of SGLT-2 inhibitors in the treatment of type 2 diabetes, Dapagliflozin20 mg, Ipragliflozi 300 mg and Ipragliflozi 200 mg should be given priority. Type 2 diabetes patients are more prone to headache adverse reactions when using Canagliflozin 300 mg and Canagliflozin 100 mg.

Key words: font-size:medium, ">Sodium glucose cotransporter-2 inhibitor; Headache; Type 2 diabetes; Mesh Meta analysis

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