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Combination Drugs

Drugs that combine two classes of medications are called combination drugs. Combination drugs available in the United States as of early 2008 included Glucovance (glyburide and metformin), Avandamet (rosiglitazone and metformin), Metaglip (glipizide and metformin), and Janumet (sitagliptin and metformin).

Metformin is the common ingredient in all these drugs because it safely suppresses glucose production in the liver without the risk of hypoglycemia. And it also doesn't promote weight gain and improves lipid profiles in some patients. The same risks and contraindications that apply to these drugs separately are also applicable to their combination formulation.

However, even if you are familiar with one component of a combination drug (i.e., metformin), you should always read the drug's directions for use thoroughly before taking it to be aware of any unknown side effects or warnings.

Fact

Several studies have shown that some diabetes drugs may have the potential to delay or prevent type 2 diabetes. Metformin reduced the risk of type 2 diabetes by 31 percent in the Diabetes Prevention Program (DPP) and acarbose reduced the risk by 32 percent in the STOP-NIDDM trial.

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