A Meta-Analysis of Randomized Controlled Trial on Efficacy of Naltrexone/Bupropion for Anthropological Parameter, Lipid profile, Blood Glucose and Blood Pressure
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Creator Wiraphol Phimarn
Title A Meta-Analysis of Randomized Controlled Trial on Efficacy of Naltrexone/Bupropion for Anthropological Parameter, Lipid profile, Blood Glucose and Blood Pressure
Contributor Kittisak Wichaiyo, Kritsanee Saramunee, Bunleu Sungthong
Publisher Faculty of Pharmaceutical Sciences KKU MSU UBU
Publication Year 2561
Journal Title Isan Journal of Pharmaceutical Sciences
Journal Vol. 14
Journal No. 3
Page no. 56-69
Keyword Naltrexone/Bupropion, anthropological parameters, lipid profile, blood glucose, blood pressure
URL Website https://tci-thaijo.org/index.php/IJPS
Website title Isan Journal ofPharmaceutical Sciences, IJPS
ISSN 19050852
Abstract Previous studies reported that Naltrexone/Bupropion (NB) improved several metabolic parameters but there were no a meta-analysis in these outcomes. Objectives : This study aimed to assess NB efficacy for improving anthropological parameters, lipid profile, blood glucose and blood pressure. Material and methods : The databases included PubMed, Scopus, CINAHL from inception to August 2017. For this analysis, we selected randomized placebo versus NB intervention trials. We performed a quality assessment of the retrieved studied using Jadad's scoring and Cochrane's risk of bias assessment. Results : Six studies (11,733 participants) met inclusion criteria. Meta-analysis revealed a reduction in body weight (weight mean difference; WMD -5.02 kg; 95%CI : -6.49, -3.54), waist circumference (WMD -3.70 cm; 95% CI -4.60, -2.80). Similar results were observed for LDL-cholesterol (WMD -3.34 mg/dL; 95% CI -5.67, -1.02), TG (WMD -11.90 mg/dL; 95% CI -14.78, -9.02) and increased HDL significantly (WMD 3.82 mg/dL; 95% CI 2.88, 4.77). Moreover, participants administrated NB significant reduction in fasting insulin (WMD -0.91 mIU/mL; 95% CI -1.25, -0.57) and HOMA-IR (WMD -0.68; 95% CI -0.54, -0.21). No serious adverse effects were found in either the NB or comparator groups. Conclusion : NB improved anthropological parameters, lipid profile, fasting insulin and HOMA-IR.
Faculty of Pharmaceutical Sciences, Khon Kaen University

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