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Sodium Taurocholate Induced Severe Acute Pancreatitis in C57BL/6 Mice
Published on: June 28, 2021
Liraglutide-associated acute pancreatitis
Emily Knezevich1, Theresa Crnic, Scott Kershaw
1School of Pharmacy and Health Professions, Creighton University, Omaha, NE 68178, USA. eknezevich@creighton.edu
A patient with type 2 diabetes developed acute pancreatitis after their liraglutide dosage was increased. This case highlights a potential adverse effect of liraglutide, a medication used for diabetes management.
Area of Science:
- Endocrinology
- Gastroenterology
Background:
- Liraglutide is a glucagon-like peptide-1 receptor agonist used for type 2 diabetes management.
- Acute pancreatitis is a serious inflammatory condition of the pancreas.
Observation:
- A 53-year-old male with type 2 diabetes presented with acute, severe abdominal pain, nausea, and elevated serum amylase and lipase levels.
- The patient's medical history included hyperlipidemia, hypertension, and obesity. His medications included liraglutide, metformin, simvastatin, tadalafil, and glimepiride.
- Liraglutide dosage was recently increased from 0.6 mg to 1.2 mg subcutaneously daily two months prior to presentation.
Findings:
- Acute pancreatitis was diagnosed based on clinical presentation, laboratory values, and radiographic data.
- Elevated triglycerides were ruled out as the cause of pancreatitis.
- Liraglutide was discontinued, leading to complete resolution of symptoms and normalization of laboratory values.
Implications:
- This case suggests a potential association between liraglutide use, particularly at higher doses, and the development of acute pancreatitis.
- Clinicians should consider liraglutide-induced pancreatitis in patients with type 2 diabetes presenting with compatible symptoms.
- Further investigation into the risk of liraglutide-associated pancreatitis is warranted.
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