PMID- 27498671 OWN - NLM STAT- MEDLINE DCOM- 20170613 LR - 20220409 IS - 1751-2441 (Electronic) IS - 1751-2433 (Linking) VI - 9 IP - 11 DP - 2016 Nov TI - The power of two: an update on fixed-dose combinations for type 2 diabetes. PG - 1453-1462 LID - 10.1080/17512433.2016.1221758 [doi] AB - Patients with type 2 diabetes mellitus (T2DM) are unlikely to maintain glycemic control with monotherapy, and will eventually require therapy with multiple antihyperglycemic agents (AHAs). Combination therapy regimens with multiple AHAs may be complex and negatively impact patient adherence. Fixed-dose combinations (FDCs) are used successfully for management of numerous chronic diseases. Areas covered: This article includes a brief overview of the add-on approach of current treatment guidelines for T2DM and reviews the evidence supporting the utility of oral FDCs in the treatment of T2DM, including recently developed oral FDCs (2010-2016). Benefits regarding safety and tolerability, adherence and cost are also discussed. Finally, the barriers limiting the use of FDCs and how these barriers may be overcome are addressed. Expert commentary: Therapeutic strategies including FDCs need to be implemented on a larger scale. FDCs have the potential to simplify treatment regimens, improve adherence and provide long-term glycemic control. FAU - Harris, Stewart B AU - Harris SB AD - a Department of Family Medicine, Centre for Studies in Family Medicine, Schulich School of Medicine & Dentistry , Western University , London , Ontario , Canada. LA - eng PT - Journal Article PT - Review DEP - 20160912 PL - England TA - Expert Rev Clin Pharmacol JT - Expert review of clinical pharmacology JID - 101278296 RN - 0 (Blood Glucose) RN - 0 (Drug Combinations) RN - 0 (Hypoglycemic Agents) SB - IM MH - Blood Glucose/drug effects MH - Diabetes Mellitus, Type 2/*drug therapy MH - Drug Combinations MH - Drug Costs MH - Drug Therapy, Combination MH - Humans MH - Hypoglycemic Agents/*administration & dosage/adverse effects/economics MH - *Patient Compliance MH - Practice Guidelines as Topic OTO - NOTNLM OT - Adherence OT - combination therapy OT - fixed-dose combination OT - type 2 diabetes mellitus EDAT- 2016/08/09 06:00 MHDA- 2017/06/14 06:00 CRDT- 2016/08/09 06:00 PHST- 2016/08/09 06:00 [pubmed] PHST- 2017/06/14 06:00 [medline] PHST- 2016/08/09 06:00 [entrez] AID - 10.1080/17512433.2016.1221758 [doi] PST - ppublish SO - Expert Rev Clin Pharmacol. 2016 Nov;9(11):1453-1462. doi: 10.1080/17512433.2016.1221758. Epub 2016 Sep 12.