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Over-the-Counter Pain Medicines may Reduce Risk of Diabetes

Deborah J. Clegg, Ph.D., Mary Beth Genter, Ph.D., and Howard G. Shertzer
University of Cincinnati College of Medicine
NIEHS Grant P30ES006096

Researchers supported by NIEHS have added to a growing body of literature that shows that standard dosages of several over-the-counter analgesics may prevent or delay the onset of Type 2 diabetes. The researchers used laboratory mice fed a high fat diet which put them at risk for diabetic like conditions. They compared acetaminophen, naproxen, ibuprofen, and aspirin for their respective effects on protecting against the development of a pre-diabetic condition in these mice.

After 10 weeks on the diet, the mice exhibited impaired glucose tolerance, a hall-mark of Type 2 diabetes. The animals were administered daily dosages of one of the four drugs during the experimental period. These dosages were in keeping with what humans routinely consume on a regular basis.

Glucose tolerance was improved in the mice receiving acetaminophen and aspirin and to a lesser extent ibuprofen. Naproxen had no effect on glucose tolerance. Mice fed the high fat diet had increased body fat during the study. The over-the-counter drugs prevented this increase in part with acetaminophen and ibuprofen performing better than naproxen and aspirin. In liver mitochondria, the drugs inhibited succinate-dependent hydrogen peroxide production and lipid peroxidation. The researchers conclude from these findings that the over-the-counter analgesics diminished pro-oxidant processes that exacerbate inflammation and a pre-diabetic state.

With the rise in obesity in the US comes increasing rates of Type 2 or noninsulin dependent diabetes. The common, readily available, and relatively inexpensive drugs tested in this study may represent valuable therapies to delay or prevent the onset of Type 2 diabetes.

Citation: Kendig EL, Schneider SN, Clegg DJ, Genter MB, Shertzer HG. Over-the-counter analgesics normalize blood glucose and body composition in mice fed a high fat diet. Biochem Pharmacol. 2008 Jul 15;76(2):216-24.

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Last Reviewed: September 19, 2008