Effects of combined metformin and cabergoline versus metformin alone on inflammatory markers in Iraqi patients with PCOS and hyperprolactinemia: a randomized clinical trial
Abstract
Polycystic ovarian syndrome (PCOS) is by far the most prevalent metabolic disease affecting women during their reproductive life. Obesity is a frequently associated manifestation of polycystic ovary syndrome. Central body fat accumulation has been associated with the production of a variety of cytokines associated with low-grade inflammation in polycystic ovary syndrome. This study aimed to evaluate the effect of metformin and cabergoline, each alone and in combination, on several immune markers in women with hyperprolactinemia. The three-arm interventional study included 75 women with PCOS according to the Rotterdam criteria. They were categorized into three groups: those given metformin alone, those given cabergoline alone, and those given combined agents. Baseline and follow-up characteristics included immune markers such as anti-glutamic acid decarboxylase (anti-GAD) antibodies, gonadotropin-releasing hormone (GnRH) antibodies, and interleukin-18 (IL-18). It was observed that the use of either drug alone resulted in no significant change in the level of anti-GAD; however, combined use of the two drugs resulted in a significant reduction in the level, indicating that these two drugs acted synergistically. It was observed that the combined use of either drug resulted in a more significant reduction of GnRH antibody level. It was observed that the combined use of either drug resulted in a more significant reduction of IL-18 level (P <0.001). Metformin and cabergoline are…
How strong is the evidence?
Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 75 participants or records.
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