Table 1.
Summary of the main effects of various pharmacologic interventions to alter the hypermetabolic response to burn injury
Drug | Inflammatory response |
Stress hormones |
Body composition |
Net protein balance | Insulin resistance/glucose metabolism | Cardiac work |
---|---|---|---|---|---|---|
rhGH | Improved | No difference | Improved | No difference | Hyperglycemia | No difference |
IGF-1 | Improved | No difference | Improved | Improved | Improved | No difference |
Oxandrolone | Improved | No difference | Improved | Improved | No difference | No difference |
Insulin | Improved | No difference | Improved | Improved | Improved | No difference |
Fenofibrate | No difference | No difference | No difference | No difference | Improved | No difference |
GLP-1 | Unknown | Unknown | Unknown | Unknown | Improved (indirect) | Unknown |
Metformin | Improved | Unknown | Unknown | Improved | Improved | Unknown |
Propranolol | Improved | Improved | Improved | Improved | Improved | Improved |
Ketoconazole | Unknown | Improved | Unknown | Unknown | Unknown | Unknown |
rhGH + propranolol | Improved | Improved | Improved | Improved | Improved | Improved |
Oxandrolone + propranolol | Improved (preliminary) | Improved (preliminary) | Improved (preliminary) | Improved (preliminary) | Improved (preliminary) | Improved (preliminary) |