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抑郁症和自杀行为与艾滋病毒整合酶抑制剂的关联报告:全球药物监测研究
Laure-Hélène Préta1, Tomasz Chroboczek2, Jean-Marc Treluyer1
1Centre Régional de Pharmacovigilance, Service de Pharmacologie périnatale pédiatrique et adulte, Hôpital Cochin, AP-HP, Centre-Université Paris Cité, Paris, France.
The Journal of antimicrobial chemotherapy
|June 13, 2023
概括
用于艾滋病毒治疗的整合酶抑制剂 (INSTIs) 与抑郁症和自杀倾向的风险增加有关. 这些不良药物反应,特别是杜洛特格拉维尔,可以在治疗的早期出现.
科学领域:
- 药物监督 药物监督 药物监督
- 艾滋病毒/艾滋病 治疗
- 药物不良反应 药物不良反应
背景情况:
- 人们越来越担心与整合酶抑制剂 (INSTIs) 相关的神经精神病学不良反应.
- 艾滋病毒感染者越来越多地接受基于INSTI的抗逆转录病毒疗法 (ART) 治疗.
研究的目的:
- 评估与INSTIs相关的抑郁症和自杀倾向报告风险.
- 使用全球药监数据库,将INSTI相关的风险与其他ART进行比较.
主要方法:
- 利用世卫组织VigiBase识别INSTIs患者的抑郁症和自杀倾向病例.
- 使用不成比例分析 (案例/非案例) 来比较INSTI报告率与其他ART.
主要成果:
- 与其他ART相比,INSTIs与明显更高的抑郁症 (ROR 3.6) 和自杀倾向 (ROR 4.7) 相关.
- 比特格拉维尔和多卢特格拉维尔显示出更大的抑郁报告;多卢特格拉维尔显示出更大的自杀报告.
- 超过1990万份报告包括124,184名暴露于ART的患者,其中22661名在INSTIs.
结论:
- 抑郁症和自杀倾向是所有INSTI药物的药物不良反应.
- 特别是多卢特格拉维尔,显示这些神经精神病事件的风险增加.
- 这些不良反应可能在INSTI治疗的最初几个月内表现出来.
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