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体重增加,性别和抗精神病药物:对FDA不良事件报告系统数据库 (FAERS) 的不成比例分析
Eleni Stamoula1,2, Vasileios-Periklis Stamatellos3, Theofanis Vavilis4,5
1Department of Clinical Pharmacology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Expert opinion on drug safety
|August 17, 2023
概括
这项研究发现,女性报告使用抗精神病药物比男性体重增加更多. 阿里皮普拉,布雷克斯皮普拉,奥兰扎和哈洛皮多尔的体重增加报告显著增加.
科学领域:
- 药物监督 药物监督 药物监督
- 精神病学是一个精神病学.
- 药品安全 药品安全
背景情况:
- 体重增加是抗精神病药物的重要副作用.
- 这种副作用可能会扰乱精神疾病的持续治疗.
研究的目的:
- 通过使用现实世界的数据,调查抗精神病药物引起体重增加的风险.
- 分析报告的体重增加不良事件中的性别差异.
主要方法:
- 来自FDA不良事件报告系统 (FAERS) 的24种抗精神病药物的分析.
- 使用逻辑回归计算报告赔率 (ROR) 和调整后的ROR.
- 在分析中包括人口统计 (年龄,性别) 和胰岛素使用情况.
主要成果:
- 与男性相比,女性报告体重增加显著增加.
- 在所有分析的抗精神病药物中,男性的体重增加报告减少.
- 阿里皮普拉,布雷克斯皮普拉,奥兰扎和哈洛皮多尔与报告体重增加的统计学上显著增加有关.
结论:
- 性别影响抗精神病药物监管中的体重增加报告.
- 特定的抗精神病药物 (阿里皮普拉,布雷克斯皮普拉,奥兰zapine,Haloperidol) 需要仔细监测体重增加,特别是在女性.
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