检测与使用 gabapentinoid 治疗慢性疼痛相关的不良事件的信号
Yong-Fang Kuo1,2,3, Efstathia Polychronopoulou3, Mukaila A Raji1
1Department of Internal Medicine and Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas, USA.
Pharmacoepidemiology and drug safety
|August 28, 2023
概括
gabapentinoids (GABA) 显示增加了用于治疗疼痛的使用. 这项研究确定了潜在的不良事件,包括免疫,皮肤和神经系统疾病,以及对中风和癌症的意外信号需要进一步调查.
科学领域:
- 药物监督 药物监督 药物监督
- 临床药理学 临床药理学
- 药物不良事件检测 药物不良事件检测
背景情况:
- gabapentinoids (GABA) 的处方已经增加,作为阿片类药物治疗疼痛的替代品.
- 了解与GABA相关的药物不良事件 (ADEs) 的全谱对于安全的临床实践至关重要.
研究的目的:
- 在大量患者队列中识别和描述与 gabapentinoid 使用相关的潜在不良药物事件 (ADEs).
- 为了比较GABAPENTINOID使用者与阿片类药物使用者和对照组的ADE概况.
主要方法:
- 分析了20%的被诊断患有新的慢性疼痛 (2017-2018) 的医疗保险入学者的样本.
- gabapentinoid 和阿片类药物使用者是根据特定的处方标准定义的; 倾向性得分匹配用于组比较.
- 使用比例报告比率 (PRR),马鱼缩小器和树基扫描统计 (TBSS) 来检测3,6个月和12个月的随访期间的ADEs.
主要成果:
- 与阿片类药物使用者和对照者相比,在GABA启动后3个月内检测到免疫力障碍.
- 鉴定了移植器官/组织的并发症,精神疾病和皮肤疾病.
- 对中风和某些恶性瘤的意外信号分别在3个月和12个月内观察到.
结论:
- 该研究确定了与 gabapentinoid 使用相关的预期和意想不到的 ADE 信号.
- 神经信号与已知的症状一致,而免疫,精神/行为和皮肤疾病需要注意.
- 需要进一步的研究来确认中风和癌症的意想不到的信号.
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