使用日本不良事件报告系统对药物诱导的玻璃眼进行药监测研究
Mariko Kozaru1, Tatsuya Iida1, Keiko Hosohata1
1Education and Research Center for Clinical Pharmacy, Faculty of Pharmacy, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, 569-1094, Japan.
Clinical ophthalmology (Auckland, N.Z.)
|December 5, 2023
概括
这项研究使用日本药物监督数据库识别了经常与眼相关的药物. 类固醇,普雷加巴林和抗胆固醇药物是首要涉及的药物类别之一,强调需要谨慎的临床使用.
科学领域:
- 眼科医生 眼科 眼科
- 药物监督 药物监督 药物监督
- 药品安全 药品安全
背景情况:
- 青光眼是一个严重的眼睛疾病,通常无症状,直到晚期,延迟诊断和治疗.
- 识别致病药物对于预防视力丧失和有效管理患者护理至关重要.
研究的目的:
- 为了确定特定药物和青光眼发育之间的等级关系.
- 用大规模自发报告系统数据库分析药物诱导的玻璃眼信号.
主要方法:
- 利用了制药和医疗器械局的日本不良药物事件报告数据库.
- 计算报告几率比率 (ROR) 和95%置信区间 (CI) 对与各种药物相关的青光眼.
主要成果:
- 类固醇 (例如,普雷迪尼索隆),普雷加巴林,拉尼比祖马布和克里佐替尼布经常涉及到绿眼病的报告.
- 抗胆固醇药物和抗抑郁药物显示出关闭角眼的显著信号,其中马泽,布罗蒂拉姆和米尔纳西普兰化物具有显著的ROR.
结论:
- 一个国家药监数据库成功地确定了经常诱发青光眼的药物.
- 与不同药物相关的绿眼的可能性不同,需要在临床实践中谨慎的处方和监测.
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