与行为成相关的药物:使用世卫组织药物监测数据库的现实世界分析
Louis Asselin1, Edouard-Jules Laforgue2, Mélanie Duval3
1Service de pharmacologie clinique, centre d'évaluation et d'information sur la pharmacodépendance-addictovigilance (CEIP-A), CHU de Nantes, Nantes université, 44000 Nantes, France.
概括
这项研究确定了24种在产品信息中未列出的可能导致行为上的药物. 奥兰扎与备受记录的BA病例有着显著的联系.
科学领域:
- 药物监督管理
- 上 精神病学
- 药物安全
背景情况:
- 行为上是一种被认可的诊断实体.
- 某些药物与BA之间的关联已知,但许多仍未确定.
- 产品特征通常缺乏药物诱导的BA信息.
研究的目的:
- 在产品摘要中未列出的可疑导致行为上的药物.
- 调查特定药物与各种形式的行为成之间的潜在联系.
- 突出需要进一步调查的药物在BA中的作用.
主要方法:
- 在Vigibase中搜索了被编码为"可疑"的行为成,博障碍,游戏障碍,强迫性行为,神经性厌食症,过度饮食和强迫性购物等药物.
- 这些药物涉及至少五个案例,其总结中缺乏BA信息.
- 使用描述性过程,不成比例分析和PubMed搜索.
主要成果:
- 在七个药物类别中,有24种药物被确定为可能与BA相关的药物.
- 这些类别包括抗抑郁药,抗精神病药,抗药,类药,精神刺激药,抗糖尿病药和视网膜类药.
- 奥兰扎是唯一一个有充分记录的病例,积极的挑战,显著的不成比例,以及支持PubMed文献的药物.
结论:
- 一些药物,特别是奥兰扎,与行为上有关.
- 这些发现强调需要更新关于BA的药物信息.
- 需要进一步的研究来完善与BA相关的成障碍的诊断标准.
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