处方药和人际暴力:西班牙药监数据库中的个案非个案研究
Ana Avedillo-Salas1, Ana Fanlo-Villacampa1, Francisco Javier Lanuza-Giménez1
1Department of Pharmacology, Physiology and Legal and Forensic Medicine, Faculty of Medicine, University of Zaragoza, 50009 Zaragoza, Spain.
Pharmaceuticals (Basel, Switzerland)
|December 31, 2025
概括
人际暴力可能是与某些药物相关的罕见不良药物反应. 谨慎的处方至关重要,特别是对于脆弱的个人和患有精神疾病的人来说.
科学领域:
- 药物监督 药物监督 药物监督
- 公共卫生 公共卫生
- 药物不良反应 药物不良反应
背景情况:
- 人际暴力在全球范围内构成了日益严重的公共卫生挑战.
- 迫切需要有效的预测和预防人际暴力的策略.
研究的目的:
- 确定在西班牙处方的与人际暴力相关的药物.
- 分析与人际暴力有关的药物不良反应的自发报告.
主要方法:
- 采用了描述性,纵向性,回顾性和案例非案例研究设计.
- 数据来源于1984年至2021年3月的西班牙药监数据库 (FEDRA®).
- 分析包括533起报告的人际暴力事件.
主要成果:
- 神经系统治疗组是最常见的 (62.3%).
- 确定有显著关联的关键药物包括蒙特卢卡斯特,乐维拉,布普罗皮安,多内佩西尔,佩拉曼内尔,奎蒂亚平,克和洛拉泽帕姆.
- 在统计学上显著的关联被注意到的atomoxetine,perampanel,记忆剂,donepezil,蒙特卢卡斯特,和甲基酸盐.
结论:
- 人际暴力虽然罕见,但可以表现为对特定药物的临床相关不良反应.
- 这些发现强调了谨慎的处方实践的重要性.
- 应特别注意弱势群体和有精神疾病病史的个人.
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