氟西汀潜在不良事件:基于FAERS数据库的真实世界研究

IF 3.6 3区 医学 Q1 PSYCHIATRY
Xuezheng Gao, Xiangjun Zhou, Zhiqiang Du, Qin Zhou, Ying Jiang, Haohao Zhu
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引用次数: 0

摘要

目的:利用FAERS数据库对氟西汀不良事件信号进行挖掘和分析。方法:本研究以氟西汀为主要可疑药物,重点收集2004年第一季度至2023年第二季度的疑似药物不良反应报告。采用四种信号挖掘分析方法对不良事件信号进行综合评价。结果:共收集报告19,932,732份,其中主要怀疑氟西汀的报告22,884份。通过分析,共识别出862个PT信号,涉及27个soc。在报告的患者中,女性患者(58.81%)所占比例高于男性(26.84%),其中18 ~ 45岁年龄组所占比例最大。与妊娠和新生儿状况相关的不良事件信号强度显著,包括孕期胎儿暴露、孕期暴露,新生儿健康相关不良事件信号强度较高,如房间隔缺损、早产儿、室间隔缺损、影响胎儿的母体药物等。结论:虽然氟西汀已被广泛批准和应用,但在孕妇和计划怀孕妇女中使用氟西汀仍需谨慎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Potential Adverse Events of Fluoxetine: A Real-world Study Based on FAERS Database.

Objective: This study aimed to mine and analyze adverse event signals of fluoxetine using the FAERS database.

Methods: This study focused on suspected drug adverse reaction reports from the first quarter of 2004 to the second quarter of 2023, with fluoxetine as the primary suspected drug. Four signal mining and analysis methods were employed to comprehensively assess adverse event signals.

Results: A total of 19,932,732 reports were collected, of which 22,884 were primarily suspected of fluoxetine. Through analysis, 862 PT signals involving 27 SOCs were identified. Among the reported patients, female patients (58.81%) reported a higher proportion than males (26.84%), and the age group of 18 to 45 held the largest percentage. Adverse event signal strength related to pregnancy and neonatal conditions was notable, including Foetal exposure during pregnancy, Exposure during pregnancy, and neonatal health-related adverse events showed higher signal strength, such as Atrial septal defect, Premature baby, Ventricular septal defect, and Maternal drugs affecting the fetus.

Conclusion: Although Fluoxetine has been extensively approved and applied, its use in pregnant and planning-to-conceive women should be approached with caution.

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来源期刊
Revista Brasileira de Psiquiatria
Revista Brasileira de Psiquiatria 医学-精神病学
CiteScore
6.60
自引率
0.00%
发文量
83
审稿时长
6-12 weeks
期刊介绍: The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry). The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.
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