记忆障碍相关药物风险的最新见解:现实世界的药物警戒分析。

IF 4.9 2区 医学 Q1 CLINICAL NEUROLOGY
Journal of affective disorders Pub Date : 2025-12-01 Epub Date: 2025-08-13 DOI:10.1016/j.jad.2025.120064
Mingyang Mao, Mei Wang, Qing Yu, Quanshun Chen, Hong Zhu, Tao Wan, Yi Yang, Jie Zhao
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引用次数: 0

摘要

目的:本研究旨在利用美国食品和药物管理局不良事件报告系统(FAERS)来识别与记忆障碍有关的药物,并为药物引起的记忆障碍提供最新的见解。方法:我们分析了2004年至2023年FAERS数据库中与记忆障碍相关的不良事件(AE)报告,并编制了一份潜在药物及其相关AE清单。歧化分析用于评估药物与记忆障碍事件之间的潜在关联。结果:该研究在FAERS数据库中确定了194,754例与记忆相关的ae,显示女性的患病率(62.11 %)高于男性(32.76 %)。总结了一份全面的药物清单,其中包括374种可能导致记忆障碍的药物。与记忆障碍、健忘症和痴呆症相关的前50种药物已被汇编并分类。总体而言,免疫抑制剂代表了ae发生率最高的药物类别,其次是免疫刺激剂、其他镇痛药和解热药、抗癫痫药、胰岛素、抗抑郁药、血管紧张素II受体阻滞剂、抗精神病药和脂质调节剂。记忆相关ae的中位起效时间(TTO)为59 天(四分位数范围[IQR] 1-503),根据威布尔形状参数(WSP)分析,大多数药物表现出早期失效类型。与未成年人记忆障碍最相关的药物是孟鲁司特、托莫西汀、哌醋甲酯、拉莫三嗪、扎那米韦和生长激素。结论:本研究从药物警戒的角度全面概述了诱发记忆障碍的药物,可为临床实践提供一定的参考。然而,需要进一步的研究来阐明这些关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Updated insights on memory disorder associated risk of medication: A real-world pharmacovigilance analysis.

Objective: This study aims to use the Food and Drug Administration Adverse Event Reporting System (FAERS) to identify medications linked to memory disorders and to offer updated insights into medication-induced memory disorders.

Methods: We analyzed adverse event (AE) reports related to memory disorders in the FAERS database from 2004 to 2023 and compiled a list of potential medications along with their associated AEs. The disproportionality analysis was employed to assess the potential associations between medications and memory disorder events.

Results: The study identified 194,754 memory-related AEs in the FAERS database, revealing a higher prevalence in females (62.11 %) compared to males (32.76 %). A comprehensive medication list was summarized, comprising 374 potential medications that may contribute to memory disorders. The top 50 medications linked to memory impairment, amnesia, and dementia have been compiled and categorized accordingly. Overall, immunosuppressants represented the medication category with the highest incidence of AEs, followed by immunostimulants, other analgesics and antipyretics, antiepileptics, insulins, antidepressants, angiotensin II receptor blockers, antipsychotics, and lipid-modifying agents. The median time-to-onset (TTO) of memory-related AEs was 59 days (interquartile range [IQR] 1-503), with most medications exhibiting early failure types as determined by the Weibull shape parameter (WSP) analysis. The medications most frequently linked to memory disorders in minors were montelukast, atomoxetine, methylphenidate, lamotrigine, zanamivir, and somatropin.

Conclusions: This study presents a comprehensive overview of medications that induce memory disorder from a pharmacovigilance perspective, may offering certain references for clinical practice. However, further research is required necessary to elucidate these associations.

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来源期刊
Journal of affective disorders
Journal of affective disorders 医学-精神病学
CiteScore
10.90
自引率
6.10%
发文量
1319
审稿时长
9.3 weeks
期刊介绍: The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.
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