期刊论文详细信息
BMC Clinical Pharmacology
Adverse drug reactions reported by consumers for nervous system medications in Europe 2007 to 2011
Ebba Holme Hansen1  Lise Aagaard1 
[1] Danish Pharmacovigilance Research Project (DANPREP), Copenhagen, Denmark
关键词: EudraVigilance;    Consumers;    Pharmacovigilance;    Nervous system medications;    Adverse drug reactions;   
Others  :  860587
DOI  :  10.1186/2050-6511-14-30
 received in 2012-10-18, accepted in 2013-06-11,  发布年份 2013
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【 摘 要 】

Background

Reporting of adverse drug reactions (ADRs) has traditionally been the sole province of healthcare professionals. In the European Union, more countries have allowed consumers to report ADRs directly to the regulatory agencies. The aim of this study was to characterize ADRs reported by European consumer for nervous system medications.

Methods

ADRs reported by consumers for nervous system medications (ATC group N) from 2007 to 2011 and located in the European ADR database, EudraVigilance, were analysed. Data were categorized with respect to age and sex, category and seriousness of reported ADRs and medications. The unit of analysis was one ADR.

Results

We located 4766 ADRs reported for nervous system medications, and one half of these were serious including 19 deaths. Less than 5% of ADRs were reported in children. Totally, 58% of ADRs were reported for women, 42% for men. The majority of reported ADRs were of the types “nervous system disorders” (18% of total ADRs) followed by “psychiatric disorders” (18% of total ADRs) and “general disorders” (15% of total ADRs) which also were the system organ classes in which the majority of serious ADRs were found. ADR reports encompassed medicines from the therapeutic groups: antiepileptics (ATC group N03) (36% of total ADRs), parasympathomimetics (ATC group N07) (22% of total ADRs) and antidepressants ATC group N06A (9% of total ADRs). Antiepileptics were the therapeutic group with the highest share of serious ADRs (60%) followed by antidepressants (15%). Many serious ADRs were reported for pregabalin and varenicline.

Conclusions

The majority of ADRs from nervous system mediations reported by consumers that were identified from the EudraVigilance database were serious. The value of consumer reports in pharmacovigilance still remains unclarified.

【 授权许可】

   
2013 Aagaard and Hansen; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]van Hunsel F, Härmark L, Pal S, Olsson S, van Grootheest K: Experiences with adverse drug reaction reporting by patients: an 11-country survey. van Hunsel F, Härmark L, Pal S, Olsson S, van Grootheest K. Drug Saf 2012, 35:45-60.
  • [2]Blenkinsopp A, Wilkie P, Wang M, Routledge PA: Patient reporting of suspected adverse drug reactions: a review of published literature and international experience. Br J Clin Pharmacol 2006, 63:148-156.
  • [3]Hawcutt DB, Mainie P, Riordan A, Smyth RL, Pirmohamed M: Reported paediatric adverse drug reactions in the UK 2000–2009. Br J Clin Pharmacol 2012, 73:437-446.
  • [4]Durrieu G, Palmaro A, Pourcel L, Caillet C, Faucher A, Jacquet A, Ouaret S, Perault-Pochat MC, Kreft-Jais C, Castot A, Lapeyre-Mestre M, Montastruc J: First French experience of ADR reporting by patients after a mass immunization campaign with Influenza A (H1N1) pandemic vaccines: a comparison of reports submitted by patients and healthcare professionals. Drug Saf 2012, 35:845-854.
  • [5]Medawar C, Herxheimer A: A comparison of adverse drug reactions from professionals and users, relating to risk of dependence and suicidal behaviour with paroxetine. Int J Risk Saf Med 2004, 16:5-19.
  • [6]McLernon DJ, Bond CM, Hannaford PC, Watson MC, Lee AJ, Hazell L, Avery A: Adverse drug reaction reporting in the UK: a retrospective observational comparison of yellow card reports submitted by patients and healthcare professionals. Drug Saf 2010, 33:775-788.
  • [7]KILEN: Consumer reports on medicines (CRM) – consensus document. 2000. Available at http://www.kilen.org/indexe.htm webcite (last accessed 21 March 2013)
  • [8]Health Action International Europe: Patient reporting of adverse drug reactions – seminar report. 2005. Available at http://www.haiweb.org/docs2005/final_report.doc webcite (last accessed 21 March 2013)
  • [9]Vilhelmsson A, Svensson T, Meeuwisse A, Carlsten A: What can we learn from consumer reports on psychiatric adverse drug reactions with antidepressant medication? Experiences from reports to a consumer association. BMC Clin Pharmacol 2011, 25:11. 16 BioMed Central Full Text
  • [10]Vilhelmsson A, Svensson T, Meeuwisse A, Carlsten A: Experiences from consumer reports on psychiatric adverse drug reactions with antidepressant medication: a qualitative study of reports to a consumer association. BMC Pharmacol Toxicol. 2012, 13:19. BioMed Central Full Text
  • [11]De Langen J, Van Hunsel F, Passier A, de Jong-van den Berg L, van Groothest K: Adverse drug reaction reporting by patients in the Netherlands. Three years of experience. Drug Saf 2008, 31:515-554.
  • [12]Aagaard L, Nielsen LH, Hansen EH: Consumer reporting of adverse drug reactions. A retrospective analysis of Danish adverse drug reaction database from 2004 to 2006. Drug Saf 2009, 32:1067-1074.
  • [13]Aagaard L, Hansen EH: Consumers’ reports of suspected adverse drug reactions volunteered to a consumer magazine. Br J Clin Pharmacol 2010, 69:317-318.
  • [14]EU directive of the European Parliament and of the council amending Directive 2001/83/EC as regards information to the general public on medicinal products subject to medical prescription. COM (2012) 48 final. Brussels; 10.2.2012. Available at: http://www.eur-lex.europa.eu/index.htm webcite (last accessed 21 March 2013)
  • [15]European Medicines Agency: Note for guidance – EudraVigilance Human – Processing of safety messages and individual case safety reports (ICSRs). EMA/H/20665/04/Final Rev. 2. Available at: http://www.eudravigilance.ema.europa.eu/human/euPoliciesAndDocs03.asp webcite (last accessed 21 March 2013)
  • [16]Volume 9. Pharmacovigilance: medicinal products for human use and veterinary products Available at http://www.ec.europa.eu/enterprise/pharmaceuticals/eudralex/homev9.htm webcite (last accessed 3 April 2012)
  • [17]Office Journal of the European Commission: Regulation (EC) No 1049/2001 of the European Parliament and of the Council of 30 May 2001 regarding public access to European Parliament, Council and Commission. L 145/43. Available at: http://www.europarl.europa.eu/register/pdf/r1049_en.pdf webcite (last accessed 21 March 2013)
  • [18]MedDRA Available at http://www.meddramsso.com webcite (last accessed 5 May 2012)
  • [19]WHO collaboration centre for drug statistics methodology 2007. Available at http://www.whocc.no/atc_ddd_index/ webcite (last accessed 3 April 2012)
  • [20]Danish national registry of medicinal products statistics http://www.medstat.dk/ webcite (last accessed 3 April 2012)
  • [21]FDA: FDA requires new box warnings for the smoking cessation drugs Chantix and Zyban. Available at: http://www.fda.gov/Drugs/DrugSafety/DrugSafetyPodcasts/ucm170906.htm webcite (last accessed 21 March 2013)
  • [22]Singh S, Loke YK, Spangler JG, Furberg CD: Risk of serious adverse cardiovascular events associated with varenicline: a systematic review and meta-analysis. CMAJ 2011, 83:1359-1366.
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