不良事件报告系统
医学
药物警戒
不利影响
二甲双胍
药理学
药物流行病学
内科学
药方
胰岛素
作者
Yi Du,Junjie Zhu,Zhang Guo,Zhenjie Wang,Y Wang,Maoliang Hu,Lingzhi Zhang,Yong Yang,Jinjin Wang,Yixing Huang,Peiying Huang,Mianhai Chen,Bin Chen,Chao-Ping Yang
标识
DOI:10.1080/17512433.2024.2306223
摘要
Metformin has the potential for treating numerous diseases, but there are still many unrecognized and unreported adverse events (AEs).We selected data from the United States FDA Adverse Event Reporting System (FAERS) database from the first quarter (Q1) of 2004 to the fourth quarter (Q4) of 2022 for disproportionality analysis to assess the association between metformin and related adverse events.In this study 10,500,295 case reports were collected from the FAERS database, of which 56,674 adverse events related to metformin were reported. A total of 643 preferred terms (PTs) and 27 system organ classes (SOCs) that were significant disproportionality conforming to the four algorithms simultaneously were included. The SOCs included metabolic and nutritional disorders (p = 0.00E + 00), gastrointestinal disorders (p = 0.00E + 00) and others. PT levels were screened for adverse drug reaction (ADR) signals such as acute pancreatitis (p = 0.00E + 00), melas syndrome, pemphigoid (p = 0.00E + 00), skin eruption (p = 0.00E + 00) and drug exposure during pregnancy (p = 0.00E + 00).Most of our results were consistent with the specification, but some new signals of adverse reactions such as acute pancreatitis were not included. Therefore, further studies are needed to validate unlabeled adverse reactions and provide important support for clinical monitoring and risk identification of metformin.
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