Monitoring the Safety of PioglitazoneDrug Safety - Tập 31 - Trang 839-850 - 2013
Rachna Kasliwal, V. Lynda, A. Saad
Background: Pioglitazone is an antidiabetic drug that targets insulin resistance
in patients with type 2 diabetes mellitus by stimulating the peroxisome
proliferatoractivated receptor (PPAR)-#$. Pioglitazone belongs to a class of
drugs called thiazolidinediones (TZDs) and was launched in the UK in November
2000. Objective: To monitor, using prescription-event monitoring, the
post-marketing safety ... hiện toàn bộ
HMG-CoA Reductase Inhibitors and MyotoxicityDrug Safety - Tập 22 - Trang 441-457 - 2012
Memduh Ucar, Tom Mjörndal, Rune Dahlqvist
The 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors
specifically inhibit HMG-CoA reductase in the liver, thereby inhibiting the
biosynthesis of cholesterol. These drugs significantly reduce plasma cholesterol
level and long term treatment reduces morbidity and mortality associated with
coronary heart disease. The tolerability of these drugs during long term
administration is a... hiện toàn bộ
Validation of Statistical Signal Detection Procedures in EudraVigilance Post-Authorization DataDrug Safety - Tập 33 - Trang 475-487 - 2012
Yolanda Alvarez, Ana Hidalgo, Francois Maignen, Jim Slattery
Background: Screening large databases of spontaneous case reports of possible
adverse drug reactions (ADRs) is an established method of identifying hitherto
unknown adverse effects of medicinal products; however, there is a lack of
consensus concerning the value of formal statistical screening procedures in
guiding such a process. This study was performed to clarify the nature of any
added benefit... hiện toàn bộ
Benefits and Risks of Minocycline in Rheumatoid ArthritisDrug Safety - Tập 22 - Trang 405-414 - 2012
Pnina Langevitz, Avi Livneh, Ilan Bank, Mordechai Pras
Rheumatoid arthritis is a chronic inflammatory disease affecting about 1% of the
adult population. The pathophysiology of rheumatoid arthritis remains
incompletely understood. An infectious aetiology of the disease has long been
postulated, but not proved. Despite insufficient evidence for the infectious
nature of this disorder, several antibacterials, such as sulfa compounds,
tetracyclines and ri... hiện toàn bộ
Drug Interactions with Grapefruit JuiceDrug Safety - Tập 18 - Trang 251-272 - 2012
Uwe Fuhr
Concomitant intake with grapefruit juice increases the concentrations of many
drugs in humans. The effect seems to be mediated mainly by suppression of the
cytochrome P450 enzyme CYP3A4 in the small intestine wall. This results in a
diminished first pass metabolism with higher bioavailability and increased
maximal plasma concentrations of substrates of this enzyme. The effect was most
pronounced i... hiện toàn bộ
Development Safety Update Reports and Proposals for Effective and Efficient Risk CommunicationDrug Safety - Tập 33 - Trang 341-352 - 2012
Hisashi Urushihara, Koji Kawakami
The periodic safety reporting to regulatory authorities is globally harmonized
for postmarketing medicinal products by the International Conference on
Harmonisation (ICH) guidelines, and is being extended for investigational drugs.
To facilitate effective safety risk communication regarding investigational
drugs, and to reduce duplicate periodic reporting to the US and EU by sponsors
during develo... hiện toàn bộ
Modified Prescription-Event Monitoring StudiesDrug Safety - Tập 34 - Trang e1-e9 - 2012
Deborah Layton, Lorna Hazell, Saad A.W. Shakir
Prescription-Event Monitoring (PEM) is a well established postmarketing
surveillance technique designed to monitor the overall safety of newly marketed
medicines as used in real-life clinical practice, usually in cohorts of at least
10000 patients. At the Drug Safety Research Unit in the UK we are now moving
towards a more targeted safety surveillance known as Modified PEM (M-PEM). These
studies c... hiện toàn bộ