Pharmacology/Pharmaceutical Industry
Deprescribing proton pump inhibitors guideline
15 May, 2017 | 19:45h | UTCSee more on “Deprescribing” in our May 9th issue (see #7) and in our May 8th issue (see #4)
Risk of acute myocardial infarction with NSAIDs
11 May, 2017 | 18:38h | UTCCommentaries: Meta-Analysis: Just a Week of NSAID Use Tied to Increased Heart Attack Risk – Journal Watch (free) AND Common painkillers linked to increased risk of heart attack, study says – CNN (free) All NSAIDs Linked to Increased MI Risk – Medscape (free registration required)
Another study suggesting NSAIDs may be associated with increased cardiovascular risk.
Ten Principles of Good Prescribing
11 May, 2017 | 18:42h | UTCTen Principles of Good Prescribing – by J K Aronson, Centre for Evidence-Based Medicine (CEBM) (free)
One-Third Of New Drugs Had Safety Problems After FDA Approval
10 May, 2017 | 18:22h | UTCPostmarket Safety Events Among Novel Therapeutics Approved by the US Food and Drug Administration Between 2001 and 2010 – JAMA (link to abstract – $ for full-text)
Commentaries: Nearly 1 In 3 Recent FDA Drug Approvals Followed By Major Safety Actions – Scientific American (free) AND One in Three Newly Approved Drugs Has Safety Issues – MedPage Today (free registration required) AND Safety Events Common in Newly Approved Drugs – Medscape(free registration required) AND New safety risks detected in one-third of FDA-approved drugs – The Washington Post (free) (RT @EricTopol see Tweet) AND One-Third Of New Drugs Had Safety Problems After FDA Approval – NPR Health News (free)
*Newer is not always better.
Reducing inappropriate prescribing easier said than done
6 May, 2017 | 20:37h | UTCReducing inappropriate prescribing easier said than done – CMAJ News (free)
Related: Canadian Deprescribing Network (CaDeN) (free)
AND CaDeN Deprescribing Guidelines and Algorithms (free) AND Deprescribing guidelines for the elderly – Ontario Pharmacy Evidence Network(free)
Association Between Academic Medical Center Pharmaceutical Detailing Policies and Physician Prescribing
4 May, 2017 | 20:14h | UTCAssociation Between Academic Medical Center Pharmaceutical Detailing Policies and Physician Prescribing – JAMA (link to abstract – $ for full-text)
Commentaries: Doctors Prescribe More Generics When Drug Reps Are Kept At Bay – NPR (free) AND Limiting Interactions with Pharma Reps Cuts Brand Name Drug Prescriptions – Physician’s First Watch (free)
PCSK9 inhibitors for prevention of cardiovascular disease – Cochrane Library
3 May, 2017 | 17:28h | UTCSystematic review: PCSK9 inhibitors for prevention of cardiovascular disease – Cochrane Library (free summary – $ for full-text))
The evidence so far suggests that PCSK9 inhibitor use probably leads to little or no difference in mortality and leads to a modest absolute risk reduction (often less than 1%) in cardiovascular events in high-risk patients.
Advil, Motrin and other NSAIDs painkillers should be prescription only, Danish study says
28 Apr, 2017 | 16:37h | UTCAdvil, Motrin and other NSAIDs painkillers should be prescription only, Danish study says – Pittsburgh Post-Gazette (free) (RT @medpagetodaysee Tweet)
Original article: Non-steroidal anti-inflammatory drug use is associated with increased risk of out-of-hospital cardiac arrest: a nationwide case–time–control study – European Heart Journal – Cardiovascular Pharmacotherapy (free)
See more commentaries on this study in our March 17 issue, see #5.
Azithromycin doesn’t seem to increase the risk of ventricular arrhythmia
26 Apr, 2017 | 16:04h | UTCCohort study: Use of azithromycin and risk of ventricular arrhythmia – Canadian Medical Association Journal (free)
Source: No Major Azithromycin Arrhythmia Risk in Huge European Cohort – Medscape (free registration required)
Contradicting a previous study (free) and a 2013 safety warning from the US Food and Drug Administration (free), this large cohort did not show an association between azithromycin and ventricular arrhythmia when compared to amoxicillin.
New warnings about the use of codeine and tramadol
24 Apr, 2017 | 15:32h | UTCFDA Safety Alert: Codeine and Tramadol Medicines: Drug Safety Communication – Restricting Use in Children, Recommending Against Use in Breastfeeding Women (free)
FDA Statement: New warnings about the use of codeine and tramadol in children & nursing mothers (free)
Commentaries on the statement: FDA: Codeine Now Contraindicated for Pain and Cough in Kids – Physician’s First Watch (free) AND Codeine cough syrup should not be given to kids, FDA warns – STAT News (free)
These drugs should not be used at all for children younger than 12 years, and their use should also be limited in some older children.
β-Blocker Exposure in Pregnancy and Risk of Fetal Cardiac Anomalies
20 Apr, 2017 | 14:28h | UTCβ-Blocker Exposure in Pregnancy and Risk of Fetal Cardiac Anomalies – JAMA Internal Medicine (link to abstract – $ for full-text)
See also: No Fetal Heart Risk from Mom’s Beta-Blocker Use – MedPage Today (free registration required)
Associations of Maternal Antidepressant Use and Complications in Offspring
19 Apr, 2017 | 14:12h | UTCAssociations of Maternal Antidepressant Use During the First Trimester of Pregnancy With Preterm Birth, Small for Gestational Age, Autism Spectrum Disorder, and Attention-Deficit/Hyperactivity Disorder in Offspring – JAMA (link to abstract – $ for full-text)
Contradicting a previous study showing increased risk of autism with antidepressant use during pregnancy (free), this large retrospect cohort study of 1 580 629 Swedish offspring did not show an association of antidepressant use during pregnancy and autism or other neurodevelopment problems.
Insulin pump didn’t improve glycemic control compared to training on injections
18 Apr, 2017 | 13:58h | UTCSee also: Insulin pump didn’t improve glycemic control compared to training on injections – ACP Diabetes Monthly (free)
Short term use of oral corticosteroids and related harms
13 Apr, 2017 | 16:07h | UTCCorticosteroids, even if used for short periods of time, seems to be associated with significant morbidity and mortality. In this retrospective cohort with 1.5 million adults, the incidence of acute adverse events (sepsis, venous thromboembolism, fracture) increased by twofold to fivefold above background rates.
How Many Pills Are Too Many?
12 Apr, 2017 | 15:56h | UTCHow Many Pills Are Too Many? – The New York Times (10 articles per month are free)
“Evidence has mounted about the dangers of taking multiple, perhaps unnecessary, medications” (from Tweet)
Seniors are given so many drugs, it’s madness
10 Apr, 2017 | 15:54h | UTCSeniors are given so many drugs, it’s madness – The Globe and Mail (free) (RT @RasoiniR)
“While most prescribing is well-intentioned, it’s also unco-ordinated; there is a tendency to overmedicate and leave people on drugs for too long”.
Antipsychotics May Boost Respiratory Failure Risk in COPD – MedPage Today
7 Apr, 2017 | 15:50h | UTCAssociation Between Antipsychotic Agents and Risk of Acute Respiratory Failure in Patients With Chronic Obstructive Pulmonary Disease – JAMA Psychiatry (Link to abstract – $ required for full-text) (RT @atscommunity)
See also: Antipsychotics Tied to Respiratory Failure in At-Risk Patients – Medscape (free registration required) AND Antipsychotics May Boost Respiratory Failure Risk in COPD – MedPage Today (free registration required)
Inhaled Corticosteroids May Raise Women’s Risk of the Metabolic Syndrome
6 Apr, 2017 | 15:10h | UTCInhaled Corticosteroids May Raise Women’s Risk of the Metabolic Syndrome – NewsWise (free)
See also: Inhaled Corticosteroid Use May Up Metabolic Syndrome Risk – MPR (free)
This study was presented at #ENDO2017 and hasn’t been published yet.
Anti-leukotriene agents in persistent asthma
3 Apr, 2017 | 19:15h | UTCAddition of anti-leukotriene agents to inhaled corticosteroids for adults and adolescents with persistent asthma – Cochrane Database of Systematic Reviews (link to summary – $ required for full-text)
Source: EvidenceAlerts
In patients with asthma not controlled with daily low-dose inhaled corticosteroids, adding anti-leukotriene agents reduced by half the number of patients with asthma exacerbations requiring an oral corticosteroid and improved lung function and asthma control.
Non–Vitamin K Antagonist Oral Anticoagulants in Patients With Atrial Fibrillation and Valvular Heart Disease
30 Mar, 2017 | 17:27h | UTCSource: SciCombinator
Except for patients with moderate/severe mitral stenosis or mechanical heart valves, who were excluded in most trials, high-dose NOACs was as effective and safe for patients with valvular heart disease as for patients without valvular disorders.
Prevention of everolimus-related stomatitis
30 Mar, 2017 | 17:24h | UTCPrevention of everolimus-related stomatitis in women with hormone receptor-positive, HER2-negative metastatic breast cancer using dexamethasone mouthwash (SWISH): a single-arm, phase 2 trial – The Lancet Oncology (link to abstract – $ required for full-text)
See also: SWISH Four Times a Day to Keep Oral Mucositis Away – Medscape (free registration required)
This simple and inexpensive treatment resulted in a more than ten-times reduction in the incidence of grade 2 or higher stomatitis.
WHO Launches Global Effort to Halve Medication-Related Errors in 5 Years
30 Mar, 2017 | 17:30h | UTCSee also: WHO’s work on patient safety (free) AND WHO Global Patient Safety Challenge on Medication Safety (free) AND WHO Educational materials for medication safety (free)
New recommendations for the management of rheumatoid arthritis
29 Mar, 2017 | 17:09h | UTCSee also: EULAR Releases New RA Tx Recommendations: Focus is on conventional agents, biologics, and targeted synthetic drugs – MedPage Today(free registration required)
Source: EvidenceAlerts Newsletter
Efficacy of Heat-Stable Oral Rotavirus Vaccine
23 Mar, 2017 | 17:18h | UTCEditorial: Rotavirus Vaccines – A New Hope (free)
Quick Take Video Summary: Efficacy of Heat-Stable Oral Rotavirus Vaccine (free)
Pregabalin for Acute and Chronic Sciatica
23 Mar, 2017 | 17:15h | UTCTrial of Pregabalin for Acute and Chronic Sciatica – New England Journal of Medicine (link to abstract – $ required for full-text)
Pregabalin did not reduce pain and was associated with higher incidence of adverse events.