4.5 Article

Trends of reporting of 'serious' vs. 'non-serious' adverse drug reactions over time: a study in the French PharmacoVigilance Database

Journal

BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
Volume 74, Issue 1, Pages 201-204

Publisher

WILEY-BLACKWELL
DOI: 10.1111/j.1365-2125.2012.04185.x

Keywords

serious' adverse drug reactions; adverse drug reactions; pharmacovigilance; spontaneous reporting

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WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT Several factors are known to influence spontaneous reporting of adverse drug reactions (ADRs). Among them, seriousness of the reaction is one of the most important. However, evolution in the reporting of seriousvs.non-serious ADRs over time for the same drug remains unknown. WHAT THIS STUDY ADDS Spontaneous reports mainly involve non-serious ADRs during the first years of marketing and serious ADRs later, particularly for drugs with non-hospital use. AIM To investigate trends in spontaneous reporting to the French Pharmacovigilance system of serious (SADRs) and non-serious (NSADRs) adverse drug reactions over time. METHODS Annual SADR : NSADR ratios were calculated for each drug and their evolution tested with linear trend tests. RESULTS Among the 39 new active substances commercialized in France in 2000, 16 had sufficient data to perform linear trend tests. An increasing linear relation was found for five widely prescribed drugs, a non-significant increasing trend for eight others, i.e. drugs mostly used in hospitals. CONCLUSION ADR reports mainly concern NSADRs during first years of marketing. Reports of SADRs are proportionally more frequent later.

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