| アブストラクト | INTRODUCTION: Nalmefene, an opioid antagonist, causes withdrawal syndromes in patients exposed to an opioid agonist. Despite its contraindication, this illogical drug association persists, especially with opioid substitution drugs (ODS). We measured the benefits of the modification in the summary of product characteristics (SPC) in March 2015 and the package leaflet of Selincro((R)) in September 2016 on this misuse. MATERIAL AND METHOD: We analyzed the observations regarding a use of nalmefene with an opioid between September 2014 and August 2017 in the French pharmacovigilance database and the laboratory. RESULTS: The combination nalmefene and methadone was reported in about half of the cases (46/90). Observations were highest between October 2015 and March 2016 (29/90) and then decreased. Those with self-medication have increased. From October 2016, declarations become rarer. CONCLUSION: The effect of modifications in the SPC and the package leaflet on the use of nalmefene with ODS was real and progressive. |
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| ジャーナル名 | Therapie |
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| Pubmed追加日 | 2018/9/11 |
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| 投稿者 | Favreliere, Sylvie; Lafay-Chebassier, Claire; Fauconneau, Bernard; Quillet, Alexandre; Yelehe-Okouma, Melissa; Montastruc, Francois; Perault-Pochat, Marie-Christine |
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| 組織名 | Service de pharmacologie clinique et vigilances, CHU de Poitiers, 86021 Poitiers,;France. Electronic address: s.favreliere@chu-poitiers.fr.;France; Inserm, U1084, universite de Poitiers, laboratoire de neurosciences;experimentales et cliniques-LNEC, 86022 Poitiers cedex, France.;France.;Laboratoire de pharmacologie clinique et toxicologie, CHRU de Nancy, 54035 Nancy,;Service de pharmacologie medicale et clinique, pharmacopole Midi-Pyrenees,;faculte de medecine, CHU de Toulouse, 31000 Toulouse, France. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/30197228/ |
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