| アブストラクト | BACKGROUND: Nasal septum perforation represents a significant clinical concern, with limited investigations into the role of medications in its etiology. This study utilizes the FDA Adverse Event Reporting System (FAERS) database to identify the drugs associated with nasal septum perforation and assess their risk. RESEARCH DESIGN AND METHODS: This retrospective pharmacovigilance study analyzed drug-induced nasal septum perforation data from January 2004 to December 2023. Disproportionality analysis using reporting odds ratio (ROR) assessed drug associations with nasal septum perforation. RESULTS: For 552 identified cases, the most commonly reported drugs were bevacizumab (n = 56), fluticasone propionate (n = 50), methotrexate (n = 34), hydrocodone and acetaminophen (n = 22), and paclitaxel (n = 17). Twenty-six drugs showed positive risk signals, with the top five being azelastine hydrochloride and fluticasone propionate (ROR = 173.82), beclomethasone dipropionate (ROR = 90.91), oxymetazoline (ROR = 53.77), desmopressin (ROR = 51.43), and leucovorin (ROR = 42.83). Intriguingly, 18 of these drugs did not list nasal septum perforation as a known side effect. CONCLUSION: This study provides a comprehensive overview of drug-induced nasal septum perforation from a pharmacovigilance perspective, highlighting the need for further research to clarify these associations and update drug safety information to reduce patient risk. |
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| ジャーナル名 | Expert opinion on drug safety |
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| Pubmed追加日 | 2025/2/1 |
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| 投稿者 | Xie, Chubo; Cui, Yi; Zhou, Suizi; Sun, Fang; Jiang, Zhilin; Wang, Keshuang; Liu, Yitong; Wang, Yuewu; Qiu, Qianhui |
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| 組織名 | Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital;Ganzhou Hospital, Guangdong Academy of Medical Sciences, Ganzhou, Jiangxi, China.;Department of Otolaryngology and Head and Neck Surgery, Guangdong Provincial;People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical;University, Guangzhou, Guangdong, China.;Department of Otolaryngology and Head and Neck Surgery, The First People's;Hospital of Chenzhou, Chenzhou, Hunan, China. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/39891519/ |
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