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Muscular Adverse Drug Reactions Associated with Proton Pump Inhibitors: A Disproportionality Analysis Using the Italian National Network of Pharmacovigilance Database

Author

Listed:
  • Alice Capogrosso Sansone

    (University of Pisa)

  • Irma Convertino

    (University of Pisa)

  • Maria Teresa Galiulo

    (University of Pisa)

  • Stefano Salvadori

    (National Research Council)

  • Stefania Pieroni

    (National Research Council)

  • Tamara Knezevic

    (National Research Council)

  • Stefania Mantarro

    (University of Pisa)

  • Alessandra Marino

    (University of Pisa)

  • Manfred Hauben

    (Pfizer Inc.
    New York University School of Medicine)

  • Corrado Blandizzi

    (University of Pisa
    University Hospital of Pisa)

  • Marco Tuccori

    (University Hospital of Pisa)

Abstract

Introduction Proton pump inhibitors (PPIs) have been implicated in the occurrence of moderate to severe myopathies in several case reports. Aim This study was performed to assess the reporting risk of muscular adverse drug reactions (ADRs) associated with PPIs in the Italian National Network of Pharmacovigilance database. Methods A disproportionality analysis (case/non-case) was performed using spontaneous reports collected in the database between July 1983 and May 2016. Reporting odds ratio (ROR) and 95% confidence intervals (CIs) were calculated as a measure of disproportionality. In a secondary and tertiary analysis, we explored the association of PPIs with muscular ADRs after taking into account the masking effect of statins. Moreover, the possibility of an interaction between PPIs and statins, leading to the occurrence of muscular ADRs, was also tested. Results The study was carried out on 274,108 reports. The ROR of muscular ADRs for PPIs, adjusted for age and gender, was 1.484 (95% CI 1.204–1.829; p

Suggested Citation

  • Alice Capogrosso Sansone & Irma Convertino & Maria Teresa Galiulo & Stefano Salvadori & Stefania Pieroni & Tamara Knezevic & Stefania Mantarro & Alessandra Marino & Manfred Hauben & Corrado Blandizzi , 2017. "Muscular Adverse Drug Reactions Associated with Proton Pump Inhibitors: A Disproportionality Analysis Using the Italian National Network of Pharmacovigilance Database," Drug Safety, Springer, vol. 40(10), pages 895-909, October.
  • Handle: RePEc:spr:drugsa:v:40:y:2017:i:10:d:10.1007_s40264-017-0564-8
    DOI: 10.1007/s40264-017-0564-8
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