Evaluation of patients’ experiences with antidepressants reported by means of a medicine reporting system
| Autor: | R. Van Hulten, M. C. H. de Groot, Antoine C. G. Egberts, E.C.G. van Geffen, Eibert R. Heerdink, S. W. van der Wal |
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| Přispěvatelé: | Population-based studies of drug treatment: from molecule to patient outcomes, Dep Farmaceutische wetenschappen |
| Jazyk: | angličtina |
| Předmět: |
Adult
Male medicine.medical_specialty Pharmacoepidemiology and Prescription Epidemiology education Alternative medicine Discontinuation Biomedische technologie en medicijnen Treatment Refusal Farmacie/Biofarmaceutische wetenschappen (FARM) Health care medicine Adverse Drug Reaction Reporting Systems Humans Pharmacology (medical) Geneeskunde(GENK) Psychiatry Adverse effect Netherlands Ziekenhuisstructuur en organisatie van de gezondheidszorg Pharmacology Internet business.industry Public health Geneeskunde (GENK) Farmacie(FARM) General Medicine Antidepressants General [Econometric and Statistical Methods] Antidepressive Agents Adverse events Antidepressant Female Public Health business Patient reporting |
| Zdroj: | European Journal of Clinical Pharmacology |
| ISSN: | 0031-6970 |
| DOI: | 10.1007/s00228-007-0375-4 |
| Popis: | Objective To assess experiences related to antidepressant use reported to an internet-based medicine reporting system and to compare the nature of the side effects reported by patients with those reported by health care professionals (HCPs). Methods All reports submitted from May 2004 to May 2005 to an internet-based medicine reporting system in The Netherlands related to the use of antidepressants were analysed. Spontaneous reports of adverse drug reactions on antidepressants from HCPs received by The Netherlands Pharmacovigilance Centre Lareb from May 2004 to May 2005 were included for comparison. Results Of the 2232 individuals who submitted a report to the internet-based medicine reporting system, 258 submitted a report on antidepressants. Of these, 92 individuals (36%) reported on effectiveness, 40 (16%) of whom reported on ineffectiveness, and 217 (84%) submitted a report on side effects, with 202 (78%) reporting a total of 630 side effects that were experienced as negative. Fourteen individuals (5%) reported a practical issue and four (2%) reported a reimbursement issue. Of all 630 side effects reported, 48% resulted in the patient discontinuing the antidepressant therapy; of these 29% did not inform their HCP. Of all the side effects reported, 52% were perceived as “very negative”. In comparison to the side effects reported by HCPs, patients more often reported apathy, excessive sweating, ineffectiveness, somnolence, insomnia, sexual problems and weight increase. Conclusion Patients report the ineffectiveness and side effects of antidepressant therapy as negative and leading to discontinuation of the therapy. Patients and HCPs differ in the nature of the reported side effects. Patient experiences should be included in the evaluation of antidepressant treatment in clinical practice. |
| Databáze: | OpenAIRE |
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