Prescription profile of pyridostigmine use in a population of patients with myasthenia gravis
Autor: | Jorge Enrique, Machado-Alba, Luis Felipe, Calvo-Torres, Andrés, Gaviria-Mendoza, César, Augusto MejíA-Vélez |
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Rok vydání: | 2017 |
Předmět: | |
Zdroj: | Musclenerve. 56(6) |
ISSN: | 1097-4598 1041-1046 |
Popis: | We determined the pyridostigmine prescription pattern in a population of patients with myasthenia gravis (MG). A descriptive cross-sectional study was conducted by using a prescription database of 3.5 million individuals from which patients who had been diagnosed with MG and for whom pyridostigmine had been prescribed were selected. A total of 306 outpatients with MG were found, and 258 were receiving pyridostigmine (mean age 53.0 ± 18.0 years). The calculated prevalence of MG was 86.7 cases per million persons. Monotherapy was used by 53.1% of the patients, prednisolone was used by 21.7%, and 30.2% used other immunomodulators. Medications for other comorbidities were taken by 74.8% of the patients, and 43.4% had prescriptions that could potentially trigger worsening symptoms. Pyridostigmine is being prescribed at doses close to the defined daily doses predominantly as monotherapy. A high proportion of patients were also prescribed a medication that could aggravate their condition, including some that can trigger a myasthenic crisis. Muscle Nerve 56: 1041-1046, 2017. |
Databáze: | OpenAIRE |
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