Post-marketing safety surveillance and reevaluation of Motherwort injection: A clinical study of 10 094 cases

IF 2 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Journal of Traditional Chinese Medicine Pub Date : 2018-08-01 DOI:10.1016/S0254-6272(18)30896-3
Cao Shan , Zhang Wenhao , Zhao Ziwei , Heng Mingli , Bu Huaien , Wang Hongwu , Liu Xinghui , Wang Zhong , Cai Yan , Ma Yuyan , Cui Shihong , Deng Jihong , Ding Guifeng , Ding Yajuan , Dong Linhong , Duan Zhentao , Fan Ling , Fan Yang , Fu Fen , He Jing , Zhou Jian
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引用次数: 3

Abstract

OBJECTIVE

To investigate the safety profiles of Motherwort injection (MI).

METHODS

A multi-center, prospective and drug-derived hospital intensive monitoring method was conducted to assess the safety of MI in real world applications. This study was based on a very large population after the injection was approved and marketed in China. All patients using the injection in participating hospitals were monitored to determine the incidence, pattern, severity and outcome of associated adverse events.

RESULTS

The post-marketing surveillance was performed in 10 094 female patients from April to December, 2015. The incidence of adverse drug reactions (ADRs) was 0.79‰ (8/10 094). Among the 8 patients, the reported adverse events mainly included systemic abnormalities, such as fever, chills and eyelid edema; skin and appendages disorders, such as pruritus and rash; gastrointestinal disorders, such as nausea, abdominal distension and pain; heart rate and rhythm disorders, such as palpitation and increased heart rate. All of these ADRs were mild in severity.

CONCLUSION

In this study the ADRs incidence rate of MI is very low, which supports that it is generally safe for use in obstetric and gynecological diseases. However, the total number of 8 ADRs recorded over a relatively short time span seems limited, and the low number of reports could not represent an absolute guarantee of safety.

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益母草注射液上市后安全性监测与再评价:10094例临床研究
目的探讨益母草注射液(MI)的安全性。方法采用多中心、前瞻性和药物来源的医院强化监测方法,评估心肌梗死在实际应用中的安全性。这项研究是基于注射被批准并在中国上市后的一个非常大的人群。对所有在参与医院使用该注射剂的患者进行监测,以确定相关不良事件的发生率、模式、严重程度和结局。结果2015年4 - 12月对10 094例女性患者进行了上市后监测。药物不良反应(adr)发生率为0.79‰(8/10 094)。8例患者报告的不良事件主要为全身性异常,如发热、寒战、眼睑水肿等;皮肤和附属物疾病,如瘙痒和皮疹;胃肠道疾病,如恶心、腹胀和疼痛;心率和节律紊乱,如心悸和心率加快。所有这些不良反应的严重程度都很轻微。结论在本研究中,心肌梗死的不良反应发生率很低,支持心肌梗死在妇产科疾病中的应用是安全的。然而,在相对较短的时间内记录到的8例adr总数似乎有限,报告数量少并不能绝对保证安全。
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来源期刊
Journal of Traditional Chinese Medicine
Journal of Traditional Chinese Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
2.40
自引率
3.80%
发文量
32269
审稿时长
2 months
期刊介绍: Journal of Traditional Chinese Medicine(JTCM) is devoted to clinical and theortical research on the use of acupuncture and Oriental medicine. The main columns include Clinical Observations, Basic Investigations, Reviews, Questions and Answers, an Expert''s Forum, and Discussions of Clinical Cases. Its key topics include acupuncture and electro-acupuncture, herbal medicine, homeopathy, masseotherapy, mind-body therapies, palliative care, and other CAM therapies.
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