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A Note on Medications, Devices and FDA 关于药物、器械和FDA的说明
Pub Date : 2021-01-01 DOI: 10.35248/2329-6887.21.9.304
Preeti Gampala
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引用次数: 0
An Observational Study Report on Adverse Drug Reactions of A Combination of Drugs in A Tertiary Care Hospital, Kolkata, West Bengal 西孟加拉邦加尔各答某三级医院联合用药不良反应观察性研究报告
Pub Date : 2021-01-01 DOI: 10.35248/2329-6887.21.9.297
Sarbani Biswas, A. Chatterjee, S. Manna, Uddipan Kar
Background: Drugs or proper medications can be a preventive measure against several temporary or chronic human diseases and physiological conditions. But sometimes, drugs can turn out to be a bane to human life rather than becoming a boon. Administration of certain drugs may lead to several undesirable detrimental effects to human health that may even be fatal if gone unnoticed. These reactions are more commonly referred to as the Adverse drug Reactionsâ™. Aim: In the current study, our major aim is to probe the adverse drug reactions of two particular drugs Paracetamol and Cephalosporin, when administered in combination or separately in a tertiary care hospital, Kolkata, West Bengal. Material and methods: Our study involves a hospital-based observational study where the adverse drug reactions reported by medical practitioners over a period of six months were assessed in patients administered with paracetamol and cephalosporin group of drugs in combination or separately. Results: In this study, 100 patients were administered paracetamol and cephalosporin drug groups both separately or in combination. Out of them, 36 patients developed ADR like hepatotoxicity, hypotension, anemia, vomiting, skin rashes as well as Steven Johnson Syndrome. Adverse drug reaction is found to be more common in women than in men. Also, middle-aged adults (15-65 years) are more prone to adverse drug reactions on the administration of a combination of paracetamol and cephalosporin drugs. Further, when the patients were subjected to a dose of a combination of paracetamol and cephalosporin drug groups, they experienced mainly vomiting along with some minor cases of hypertension, hepatotoxicity, and skin rashes. Conclusion: Our study clearly indicates that when a patient is co-administered a combination of both paracetamol and cephalosporin drug groups, the majority of the observed adverse drug reaction symptom is vomiting which is a signature adverse drug reaction symptom of cephalosporin drug group alone, indicating a clear predominance in symptoms of adverse drug reaction exhibited by cephalosporin drug group over paracetamol.
背景:药物或适当的药物治疗可作为预防人类几种暂时性或慢性疾病和生理状况的措施。但有时,药物会成为人类生活的祸根,而不是福音。某些药物的使用可能会对人体健康产生一些不良影响,如果不加以注意,甚至可能是致命的。这些反应通常被称为药物不良反应™。目的:在目前的研究中,我们的主要目的是探讨两种特定药物扑热息痛和头孢菌素在西孟加拉邦加尔各答三级医院联合或单独使用时的不良反应。材料和方法:我们的研究涉及一项以医院为基础的观察性研究,在为期6个月的时间里,医生报告的不良药物反应是在对扑热息痛和头孢菌素两组药物联合或单独使用时进行评估的。结果:本研究对100例患者分别给予扑热息痛和头孢菌素药物组或联合用药。其中36例出现肝毒性、低血压、贫血、呕吐、皮疹、史蒂文·约翰逊综合征等不良反应。药物不良反应在女性中比在男性中更常见。此外,中年人(15-65岁)在联合使用扑热息痛和头孢菌素药物时更容易发生药物不良反应。此外,当患者接受扑热息痛和头孢菌素联合用药组时,他们主要出现呕吐,并出现一些轻微的高血压、肝毒性和皮疹。结论:我们的研究清楚地表明,当患者同时使用扑热息痛和头孢菌素药物组时,观察到的药物不良反应症状以呕吐为主,呕吐是头孢菌素药物组的典型药物不良反应症状,表明头孢菌素药物组的药物不良反应症状明显优于扑热息痛。
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引用次数: 0
A Note on Medical Management of Uveitis 葡萄膜炎的医学处理
Pub Date : 2021-01-01 DOI: 10.35248/2329-6887.21.9.303
Apurupa Nedunuri
Uveitis is a moving illness to treat. Corticosteroids have been utilized in the treatment of uveitis for a long time. Immunosuppressives are acquiring force lately in the treatment of uveitis. In this article we present an outline of current treatment of uveitis and the significant discoveries and advances in medications and visual medication conveyance frameworks in the treatment of uveitis.
葡萄膜炎是一种难以治疗的疾病。长期以来,糖皮质激素一直被用于治疗葡萄膜炎。近年来,免疫抑制剂在葡萄膜炎的治疗中越来越受到重视。在这篇文章中,我们概述了目前葡萄膜炎的治疗方法,以及在治疗葡萄膜炎的药物和视觉药物输送框架方面的重大发现和进展。
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引用次数: 0
A Brief Note on Drug Safety Surveillance 药物安全监察简介
Pub Date : 2021-01-01 DOI: 10.35248/2329-6887.21.9.326
Mounika Rani Gude
*Correspondence to: Mounika Rani Gude, Department of Pharmacy, Global College of Pharmacy, Hyderabad, India, E-mail: monirani97 @gmail.com Received: July 7, 2021, Accepted: July 21, 2021, Published: July 28, 2021 Citation: Gude MR (2021) A Brief Note on Drug Safety Surveillance. J. Pharamacovigil. 9:326. doi-10.35248/2329-6887.21.9.326. Copyright: © 2021 Gude MR. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Pharmacovigilance is like a sunshade to describe the processes for monitoring and evaluating ADRs and it is a key component of effective drug regulation systems, clinical practice and public health programmes. The number of Adverse Drug Reactions (ADRs) reported resulted in an increase in the volume of data handled, and to understand the pharmacovigilance, a high level of expertise is required to rapidly detect drug risks as well as to defend the product against an inappropriate removal. This would consider litigious and important drug safety issues that have the potential to affect public health adversely beyond national boundaries. Recently, pharmacovigilance has been confined, mainly to detect adverse drug events that were previously either unknown or poorly understood. Today many pharmacovigilance centers are working for drug safety monitoring in this global pitch, however, at the turn of the millennium pharmacovigilance faces major challenges in aspect of better safety and monitoring of drugs [1].
*通讯作者:Mounika Rani Gude, Global College of Pharmacy, Hyderabad, India, E-mail: monirani97 @gmail.com收稿日期:2021年7月7日,收稿日期:2021年7月21日,发表日期:2021年7月28日引文:Gude MR (2021) A Brief Note on Drug Safety Surveillance。法拉马科夜,9:326。doi: 10.35248/2329 6887.21.9.326。版权所有:©2021 Gude MR.这是一篇根据知识共享署名许可条款发布的开放获取文章,该许可允许在任何媒体上不受限制地使用、分发和复制,前提是注明原作者和来源。药物警戒就像一个遮阳伞,用来描述监测和评估不良反应的过程,它是有效的药物监管系统、临床实践和公共卫生规划的关键组成部分。报告的药物不良反应(adr)数量导致处理的数据量增加,并且为了了解药物警戒,需要高水平的专业知识来快速检测药物风险并保护产品免受不当移除。这将考虑诉讼和重要的药物安全问题,这些问题有可能对国界以外的公众健康产生不利影响。最近,药物警戒仅限于发现以前未知或知之甚少的药物不良事件。今天,许多药物警戒中心在全球范围内致力于药物安全监测,然而,在世纪之交,药物警戒面临着更好的药物安全性和监测方面的重大挑战[1]。
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引用次数: 0
Study Designs in Medicine 医学研究设计
Pub Date : 2021-01-01 DOI: 10.35248/2329-6887.21.9.318
Naresh Marlapudi
Observational studies can be defined as non-interventional and non-experimental. They do not contain any experiment or intervention methods. Investigated factors aren’t controlled, repetitions of events aren’t generally possible and randomisation facilities are limited in these studies. However, their results are largely consistent with real life. They can be classified as descriptive or analytical [1].
观察性研究可以定义为非干预性和非实验性研究。不包含任何实验或干预方法。被调查的因素不受控制,事件的重复通常不可能,随机化设施在这些研究中是有限的。然而,他们的结果在很大程度上与现实生活一致。它们可以分为描述性和分析性两类[1]。
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引用次数: 0
The Beginning of Pharmacovigilance in Bosnia and Herzegovina 波斯尼亚和黑塞哥维那药物警戒的开始
Pub Date : 2020-01-01 DOI: 10.35248/2329-6887.20.8.286
Kondza Martin, Tubic, Biljana, Muhovic, Dinka
Aims: The aims of this article are to present the impact of the pharmacovigilance performance improvement in Bosnia and Herzegovina on the reporting results gathered at the national pharmacovigilance database. Subjects and methods: Bosnia and Herzegovina is a country in Europe with a complicated political structure, the highest rate of unemployment and a low Gross Domestic Product. Although the Agency for Medicinal Products and Medical Devices of Bosnia and Herzegovina was established in 2009, with the Main Office for Pharmacovigilance as the national pharmacovigilance center, there were no activities and work in the field of pharmacovigilance. In 2017 several changes were made in the work of the Main Office such as: employment of an external expert for the work of pharmacovigilance, holding lectures and workshops, collecting and analyzing adverse drug reactions, signing various co-operations with professional chambers and health institutions forwarding reports to the World Health Organization and writing annual reports. Results: These changes showed an increase in the collected adverse drug reactions by 130% and 28% on an annual level for 2017 and 2018, respectively. Bosnia and Herzegovina became a full member of the Uppsala Monitoring Center, a global office for drug monitoring by the World Health Organization. Conclusion: Bosnia and Herzegovina can be used as an example for developing a sustainable pharmacovigilance system in countries with low economical standards.
目的:本文的目的是介绍波斯尼亚和黑塞哥维那药物警戒绩效改进对国家药物警戒数据库收集的报告结果的影响。研究对象和方法:波斯尼亚和黑塞哥维那是欧洲一个政治结构复杂、失业率最高、国内生产总值较低的国家。虽然波斯尼亚和黑塞哥维那医药产品和医疗器械管理局于2009年成立,并以药物警戒总办事处作为国家药物警戒中心,但在药物警戒领域没有开展任何活动和工作。2017年,总办公室的工作发生了一些变化,例如:聘请外部专家从事药物警戒工作,举办讲座和研讨会,收集和分析药物不良反应,与专业商会和卫生机构签署各种合作协议,向世界卫生组织转发报告,编写年度报告。结果:这些变化显示,2017年和2018年收集到的药物不良反应数量分别较上年增长130%和28%。波斯尼亚和黑塞哥维那成为乌普萨拉监测中心的正式成员,该中心是世界卫生组织负责药物监测的全球办事处。结论:波黑可作为低经济标准国家建立可持续药物警戒系统的范例。
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引用次数: 0
Proactive Pharmacovigilance of Unani drugs; Prospects and Challenges Unani药物的主动药物警戒;前景与挑战
Pub Date : 2020-01-01 DOI: 10.35248/2329-6887.20.8.285
P. Dar, Nahida Rashid, S. A. Rather, Farooq A Dar, Shabir A Parray d, I. Hussain, S. F. Iqbal
Ethnopharmacological relevance: Traditionally herbal (Unani) medicines are considered to be safe for therapeutic usage without any major harmful effects. However, besides beneficial therapeutic effects several suspected adverse effects have been reported in the literature as well asclinical practice that inter alia include hepatotoxicity, renal failure and allergic reactions. Since the safety of patients remains central to any kind of therapy, it becomes imperative for the relevant regulatory authorities to take appropriate measures required to safeguard the public health by ensuring that all herbal medicines are safe, effective and of standard quality. Therefore, the role of pharmacovigilance in Unani medicine is essential to determine which adverse effects cross the line of a drug�??s efficacy and safe therapeutic use. For safe and effective use of Unani drugs, constant vigil and monitoring is required for each medicine throughout its life cycle. This review aims to provide a systematic summary on the importance, gaps, challenges and prospects of pharmacovigilance in the Unani system of medicine. Materials and methods: Relevant literature regarding pharmacovigilance of traditional system of medicine including Unani drugs was retrieved from databases like Web of Science, Google Scholar, Baidu Scholar, Springer, PubMed, SciFinder and ScienceDirect. Information was also collected from classic books of Unani medicine and conference papers on pharmacovigilance of herbal drugs. Results: In order to achieve operational competence in the development of pharmacovigilance for Unani drugs and for the best practice model for Unani medicine, a systematic analysis of the areas to be focussed upon and the challenges ahead, starting from proper nomenclature of Unani drugs, cultivation, procurement, drying, transportation, processing, labelling and dispensing was undertaken. All the crucial areas were identified and an understanding for the recognition and management of adverse reactions due to Unani drugs was developed. Conclusions: Pharmacovigilance is a process of identification, documentation and monitoring of adverse drug reaction of selected medicine and reporting to the regulatory body, so that appropriate decisions can be made for the protection of public health. Herbal (Unani) medicines are generally considered as safe medicine, however several case reports of adverse drug reactions have been reported, so they need consistent monitoring for adverse effects. In this regard, this review will provide an insight for the need of the pharmacovigilance and regulation of Unani drugs including their procurement, processing, manufacturing, dispensing and formulation of a comprehensive policy for effective pharmacovigilance of these drugs.
民族药理学相关性:传统草药(Unani)药物被认为是安全的治疗用途,没有任何主要的有害影响。然而,除了有益的治疗效果外,文献和临床实践中也报道了一些可疑的不良反应,包括肝毒性、肾衰竭和过敏反应。由于病人的安全仍然是任何一种治疗的核心,有关监管当局必须采取必要的适当措施,确保所有草药安全、有效和质量标准,以保障公众健康。因此,在Unani医学中,药物警戒的作用对于确定哪些不良反应越过药物的界限至关重要。S疗效和安全的治疗使用。为了安全有效地使用Unani药物,需要对每一种药物在其整个生命周期内进行持续的监视和监测。这篇综述的目的是对Unani医学系统中药物警戒的重要性、差距、挑战和前景进行系统总结。材料与方法:从Web of Science、Google Scholar、百度Scholar、Springer、PubMed、SciFinder、ScienceDirect等数据库检索包括Unani药物在内的传统医学体系药物警戒相关文献。还从乌干达医学经典书籍和关于草药药物警戒的会议论文中收集了信息。结果:为了在乌纳尼药物的药物警戒发展和乌纳尼药物的最佳实践模式方面取得业务能力,从乌纳尼药物的适当命名、种植、采购、干燥、运输、加工、标签和分发开始,对需要重点关注的领域和未来的挑战进行了系统分析。确定了所有关键领域,并对Unani药物引起的不良反应的识别和管理有了了解。结论:药物警戒是对选定药物的不良反应进行识别、记录和监测并向监管机构报告的过程,以便作出适当的决定,以保护公众健康。草药(Unani)通常被认为是安全的药物,但是已经报告了一些药物不良反应的病例报告,因此需要持续监测它们的不良反应。在这方面,本综述将深入了解Unani药物的药物警戒和监管需求,包括其采购、加工、制造、分发和制定有效药物警戒的综合政策。
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引用次数: 0
Vitamin D Deficiency and COVID-19: A review on the combined challenges of the older adults in low resource settings 维生素D缺乏与COVID-19:低资源环境中老年人面临的综合挑战综述
Pub Date : 2020-01-01 DOI: 10.35248/2329-6887.20.8.281
T. Azeez
*Corresponding Author: Taoreed Azeez, Endocrinology, Metabolism and Diabetes Unit, Department of Medicine, University College Hospital, Ibadan, Nigeria Email: adegokegalaxy@yahoo.com, +2347035728747 Received: June 15, 2020; Accepted: June 30, 2020; Published: July 8, 2020 Citation: Taoreed Azeez (2020) Vitamin D deficiency and COVID-19: A review on the combined challenges of the older adults in low resource settings. J Pharamacovigil. 8:281. doi-10.35248/2329-6887.20.8.281. Copyright: ©2020 Taoreed Azeez. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Coronavirus disease 2019 (COVID-19) is a viral infection caused by severe acute respiratory syndrome coronavirus-2 (SARS CoV-2) [1]. It was first reported in Wuhan city, China but it has now been declared as a pandemic by the World Health Organization (WHO). The virus is transmitted mainly by respiratory droplets. The common clinical presentations are fever, dry cough, generalized body aches, sore throat and abdominal symptoms and the treatment is mainly supportive. It affects both high resource and low resource nations. Managing COVID-19 has put a tremendous strain on health care infrastructure and this is even more pronounced in low resource settings.
*通讯作者:Taoreed Azeez,尼日利亚伊巴丹大学学院医院内科内分泌、代谢和糖尿病科电子邮件:adegokegalaxy@yahoo.com, +2347035728747收稿日期:2020年6月15日;录用日期:2020年6月30日;Taoreed Azeez(2020)维生素D缺乏症和COVID-19:低资源环境中老年人的综合挑战综述。[J] .药理学杂志。8:281。doi: 10.35248/2329 6887.20.8.281。版权所有:©2020 Taoreed Azeez。这是一篇根据知识共享署名许可协议发布的开放获取文章,该协议允许在任何媒体上不受限制地使用、分发和复制,前提是要注明原作者和来源。冠状病毒病2019 (COVID-19)是由严重急性呼吸综合征冠状病毒-2 (SARS - CoV-2)引起的病毒感染[1]。该病毒最初在中国武汉市被报道,但现在已被世界卫生组织(WHO)宣布为大流行。这种病毒主要通过呼吸道飞沫传播。常见临床表现为发热、干咳、全身疼痛、喉咙痛、腹部症状,治疗以支持为主。它既影响高资源国家,也影响低资源国家。应对COVID-19给卫生保健基础设施带来了巨大压力,这在资源匮乏的环境中更为明显。
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引用次数: 1
Medication Errors during Pregnancy 孕期用药错误
Pub Date : 2020-01-01 DOI: 10.35248/2329-6887.20.8.293
V. Vardhan
The concern almost medicine utilize during pregnancy was prompted by verifiable occasions such as the thalidomide tragedy which had come about in birth defects and fetal passing’s in thousands of babies. Medicines utilized during this period may cross the placenta and reach the foetus, depending on their lipophilicity, molecular estimate, concentration and metabolic pathway.
对怀孕期间药物使用的担忧是由一些可证实的事件引起的,比如沙利度胺悲剧,它导致了成千上万的婴儿出生缺陷和胎儿死亡。在此期间使用的药物可能会通过胎盘到达胎儿,这取决于它们的亲脂性、分子估计、浓度和代谢途径。
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引用次数: 0
Knowledge and Attitude about Pharmacovigilance: A Cross-sectionalStudy Involving Pharmacy Students of Selected Universities inBangladesh 药物警戒的知识和态度:一项涉及孟加拉国选定大学药学学生的横断面研究
Pub Date : 2020-01-01 DOI: 10.35248/2329-6887.20.8.289
S. Neelotpol, Marzia Alam, S. Mimmi, Hamza Albee
Purpose: Now-a-days, the role of Pharmacists has become more patient-centric that includes drug safety by preventing, identifying, documenting, and reporting of adverse drug reactions (ADRs). The objective of this study was to evaluate the knowledge of pharmacy undergraduate and graduate students of Bangladesh towards pharmacovigilance (PV) and their attitude on reporting of ADRs. Methods: A cross-sectional study was conducted by distributing a pretested questionnaire. The randomly selected participants of undergraduate and graduate pharmacy students from both public and private universities of Dhaka city, Bangladesh took part in the study. The data were analyzed by using Statistical Package for Social Science (SPSS) for calculating descriptive statistics; the Pearson's Chi-square (χ2) test was performed to observe any significant difference between the public and private university students’ response. Results: Among the participants (n=504), 36% and 52% students gave the correct definition of PV and ADRs, respectively. Among the correct answer givers, most of the students were from public universities (p=0.01). The results to assess the attitude of the students suggested that about three quarters of participants thought that reporting of ADRs is a professional obligation. However, surprisingly 65% students believed they were not well prepared to report any ADRs with their present knowledge. Conclusion: From the study we concluded that the pharmacy students had a positive attitude towards PV, however, their knowledge was inadequate for PV implementation in professional life. Thus to improve the overall ADR reporting in Bangladesh it is imperative for the future graduates to be well equipped with PV knowledge.
目的:如今,药剂师的角色已经变得更加以患者为中心,包括通过预防,识别,记录和报告药物不良反应(adr)的药物安全。本研究的目的是评估孟加拉国药学本科生和研究生对药物警戒(PV)的知识和他们对adr报告的态度。方法:采用预测问卷法进行横断面研究。随机选择来自孟加拉国达卡市公立和私立大学的药学本科生和研究生参加了这项研究。采用SPSS (Statistical Package for Social Science)进行描述性统计分析;采用Pearson卡方(χ2)检验观察公立和私立大学学生的反应是否有显著差异。结果:在504名参与者中,分别有36%和52%的学生给出了PV和adr的正确定义。在回答正确的学生中,公立大学的学生占多数(p=0.01)。评估学生态度的结果表明,大约四分之三的参与者认为报告不良反应是一种职业义务。然而,令人惊讶的是,65%的学生认为,以他们目前的知识,他们没有准备好报告任何不良反应。结论:从研究中我们得出药学专业学生对PV的态度是积极的,但他们在职业生活中实施PV的知识不足。因此,为了提高孟加拉国整体ADR报告水平,未来的毕业生必须具备光伏知识。
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引用次数: 0
期刊
Journal of Pharmacovigilance
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