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10.1007/s40264-020-00955-y

http://scihub22266oqcxt.onion/10.1007/s40264-020-00955-y
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32495148!7269161!32495148
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suck abstract from ncbi


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pmid32495148      Drug+Saf 2020 ; 43 (7): 657-660
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  • A New Drug-Drug Interaction Between Hydroxychloroquine and Metformin? A Signal Detection Study #MMPMID32495148
  • Montastruc JL; Toutain PL
  • Drug Saf 2020[Jul]; 43 (7): 657-660 PMID32495148show ga
  • INTRODUCTION: Hydroxychloroquine was recently promoted in patients infected with COVID-19 infection. A recent experimental study has suggested an increased toxicity of hydroxychloroquine in association with metformin in mice. OBJECTIVE: The present study was undertaken to investigate the reality of this putative drug-drug interaction between hydroxychloroquine and metformin using pharmacovigilance data. METHODS: Using VigiBase((R)), the WHO pharmacovigilance database, we performed a disproportionality analysis (case/non-case study). Cases were reports of fatal outcomes with the drugs of interest and non-cases were all other reports for these drugs registered between 1 January 2000 and 31 December 2019. Data with hydroxychloroquine (or metformin) alone were compared with the association hydroxychloroquine + metformin. Results are reported as ROR (reporting odds ratio) with their 95% confidence interval. RESULTS: Of the 10,771 Individual Case Safety Reports (ICSR) involving hydroxychloroquine, 52 were recorded as 'fatal outcomes'. In comparison with hydroxychloroquine alone, hydroxychloroquine + metformin was associated with an ROR value of 57.7 (23.9-139.3). In comparison with metformin alone, hydroxychloroquine + metformin was associated with an ROR value of 6.0 (2.6-13.8). CONCLUSION: Our study identified a signal for the association hydroxychloroquine + metformin that appears to be more at risk of fatal outcomes (particularly by completed suicides) than one of the two drugs when given alone.
  • |*Coronavirus Infections/diagnosis/drug therapy/epidemiology[MESH]
  • |*Drug Interactions[MESH]
  • |*Drug Therapy, Combination/adverse effects/mortality[MESH]
  • |*Hydroxychloroquine/pharmacokinetics/therapeutic use[MESH]
  • |*Metformin/pharmacokinetics/therapeutic use[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral/diagnosis/drug therapy/epidemiology[MESH]
  • |Adult[MESH]
  • |Adverse Drug Reaction Reporting Systems/statistics & numerical data[MESH]
  • |Betacoronavirus/isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Hypoglycemic Agents/pharmacokinetics/therapeutic use[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pharmacovigilance[MESH]


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