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2015 ; 350
(ä): h2388
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gab.com Text
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English Wikipedia
Varenicline and risk of psychiatric conditions, suicidal behaviour, criminal
offending, and transport accidents and offences: population based cohort study
#MMPMID26037950
Molero Y
; Lichtenstein P
; Zetterqvist J
; Gumpert CH
; Fazel S
BMJ
2015[Jun]; 350
(ä): h2388
PMID26037950
show ga
OBJECTIVE: To examine associations between varenicline and the incidence of a
range of adverse outcomes. DESIGN: Population based cohort study using within
person analyses to control for confounding by indication. SETTING: Whole
population of Sweden. PARTICIPANTS: 7,917,436 people aged 15 and over, of whom
69,757 were treated with varenicline between 2006 and 2009. MAIN OUTCOME
MEASURES: Incidence of new psychiatric conditions, suicidal behaviour, suspected
and convicted criminal offending, transport accidents, and suspected and
convicted traffic offences. RESULTS: In the whole population, 337,393 new
psychiatric conditions were diagnosed during follow-up. In addition, 507,823
suspected and 338,608 convicted crimes, 40,595 suicidal events, 124,445 transport
accidents, and 99,895 suspected and 57,068 convicted traffic crimes were
recorded. Within person analyses showed that varenicline was not associated with
significant hazards of suicidal behaviour, criminal offending, transport
accidents, traffic offences, or psychoses. However, varenicline was associated
with a small increase in the risk of anxiety conditions (hazard ratio 1.23, 95%
confidence interval 1.01 to 1.51) and mood conditions (1.31, 1.06 to 1.63), which
was only seen in people with pre-existing psychiatric disorders. CONCLUSIONS:
Concerns that varenicline is associated with an increased risk of many adverse
outcomes, including suicidality and accidents, are not supported in this
observational study. The small increase in risk of two psychiatric conditions in
people with pre-existing psychiatric disorders needs to be confirmed using other
research designs.
|Accidents, Traffic/*statistics & numerical data
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Aged
[MESH]
|Benzazepines/*adverse effects
[MESH]
|Cohort Studies
[MESH]
|Crime/*statistics & numerical data
[MESH]
|Epidemiologic Methods
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Male
[MESH]
|Mental Disorders/*chemically induced
[MESH]
|Middle Aged
[MESH]
|Nicotinic Agonists/*adverse effects
[MESH]
|Quinoxalines/*adverse effects
[MESH]
|Smoking Cessation/statistics & numerical data
[MESH]