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Mohammad-Reza Rouini, Minoo Afshar
AIM OF THE STUDY: Propafenone (PPF) is an antiarrhythmic drug, metabolized mainly by CYP2D6 to 5-hydroxypropafenone (5OH-PPF) and by CYP3A4 to norpropafenone (NOR-PPF). CYP2D6 shows a high degree of genetic polymorphism which is associated with diminished antiarrhythmic efficacy or cardiac seizures/cardiotoxicity. This study aimed to investigate the effect of the CYP2D6 polymorphism on the pharmacokinetics of PPF and its two main metabolites. The usefulness of PPF/5OH-PPF ratio for CYP2D6 phenotyping in healthy adults was also evaluated...
December 19, 2016: Thérapie
Farid Kheloufi, Anne Default, Olivier Blin, Joelle Micallef
AIM OF THE STUDY: Health-related networks like patient health forums may be considered as potential sources of information to early detect pharmacovigilance issues or complete data on drug safety. However, the clinical and pharmacological relevancy of such a source has not been clearly explored. We aimed to describe the characteristics and the informativeness level of Internet narratives posted by patients and mentioning adverse drug reactions (ADRs) related to statins. METHODS: A retrospective cross-sectional study was conducted on an Internet website dedicated to share experience on medicines...
December 9, 2016: Thérapie
Nicolas Martelli, Cyril Puc, Karine Szwarcensztein, Régis Beuscart, Hélène Coulonjou, Albane Degrassat-Théas, Camille Dutot, Anne-Aurélie Epis de Fleurian, Florence Favrel-Feuillade, Iliona Hounliasso, Philippe Lechat, Emmanuel Luigi, Laurent Mairot, Thao Nguyen, Laurent Piazza, Christophe Roussel, Cécile Vienney
No abstract text is available yet for this article.
December 9, 2016: Thérapie
Sophie Ravoire, Marie Lang, Elena Perrin
No abstract text is available yet for this article.
December 6, 2016: Thérapie
Kossi Akomola Sabi, Béfa Noto Kadou Kaza, Eyram Yoan Amekoudi, Aklesso Bagny, Jacques Vigan, Dazé Apollinaire Gnionsahe
No abstract text is available yet for this article.
December 6, 2016: Thérapie
Stéphanie Pain, François Chavant, Bernard Fauconneau, Jérémy Guenezan, Nicolas Marjanovic, Jean-Yves Lardeur, Bertrand Brunet, Marie-Christine Perault-Pochat
No abstract text is available yet for this article.
December 2, 2016: Thérapie
Fabrice Vérité, Joëlle Micallef
We report the case of a 32-year-old man who developed acute psychiatric disorders after repeated intravenous injections of methylphenidate. The behavioural disorders with extreme psychomotor restlessness and delirious syndrome have resolved within 24hours. The available data highlight the fact that the prescriptions of methylphenidate, an amphetamine-like substance, are constantly increasing in Europe and Northern America. The potential of abuse and addiction to this drug, which is growingly misused, is now clearly established...
November 24, 2016: Thérapie
Delphine Bourneau-Martin, Renaud Blanchard, Anne-Bérangère Beucher, Guillaume Drablier, Laurence Lagarce, Pascale Lainé-Cessac
No abstract text is available yet for this article.
November 11, 2016: Thérapie
Sana Mokni, Nadia Fetoui Ghariani, Amina Aounallah, Neila Fathallah, Lobna Boussofara, Wafa Saidi, Chaker Ben Salem, Badreddine Sriha, Colendane Belajouza, Mohamed Denguezli, Najet Ghariani, Rafiaa Nouira
No abstract text is available yet for this article.
November 10, 2016: Thérapie
Geneviève Durrieu, Julien Jacquot, Dominique Baudrin, Mathilde Mège, Vanessa Rousseau, Haleh Bagheri, Emmanuelle Bondon-Guitton, Delphine Abadie, François Montastruc, Michel Bismuth, Stéphane Oustric, Jean-Louis Montastruc
The main limitation of adverse drug reactions (ADRs) reporting, particularly by general practitioners (GP), to the regional pharmacovigilance centers is under-reporting. The Midi-Pyrénées Regional Pharmacovigilance Center (South western, France) sets up regular visits by a clinical research assistant (CRA) to GP in order to increase the number of ADR reports. The aim of this pilot study was to assess the effect of regular visits of a CRA in GPs offices on the rate of ADR reporting. After one year, CRA visits permit a two-fold increase in ADR reporting...
October 27, 2016: Thérapie
Mathilde Salgues, Christine Damase-Michel, Jean-Louis Montastruc, Isabelle Lacroix
Many trials have shown that folic acid supplementation before and during pregnancy reduces the risk of neural tube defects in general population. We investigated the knowledge of folic acid in women of child-bearing age. Women of child-bearing age were interviewed by 20 pharmacists living in Haute-Garonne between January and February 2014. One hundred ninety-six women were included in the present study. Out of them, 36% of women never heard of folic acid and 82% were not aware of its benefits. Knowledge was higher in older women, women in a couple and women with higher educational level (P<10(-2))...
October 27, 2016: Thérapie
Damien Sémely, Emily Bennett, Christine Vallejo, Franck Saint-Marcoux, Louis Merle, Yves Nouaille, Gérard Lachâtre, Marie-Laure Laroche
OBJECTIVE: Metformin-associated lactic acidosis (MALA) is a rare but serious adverse reaction with a mortality rate of up to 50%. Unfortunately, diagnosis and care management are often delayed. The objective was to assess the impact on the mortality rate and length of hospital stay of a MALA early diagnosis procedure in diabetic patients with metformin at emergency department (ED) admission. METHOD: From 1/7/2012, a new MALA diagnosis procedure (pH, lactate, metformin) was implemented in all diabetic patients with metformin just after their admission to the ED...
December 2016: Thérapie
Zoubir Djerada, Georges Brousse, Philippe Niel, Pierre-Michel Llorca, Alain Eschalier, Danièle Bentue-Ferrer, Fréderic Libert
Olanzapine, atypical antipsychotic, is used to treat schizophrenia and bipolar disorder. Its therapeutic drug monitoring (TDM) is quite commonly done. Olanzapine is well absorbed orally (bioavailability: 85 %), with peak plasma occurring between 4 and 6hours after oral administration. It is extensively metabolized by different hepatic enzymes (including CYP1A2 and CYP2D6 isoforms) to a large number of inactive metabolites, and its half-life is between 30 and 60hours. No specific therapeutic range, or threshold concentration could not be a consensus, but the higher intra- and interindividual variability, as well as the existence of studies suggesting a correlation between circulating concentrations of olanzapine and occurrence of therapeutic relapse or toxic phenomena appear to justify the STP for this molecule...
October 25, 2016: Thérapie
Pierre-Géraud Claret, Xavier Bobbia, Rhoda Renia, Andrew Stowell, Jacques Crampagne, Jean Flechet, Christian Czeschan, Mustapha Sebbane, Paul Landais, Jean-Emmanuel de La Coussaye
OBJECTIVES: Adverse drug events are the sixth-leading cause of death in Western countries and are also more frequent in emergency departments (EDs). In some hospitals or on some occasions, ED physicians prescribe for patients who they have admitted. These prescriptions are then followed by the wards and can persist for several days. Our objectives were to determine the frequency of prescription errors for patients over 18years old hospitalized from ED to medical or surgical wards, and whether there exists a relationship between those prescription errors and ED LOS...
October 25, 2016: Thérapie
Ons Charfi, Ghozlane Lakhoua, Rym Sahnoun, Sihem El Aidli, Riadh Daghfous, Sarrah Kastalli, Ahmed Zaïem
No abstract text is available yet for this article.
October 19, 2016: Thérapie
Aurélie Morand, Vincent Barlogis, Frank Rouby, Rachel Reynaud, Céline Marrec, Gérard Michel
No abstract text is available yet for this article.
October 19, 2016: Thérapie
Elodie Farnier, Nicolas Charhon, Laurence Papillon, Michel Tod
No abstract text is available yet for this article.
October 19, 2016: Thérapie
Sandra Nordmann, Thomas Nefau, Joëlle Micallef, Catherine Duplessy, Jean-Christophe Catusse, Elisabeth Frauger
OBJECTIVE: The aim of this study is to analyze the residual content of used syringes. METHODS: Used syringes were collected in March 2014 at 9 sites in Marseille (automatic injection kit dispensers, streets, drug-user risk reduction centers [Centres d'accueil et d'accompagnement à la réduction de risques pour usagers de drogues [CAARUD]). Several substances (n=28) were investigated using liquid chromatography and mass spectrometry method. RESULTS: On average, 2±1 substances in each syringe were found among 254 syringes analyzed...
October 19, 2016: Thérapie
Inès Masmoudi, Valérie Gras-Champel, Dominique Barbieux-Vaquez, Kamel Masmoudi
No abstract text is available yet for this article.
October 15, 2016: Thérapie
Catherine Cornu, Anne Donche, Carine Coffre, Amélie Le Gouge, Boulkedid Rym, Isabelle Vaugier, Frédéric Barbot, Alain Leizorovicz, Nadine Juge, Céline Giraud, François Gueyffier, Alexandra Félin, Thibault Mura, Hugues Chevassus, Christine Binquet
CONTEXT: Clinical studies involve an increasing amount of data collection and management. However, there is no specific quality standard sufficiently practical, in free access, and open for data management and the underlying IT-infrastructure in academic units. European Clinical Research Infrastructures Network (ECRIN) published standard requirements for certified data management units. We present a French version of these standards. METHODS: A group of experts produced the standards, by consensus...
October 13, 2016: Thérapie
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