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Analysis of Drug-Induced Liver Injury from Bofutsushosan Administration Using Japanese Adverse Drug Event Report (JADER) Database.
Ishida, Tomoaki; Kawada, Kei; Jobu, Kohei; Kawazoe, Tetsushi; Tamura, Naohisa; Miyamura, Mitsuhiko.
Afiliación
  • Ishida T; Department of Pharmacy, Kochi Medical School Hospital.
  • Kawada K; Department of Pharmacy, Kochi Medical School Hospital.
  • Jobu K; Graduate School of Integrated Arts and Sciences, Kochi University.
  • Kawazoe T; Department of Pharmacy, Kochi Medical School Hospital.
  • Tamura N; Department of Pharmacy, Kochi Medical School Hospital.
  • Miyamura M; Graduate School of Integrated Arts and Sciences, Kochi University.
Biol Pharm Bull ; 45(4): 460-466, 2022.
Article en En | MEDLINE | ID: mdl-35370270
Bofutsushosan is a traditional Japanese Kampo medicine. In recent years, it has been reported to be effective in the treatment of lifestyle-related diseases, and its use is increasing. However, side effects from bofutsushosan administration are common, with drug-induced liver injury being the most frequently reported complication. In this study, we analyzed the Japanese Adverse Drug Event Report (JADER) database regarding the occurrence of liver injury after bofutsushosan administration. The results showed that bofutsushosan presented a significant reporting odds ratio (ROR) signal [crude ROR 14, 95% confidence interval (CI) 12-17; p < 0.001], indicating liver injury. Furthermore, the incidents of adverse events following bofutsushosan administration, as recorded in the JADER database, were higher in women aged between 30 and 59 years. The results of logistic regression analysis in patients taking this agent showed that females in the aforementioned age range had higher odds of developing drug-induced liver injury (adjusted ROR 5.5, 95% CI 2.8-11; p < 0.001). Therefore, although bofutsushosan is a useful drug for lifestyle-related diseases, it may be necessary to refrain from its overuse, and caution should be taken during its occasional use to avoid severe adverse events.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos / Enfermedad Hepática Inducida por Sustancias y Drogas Tipo de estudio: Etiology_studies Límite: Adult / Female / Humans / Middle aged País/Región como asunto: Asia Idioma: En Revista: Biol Pharm Bull Asunto de la revista: BIOQUIMICA / FARMACOLOGIA Año: 2022 Tipo del documento: Article Pais de publicación: Japón

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos / Enfermedad Hepática Inducida por Sustancias y Drogas Tipo de estudio: Etiology_studies Límite: Adult / Female / Humans / Middle aged País/Región como asunto: Asia Idioma: En Revista: Biol Pharm Bull Asunto de la revista: BIOQUIMICA / FARMACOLOGIA Año: 2022 Tipo del documento: Article Pais de publicación: Japón