Investigating the link between drug consumption and adverse events reporting in France

Fundam Clin Pharmacol. 2023 Aug;37(4):879-882. doi: 10.1111/fcp.12893. Epub 2023 Mar 17.

Abstract

The objective of this study is to examine the potential association between drug use and adverse event reporting in France. A number of drug users and cases reported were extracted from the French Health Care Insurance database (Open Medic) and the French pharmacovigilance database. We performed two separate mixed-effect models (with a drug used or reporting rate as dependent variables) with a random intercept for drug classes. We selected 62 drugs from 10 drug classes, for which 177 364 cases were reported in the French pharmacovigilance database in 2020. The results showed a strong association between drug users and the number of reported cases in France among each drug class (P < 0.01). Within a drug class, the number of reported cases is, therefore, a proxy for the exposure to a given drug in the population. This finding could be useful to approximate and compare drug exposure from pharmacovigilance databases.

Keywords: adverse drug reactions; clinical pharmacology; drug utilization; epidemiology; pharmacovigilance.

MeSH terms

  • Adverse Drug Reaction Reporting Systems*
  • Databases, Factual
  • Drug-Related Side Effects and Adverse Reactions* / epidemiology
  • Drug-Related Side Effects and Adverse Reactions* / etiology
  • France / epidemiology
  • Humans
  • Pharmacovigilance

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