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药物诱发口吃:药物警戒数据。

Drug induced stuttering: pharmacovigilance data.

机构信息

Reims University Hospitals, Regional Centre for Pharmacovigilance and Pharmacoepidemiology, Reims, France.

Faculty of Medicine, University of Reims Champagne-Ardenne, Reims, France.

出版信息

Expert Opin Drug Saf. 2021 Mar;20(3):373-378. doi: 10.1080/14740338.2021.1867101. Epub 2020 Dec 27.

DOI:10.1080/14740338.2021.1867101
PMID:33337944
Abstract

: Stuttering is a speech disorder characterized by poor fluency of speech despite the speech production organs being normal. Numerous factors contribute to stuttering, and it may also be an iatrogenic effect of certain drugs. The aim of this study was to investigate the association between stuttering and drug exposure.: We investigated the association between drugs and stuttering. We analyzed reports in the World Health Organization global individual case safety reports database (Vigibase) up to 31 May 2020 with the MedDRA lower level terms 'stutter' and 'stuttering.' The association between a drug and the occurrence of the adverse drug reaction was estimated by disproportionality analysis. Reporting odds ratios (ROR) were calculated with 95% confidence intervals.: In total, 724 notifications were identified using the MedDRA terms selected. The main drugs implicated were methylphenidate (ROR = 19.58; 95% CI: 13.3-28.8), topiramate (ROR = 12.5; 95% CI: 7.1-22.1), olanzapine (ROR = 12; 95% CI: 8-17.9) and golimumab (ROR = 10.2; 95% CI: 5.5-19.1).: When stuttering occurs in a patient treated by drugs affecting neurotransmission, a drug-induced origin of the stutter should be considered.

摘要

口吃是一种言语障碍,其特点是言语流畅性差,尽管言语产生器官正常。许多因素可导致口吃,某些药物也可能是其医源性效应。本研究旨在探讨口吃与药物暴露之间的关系。

我们调查了药物与口吃之间的关系。我们分析了截至 2020 年 5 月 31 日世界卫生组织全球个体病例安全报告数据库(Vigibase)中使用 MedDRA 较低水平术语“口吃”和“口吃”的报告。通过不相称性分析估计药物与不良反应发生之间的关联。使用 95%置信区间计算报告比值比(ROR)。

总共使用选定的 MedDRA 术语确定了 724 份通知。主要涉及的药物为哌醋甲酯(ROR=19.58;95%CI:13.3-28.8)、托吡酯(ROR=12.5;95%CI:7.1-22.1)、奥氮平(ROR=12;95%CI:8-17.9)和戈利木单抗(ROR=10.2;95%CI:5.5-19.1)。

当接受影响神经递质的药物治疗的患者出现口吃时,应考虑药物引起的口吃。

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J Commun Disord. 2025 Jan-Feb;113:106475. doi: 10.1016/j.jcomdis.2024.106475. Epub 2024 Nov 19.
2
Drug-induced stuttering: A comprehensive literature review.药物性口吃:一项全面的文献综述。
World J Psychiatry. 2022 Feb 19;12(2):236-263. doi: 10.5498/wjp.v12.i2.236.
3
Drug-Induced Stuttering: Occurrence and Possible Pathways.药物性口吃:发生率及可能的发病机制
Front Psychiatry. 2021 Aug 25;12:692568. doi: 10.3389/fpsyt.2021.692568. eCollection 2021.