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美国与其他国家药物戒断过程的比较。

Comparison of Drug Withdrawal Processes in the U.S. and Other Nations.

作者信息

Patel Hinal, Wertheimer Albert, Ding Qian

机构信息

Ferris State University College of Pharmacy.

College of Pharmacy, Nova Southeastern University.

出版信息

Innov Pharm. 2021 Jun 10;12(3). doi: 10.24926/iip.v12i3.3939. eCollection 2021.

DOI:10.24926/iip.v12i3.3939
PMID:35601589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9120009/
Abstract

Medications have been withdrawn from as early as the 1900's in several countries due to a variety of reasons. Most drugs have been withdrawn due to safety, efficacy, manufacturing issues, or the toxicities they address. While safety and efficacy of each new drug is taken into account, so is the process of drug withdrawal. Worldwide each country has its own medical agency which have different approaches on drug discovery and method of removal from the market. This removal process is simpler in several nations while more prolonged in others. Nevertheless, we still don't know an effective method of drug removal from the market and therefore that is the focus of this paper. This paper explores the drug withdrawal process in several countries due to hepatic and cardiovascular toxicities using the WITHDRAWN database. It also summarizes and compares the drug removal processes in the U.S., Australia, UK, EU, and Canada. Consequently, there was no data or evidence that supported one country more favorable or rapid than the other. However, based on the results from drug withdrawal processes, it appeared the U.S., UK, and EU were most comparable. Meanwhile, Australia appeared to have the lengthiest process.

摘要

早在20世纪初,一些国家就因各种原因撤回了药物。大多数药物被撤回是由于安全性、有效性、生产问题或它们所针对的毒性。虽然每种新药的安全性和有效性都被考虑在内,但药物撤回过程也是如此。在全球范围内,每个国家都有自己的医疗机构,它们在药物研发和从市场上撤药的方法上有不同的做法。在一些国家,这个撤药过程比较简单,而在其他国家则比较漫长。然而,我们仍然不知道一种有效的从市场上撤药的方法,因此这就是本文的重点。本文利用“撤回药物”数据库探讨了几个国家因肝脏和心血管毒性而进行的药物撤回过程。它还总结并比较了美国、澳大利亚、英国、欧盟和加拿大的药物撤药过程。因此,没有数据或证据表明一个国家比另一个国家更有利或撤药速度更快。然而,根据药物撤回过程的结果,美国、英国和欧盟似乎最为相似。与此同时,澳大利亚的撤药过程似乎最长。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f638/9120009/4ca173ef2946/21550417-12-3939-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f638/9120009/731a69c205ff/21550417-12-3939-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f638/9120009/cdbc0fafb351/21550417-12-3939-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f638/9120009/4ca173ef2946/21550417-12-3939-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f638/9120009/731a69c205ff/21550417-12-3939-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f638/9120009/cdbc0fafb351/21550417-12-3939-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f638/9120009/4ca173ef2946/21550417-12-3939-g003.jpg

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本文引用的文献

1
Post-marketing withdrawal of 462 medicinal products because of adverse drug reactions: a systematic review of the world literature.因药物不良反应导致462种药品上市后撤市:对世界文献的系统评价
BMC Med. 2016 Feb 4;14:10. doi: 10.1186/s12916-016-0553-2.
2
WITHDRAWN--a resource for withdrawn and discontinued drugs.撤回——关于撤市和停用药物的资源。
Nucleic Acids Res. 2016 Jan 4;44(D1):D1080-6. doi: 10.1093/nar/gkv1192. Epub 2015 Nov 8.
3
Thalidomide-induced teratogenesis: history and mechanisms.沙利度胺诱导的致畸作用:历史与机制
Birth Defects Res C Embryo Today. 2015 Jun;105(2):140-56. doi: 10.1002/bdrc.21096. Epub 2015 Jun 4.
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Drug recall: An incubus for pharmaceutical companies and most serious drug recall of history.药品召回:制药公司的梦魇以及史上最严重的药品召回事件
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Market withdrawal of new molecular entities approved in the United States from 1980 to 2009.1980 年至 2009 年美国批准的新分子实体的市场撤出。
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Thalidomide.沙利度胺
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From idea to market: the drug approval process.从想法到市场:药物审批流程。
J Am Board Fam Pract. 2001 Sep-Oct;14(5):362-7.