Paper Details 
Original Abstract of the Article :
OBJECTIVES: Concerns have been raised regarding neuropsychiatric adverse drug reactions of integrase inhibitors (INSTIs) in patients living with HIV. The aim of this study was to assess the risk of depression and suicidality reporting with INSTIs based on a global pharmacovigilance database. METHOD...See full text at original site
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引用元:
https://doi.org/10.1093/jac/dkad187

データ提供:米国国立医学図書館(NLM)

Integrase Inhibitors and Neuropsychiatric Side Effects: A Global Pharmacovigilance Study

The world of HIV treatment has witnessed remarkable advancements in recent years, with integrase inhibitors (INSTIs) emerging as powerful weapons in the fight against the virus. However, like all medications, INSTIs can have side effects, and this study delves into the potential neuropsychiatric risks associated with these drugs. The researchers conducted a global pharmacovigilance study, analyzing data from the World Health Organization's (WHO) VigiBase database, a repository of individual case safety reports. Their findings suggest a potential link between INSTIs and an increased risk of depression and suicidality. The study reveals a higher reporting rate of depression and suicidality in patients treated with INSTIs compared to other antiretroviral therapies (ARTs), with dolutegravir appearing to be particularly associated with suicidality.

Navigating the Side Effects: A Desert Oasis of Careful Monitoring

Imagine a traveler crossing a vast desert, facing the challenges of dehydration, scorching heat, and unpredictable sandstorms. Similarly, patients living with HIV face their own desert, battling the relentless effects of the virus. INSTIs offer a glimmer of hope in this arid landscape, but their use must be carefully monitored. This research highlights the potential risks associated with these drugs, particularly the increased reporting of depression and suicidality. It emphasizes the importance of close monitoring for neuropsychiatric side effects, especially during the initial months of treatment.

A Balancing Act: Managing Benefits and Risks

The effectiveness of INSTIs in combating HIV is undeniable, but it is essential to be aware of the potential neuropsychiatric side effects. Patients and healthcare providers must work together to navigate this complex terrain, balancing the benefits of treatment with the need for close monitoring. This study reminds us that even in the most advanced medical fields, vigilance and a comprehensive understanding of the potential risks and benefits are essential for patient well-being.

Dr.Camel's Conclusion

This research underscores the importance of vigilant monitoring for neuropsychiatric side effects in patients treated with INSTIs. While these drugs offer significant benefits in HIV treatment, careful observation and proactive management of potential risks are crucial to ensuring patient safety and well-being.

Date :
  1. Date Completed 2023-08-03
  2. Date Revised 2023-08-03
Further Info :

Pubmed ID

37311223

DOI: Digital Object Identifier

10.1093/jac/dkad187

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SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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