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Perino J, Demourgues M, Ramaroson H, Bezin J, Micallef J, Miremont-Salamé G, Frauger E, Gilleron V, Ong N, Daveluy A. Increase in hospitalisation-associated methadone intoxication in France following first COVID-19 lockdown. Public Health 2023; 223:1-6. [PMID: 37572562 DOI: 10.1016/j.puhe.2023.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 06/20/2023] [Accepted: 07/04/2023] [Indexed: 08/14/2023]
Abstract
OBJECTIVES At the beginning of the COVID-19 pandemic, the French Addictovigilance Network drew attention to the need to facilitate access to methadone while ensuring its safe use, in order to avoid the occurrence of overdoses and deaths. The objectives of the study were to assess the impact of the lockdowns on the incidence of methadone-use-related hospitalisations (MUHs) and describe the characteristics of patients and hospitalisations. STUDY DESIGN An interrupted time series using the unobserved components model was performed to predict the monthly incidence of MUHs in 2020 on the basis of previous years' data and compared with MUHs observed. Data were presented with prediction intervals (PI95%). METHODS This retrospective study was conducted on patients hospitalised in France for methadone between 2014 and 2020, using the French national database hospital discharge database. Patients' characteristics and hospitalisations were described over four periods: before lockdown, first lockdown, after first lockdown, and second lockdown. RESULTS Compared to the predictions, a higher incidence of MUH was found during the first lockdown, especially in March 2020 (66 cases vs. 51.3; PI95%: 34-65), and there was a large increase during the month following the end of the first lockdown (79 cases vs. 61; PI95%: 46-75). Coconsumptions (alcohol, cannabis, cocaine) were more frequent during the first lockdown, whereas patients aged over 30 years were more concerned thereafter. The second lockdown did not present any particularity. CONCLUSIONS The first lockdown had a significant impact on the incidence of MUHs. These results confirm the data from the reinforced national monitoring during first lockdown published in 2020, where methadone was the primary substance involved in overdoses and deaths.
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Affiliation(s)
- J Perino
- Service de Pharmacologie Médicale, CHU de Bordeauxx, Centre de Pharmacovigilance de Bordeaux, F-33000 Bordeaux, France; University Bordeaux, INSERM, BPH, U1219, CHU de Bordeaux, F-33000 Bordeaux, France
| | - M Demourgues
- Service de Pharmacologie Médicale, CHU de Bordeauxx, Centre de Pharmacovigilance de Bordeaux, F-33000 Bordeaux, France
| | - H Ramaroson
- Service d'Information Médicale, Unité de Coordination et d'Analyse de l'Information Médicale-département d'Information Médicale (UCAIM-DIM), CHU de Bordeaux, F-33000 Bordeaux, France
| | - J Bezin
- University Bordeaux, INSERM, BPH, U1219, CHU de Bordeaux, F-33000 Bordeaux, France
| | - J Micallef
- Centre d'Addictovigilance, Aix Marseille University, AP-HM, INSERM, Institute Neuroscience System, Service de Pharmacologie Clinique et Pharmacovigilance, Marseille, France
| | - G Miremont-Salamé
- Service de Pharmacologie Médicale, CHU de Bordeauxx, Centre de Pharmacovigilance de Bordeaux, F-33000 Bordeaux, France; University Bordeaux, INSERM, BPH, U1219, CHU de Bordeaux, F-33000 Bordeaux, France; Service de Pharmacologie Médicale, Centre d'Addictovigilance, CHU de Bordeaux, F-33000 Bordeaux, France
| | - E Frauger
- Centre d'Addictovigilance, Aix Marseille University, AP-HM, INSERM, Institute Neuroscience System, Service de Pharmacologie Clinique et Pharmacovigilance, Marseille, France
| | - V Gilleron
- Service d'Information Médicale, Unité de Coordination et d'Analyse de l'Information Médicale-département d'Information Médicale (UCAIM-DIM), CHU de Bordeaux, F-33000 Bordeaux, France
| | - N Ong
- Service d'Information Médicale, Unité de Coordination et d'Analyse de l'Information Médicale-département d'Information Médicale (UCAIM-DIM), CHU de Bordeaux, F-33000 Bordeaux, France
| | - A Daveluy
- Service de Pharmacologie Médicale, CHU de Bordeauxx, Centre de Pharmacovigilance de Bordeaux, F-33000 Bordeaux, France; University Bordeaux, INSERM, BPH, U1219, CHU de Bordeaux, F-33000 Bordeaux, France; Service de Pharmacologie Médicale, Centre d'Addictovigilance, CHU de Bordeaux, F-33000 Bordeaux, France.
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Sanchez-Pena P, Milpied B, Darrigade AS, Miremont-Salamé G, Pariente A, Beylot Barry M. Bidisciplinary dermatology-pharmacovigilance consultations: Results of a two-year study. Ann Dermatol Venereol 2023; 150:217-218. [PMID: 36496263 DOI: 10.1016/j.annder.2022.08.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 02/21/2022] [Accepted: 08/30/2022] [Indexed: 12/12/2022]
Affiliation(s)
- P Sanchez-Pena
- Pharmacovigilance center, University Hospital of Bordeaux, Bordeaux, France.
| | - B Milpied
- Dermatology Department, University Hospital of Bordeaux, Bordeaux, France
| | - A-S Darrigade
- Dermatology Department, University Hospital of Bordeaux, Bordeaux, France
| | - G Miremont-Salamé
- Pharmacovigilance center, University Hospital of Bordeaux, Bordeaux, France; Inserm, Bordeaux Population Health Research Center, Team Pharmacoepidemiology, UMR 1219, Bordeaux, France
| | - A Pariente
- Pharmacovigilance center, University Hospital of Bordeaux, Bordeaux, France; Inserm, Bordeaux Population Health Research Center, Team Pharmacoepidemiology, UMR 1219, Bordeaux, France
| | - M Beylot Barry
- Dermatology Department, University Hospital of Bordeaux, Bordeaux, France
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Daveluy A, Capaldo L, Richeval C, Regueme SC, Bragança C, Courtois A, Partrat J, Titier K, Castaing N, Miremont-Salamé G, Allorge D, Gaulier JM, Labadie M. Projet Musitox ® : consommation de substances psychoactives lors d’un festival de musique en Aquitaine en 2017. Toxicologie Analytique et Clinique 2018. [DOI: 10.1016/j.toxac.2018.04.094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Géniaux H, Titier K, Castaing N, Griton M, Videcoq M, Miremont-Salamé G, Daveluy A, Haramburu F, Molimard M. P20: MDMA and life-threatening complication: About of 2 unusual cases. Toxicologie Analytique et Clinique 2014. [DOI: 10.1016/s2352-0078(14)70081-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Daveluy A, Miremont-Salamé G, Kostrzewa A, Couret A, Lacoin L, Lecomte C, Moore N, Gilleron V, Haramburu F. Identification of abuse and dependence cases through a hospital database. Pharmacoepidemiol Drug Saf 2012; 21:1344-9. [DOI: 10.1002/pds.3369] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2012] [Revised: 10/01/2012] [Accepted: 10/08/2012] [Indexed: 11/10/2022]
Affiliation(s)
| | | | - A Kostrzewa
- CHU de Bordeaux; Service d'information médicale; F-33000; Bordeaux; France
| | - A Couret
- CHU de Bordeaux; Service de Pharmacologie, Centre d'évaluation et d'information sur la Pharmacodépendance-Addictovigilance; F-33000; Bordeaux; France
| | - L Lacoin
- CHU de Bordeaux; Service de Pharmacologie, Centre d'évaluation et d'information sur la Pharmacodépendance-Addictovigilance; F-33000; Bordeaux; France
| | - C Lecomte
- CHU de Bordeaux; Service de Pharmacologie, Centre d'évaluation et d'information sur la Pharmacodépendance-Addictovigilance; F-33000; Bordeaux; France
| | | | - V Gilleron
- CHU de Bordeaux; Service d'information médicale; F-33000; Bordeaux; France
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Grandvuillemin A, Disson-Dautriche A, Miremont-Salamé G, Fourrier-Reglat A, Sgro C. Réactions à la perfusion sous cetuximab : analyse de la base française de pharmacovigilance. Rev Epidemiol Sante Publique 2012. [DOI: 10.1016/j.respe.2012.06.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Bruyand M, Geffard S, Lawson-Ayayi S, Dauchy F, Miremont-Salamé G, Greib C, Farbos S, Morlat P, Dabis F. Temporal trend of the first prescription of nevirapine: the ANRS CO3 Aquitaine Cohort, 1997-2008. J Int AIDS Soc 2010. [PMCID: PMC3113039 DOI: 10.1186/1758-2652-13-s4-p37] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Ahmed I, Thiessard F, Miremont-Salamé G, Bégaud B, Tubert-Bitter P. Pharmacovigilance Data Mining With Methods Based on False Discovery Rates: A Comparative Simulation Study. Clin Pharmacol Ther 2010; 88:492-8. [DOI: 10.1038/clpt.2010.111] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Grenouillet-Delacre M, Fouquet C, Guisset O, Haramburu F, Miremont-Salamé G, Saux MC, Mercie P, Bégaud B, Longy-Boursier M. Évènements indésirables médicamenteux graves survenus pendant la période de forte chaleur en 2006 : étude prospective sur 62 patients. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.10.070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Heil M, Hubiche T, Beltran C, Taieb A, Miremont-Salamé G, Milpied B. Isolated cutaneous inguinal ulcerations induced by nicorandil. J Eur Acad Dermatol Venereol 2008; 22:1139-40. [DOI: 10.1111/j.1468-3083.2007.02555.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Grenouillet-Delacre M, Roux X, Heil M, Haramburu F, Miremont-Salamé G, Moore N, Bégaud B, Longy-Boursier M. Événements indésirables liés à l’usage du fentanyl délivré par dispositif transdermique. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.03.115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Grenouillet-Delacre M, Roux X, Molimard M, Miremont-Salamé G, Haramburu F, Gruson D, Hilbert G, Mercie P, Bégaud B, Longy-Boursier M. Acidose lactique liée à la metformine, une complication grave non exceptionnelle, parfois récidivante. Rev Med Interne 2007. [DOI: 10.1016/j.revmed.2007.03.086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Pariente A, Didailler M, Avillach P, Miremont-Salamé G, Fourrier-Reglat A, Haramburu F, Moore N. Choice of the Comparator for Signal Generation in Pharmacovigilance Databases: Impact On Detection Thresholds. Drug Saf 2007. [DOI: 10.2165/00002018-200730100-00015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Pariente A, Avillach P, Thiessard F, Miremont-Salamé G, Fourrier-Reglat A, Haramburu F, Moore N. Effect of Well Established Drug-Event Associations on the Generation of New Signals in Spontaneous Reporting Databases. Drug Saf 2007. [DOI: 10.2165/00002018-200730100-00016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Haramburu F, Pariente A, Grenouillet-Delacre M, Gachie JP, Le Sommer M, Péré JC, Gras E, Vedelago F, Daveluy A, Bénard-Laribière A, Gay B, Egea C, Loulière B, Miremont-Salamé G. Drug Prescription in the Elderly: The PPARME Study. Drug Saf 2007. [DOI: 10.2165/00002018-200730100-00116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Théophile H, Miremont-Salamé G, Moore N, Haramburu F. Impact of a Dear Doctor letter. Drug Saf 2007. [DOI: 10.2165/00002018-200730100-00121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Daveluy A, Miremont-Salamé G, Moore N, Haramburu F. Drug Rash with Eosinophilia and Systemic Symptoms Syndrome and Fluindione. Drug Saf 2007. [DOI: 10.2165/00002018-200730100-00170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Daveluy A, Miremont-Salamé G, Moore N, Haramburu F. Drug Rash with Eosinophilia and Systemic Symptoms Syndrome: the Dilemma of Definition. Drug Saf 2007. [DOI: 10.2165/00002018-200730100-00171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Avillach P, Pariente A, Thiessard F, Miremont-Salamé G, Fourrier-Réglat A, Haramburu F, Moore N. An Automated Method to Eliminate Bias Induced by Co-Prescription in Safety Signal Generation using Spontaneous Reporting Databases. Drug Saf 2007. [DOI: 10.2165/00002018-200730100-00017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Doussau de Bazignan A, Thiessard F, Miremont-Salamé G, Conri C, Haramburu F. Effets indésirables psychiatriques des fluoroquinolones : cas notifiés à la pharmacovigilance française. Rev Med Interne 2006; 27:448-52. [PMID: 16580096 DOI: 10.1016/j.revmed.2006.02.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2005] [Revised: 02/02/2006] [Accepted: 02/06/2006] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Psychiatric adverse effects of fluoroquinolones are known for long, but can sometimes be missed. We analyse cases spontaneously reported to the French pharmacovigilance. METHODS Cases of psychiatric adverse effects with fluoroquinolones reported to the French pharmacovigilance system were analysed. The studied period was from January 1985 and June 2002. Data analysed included age, sex, adverse effect, fluoroquinolone, seriousness and evolution. RESULTS Five hundred ninety cases have been reported concerning 273 males and 316 females (sex unknown in 1 case). Mean age was 66 years (median: 70, range: 12-102). The most frequently reported psychiatric adverse effects were confusion (51%), hallucinations (27%), agitation (13%), delusion (12%), insomnia (8%), somnolence (4%) (several adverse effects could be associated in a single patient). Serious cases represented 21.7% (resulting in hospitalisation in most cases). Evolution was favourable in most cases (88.5%), and was unknown in 9.5% of cases. CONCLUSION The number of cases reported during this period is moderate, but under-reporting probably interferes. The eventuality of this kind of adverse effect with fluoroquinolones should be kept in mind. Dose should be adjusted to renal function, especially in older patients.
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Affiliation(s)
- A Doussau de Bazignan
- Centre régional de pharmacovigilance, Inserm U657, université Victor-Segalen, CHU, 33076 Bordeaux cedex, France
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Martin K, Lawson-Ayayi S, Miremont-Salamé G, Blaizeau MJ, Balestre E, Lacoste D, Ragnaud JM, Malvy D, Dupon M, Mercié P, Schaeverbeke T, Haramburu F, Dabis F. Symptomatic bone disorders in HIV-infected patients: incidence in the Aquitaine cohort (1999-2002). HIV Med 2005; 5:421-6. [PMID: 15544694 DOI: 10.1111/j.1468-1293.2004.00247.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Since the inception of highly active antiretroviral therapy (HAART), mortality among HIV-infected patients has decreased, but this has been accompanied by the appearance of several complications. OBJECTIVES To estimate the incidence of symptomatic bone disorders in HIV-infected patients of the Aquitaine cohort (from south-west France) for the period 1999-2002, and to describe cases. METHODS We retrospectively studied the records of 2700 patients of the Aquitaine cohort, which was derived from a hospital-based surveillance system of HIV infection in France. All cases of symptomatic bone disorders diagnosed from 1 January 1999 to 30 June 2002 were reviewed. RESULTS Fourteen cases of bone disorders were diagnosed, eight cases of aseptic osteonecrosis and six cases of severe osteoporosis, representing incidences of 0.3/1000 patient-years [95% confidence interval (CI): 0.14-0.62] and 0.22/1000 patient-years (95% CI: 0.09-0.52), respectively. All patients with aseptic osteonecrosis were male, while all but one with osteoporosis were female. The ages of patients ranged from 36 to 54 years for osteonecrosis and from 39 to 50 for severe osteoporosis. At the time of clinical diagnosis, all patients were treated with nucleoside reverse transcriptase inhibitors (duration of treatment ranging from 19 to 123 months for osteonecrosis and from 46 to 132 months for severe osteoporosis). Ten patients were treated with nonnucleoside reverse transcriptase inhibitors [duration of treatment ranging from 6 to 31 months for osteonecrosis (n=6) and from 4 to 29 months for severe osteoporosis (n=4)]. Thirteen patients were treated with protease inhibitors [duration of treatment ranging from 12 to 62 months for osteonecrosis (n=8) and from 3 to 44 months for severe osteoporosis (n=5)]. All osteonecrosis and five osteoporosis patients had at least one known risk factor or comorbidity associated with the bone disorder occurrence. CONCLUSIONS In our study, the aetiology of clinical bone disorders seemed to be multifactorial, as almost all the patients had at least one possible risk factor in addition to HAART exposure.
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Affiliation(s)
- K Martin
- Bordeaux Regional Pharmacovigilance Center, Pharmacology Department, Victor Segalen University, Centre Hospitalier Universitaire, Bordeaux, France
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Affiliation(s)
- F Haramburu
- Département de Pharmacologie, Université Victor Segalen, CHU Pellegrin-Carriere, Bordeaux, France
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