Abstract
The withdrawal of the selective cyclooxygenase 2 inhibitor rofecoxib owing to cardiovascular side effects ignited debate about the need for major changes to current mechanisms for post-marketing surveillance (PMS) of drug safety. Here, we discuss the current mechanisms, whether they are being used appropriately, and consider the need for changes to regulatory systems.
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References
- 1
Fitzgerald, G. A. Coxibs and cardiovascular disease. N. Engl. J. Med. 351, 1709–1711 (2004).
- 2
Topol, E. J. Failing public health — rofecoxib, Merck and the FDA. N. Engl. J. Med. 351, 1707–1709 (2004).
- 3
Frantz, S. How to avoid another 'Vioxx'. Nature Rev. Drug Discov. 4, 5–7 (2005).
- 4
Belton, K. J. and the European Pharmacovigilance Research Group Attitude survey of adverse drug reaction reporting by health care professionals across the European Union. Eur. J. Clin. Pharmacol. 6, 423–427 (1997).
- 5
Mann, R. D. Prescription Event Monitoring — recent progress and future horizons. Br. J. Clin. Pharmacol. 46, 195–201 (1998).
- 6
Safety Assessment of Marketed Medicines. Guidelines for company sponsored safety assessment of marketed medicines. (London MCA, 1993).
- 7
Griffin, M. R., Stein, M. S. & Ray, W. A. Post marketing surveillance for drug safety; surely we can do better. Clin. Pharmacol. Ther. 75, 491–494 (2004)
- 8
Report of the Committee on Safety of Medicines Expert Working Group on the Safety of Selective Serotonin Reuptake Inhibitor Antidepressants (The Stationery Office, London, 45, 2004).
- 9
Jick, H., Kaye, J. & Jick, S. Antidepressants and the risk of suicidal behaviours. JAMA 292, 338–343 (2004)
- 10
Glaxo SmithKline. Report quoted in the Committee on Safety of Medicines Expert Working Group on the Safety of Selective Serotonin Reuptake Inhibitor Antidepressants (The Stationery Office, London, 103–104, 2004).
- 11
Martinez, C. et al. Antidepressant treatment and the risk of fatal and non-fatal self harm in first episode depression: nested case control study. Br. Med. J. 330, 389 (2005).
- 12
Bresalier, R. S. et al. Cardiovascular events associated with rofecoxib in a colorectal adenoma chemoprevention trial. N. Engl. J. Med. 352, 1092–1102 (2005).
- 13
Rubenstein, S. How best to monitor drugs after they're FDA approved. Q&A Wall Street Journal (20 Dec 2004).
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Breckenridge, A., Woods, K. & Raine, J. Monitoring the safety of licensed medicines. Nat Rev Drug Discov 4, 541–543 (2005). https://doi.org/10.1038/nrd1778
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