Drospirenone-containing oral contraceptives and venous thromboembolism: an analysis of the FAERS database

David Madigan, Jennifer Shin Department of Statistics, Columbia University, New York, NY, USA Introduction: Substantial evidence suggests that drospirenone-containing oral contraceptives may cause a higher risk of venous thrombotic events than earlier-generation oral contraceptives. Methods: To gain...

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Main Authors: Madigan D, Shin J
Format: Article
Language:English
Published: Dove Medical Press 2018-04-01
Series:Open Access Journal of Contraception
Subjects:
Online Access:https://www.dovepress.com/drospirenone-containing-oral-contraceptives-and-venous-thromboembolism-peer-reviewed-article-OAJC
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author Madigan D
Shin J
author_facet Madigan D
Shin J
author_sort Madigan D
collection DOAJ
description David Madigan, Jennifer Shin Department of Statistics, Columbia University, New York, NY, USA Introduction: Substantial evidence suggests that drospirenone-containing oral contraceptives may cause a higher risk of venous thrombotic events than earlier-generation oral contraceptives. Methods: To gain insight into recent real-world implications, we conducted an analysis using the US Food and Drug Administration’s Adverse Event Reporting System. Results: Venous thrombotic events continue to be reported at a much higher rate with drospirenone-containing oral contraceptives than the general background. The disproportionality has been rising since 2010. The same behavior is not seen with levonorgestrel-containing oral contraceptives. Conclusion: Our results are consistent with decreased physician and patient awareness of risks associated with drospirenone-containing oral contraceptives. Keywords: drug safety, Yaz, venous thrombotic events, FDA adverse event reporting system, disproportionality
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spelling doaj.art-422f035892a54604a2b50c4e81f662f02022-12-21T18:31:45ZengDove Medical PressOpen Access Journal of Contraception1179-15272018-04-01Volume 9293237712Drospirenone-containing oral contraceptives and venous thromboembolism: an analysis of the FAERS databaseMadigan DShin JDavid Madigan, Jennifer Shin Department of Statistics, Columbia University, New York, NY, USA Introduction: Substantial evidence suggests that drospirenone-containing oral contraceptives may cause a higher risk of venous thrombotic events than earlier-generation oral contraceptives. Methods: To gain insight into recent real-world implications, we conducted an analysis using the US Food and Drug Administration’s Adverse Event Reporting System. Results: Venous thrombotic events continue to be reported at a much higher rate with drospirenone-containing oral contraceptives than the general background. The disproportionality has been rising since 2010. The same behavior is not seen with levonorgestrel-containing oral contraceptives. Conclusion: Our results are consistent with decreased physician and patient awareness of risks associated with drospirenone-containing oral contraceptives. Keywords: drug safety, Yaz, venous thrombotic events, FDA adverse event reporting system, disproportionalityhttps://www.dovepress.com/drospirenone-containing-oral-contraceptives-and-venous-thromboembolism-peer-reviewed-article-OAJCDrug safetyYazVenous thrombotic eventsFDA Adverse Event Reporting SystemDisproportionality
spellingShingle Madigan D
Shin J
Drospirenone-containing oral contraceptives and venous thromboembolism: an analysis of the FAERS database
Open Access Journal of Contraception
Drug safety
Yaz
Venous thrombotic events
FDA Adverse Event Reporting System
Disproportionality
title Drospirenone-containing oral contraceptives and venous thromboembolism: an analysis of the FAERS database
title_full Drospirenone-containing oral contraceptives and venous thromboembolism: an analysis of the FAERS database
title_fullStr Drospirenone-containing oral contraceptives and venous thromboembolism: an analysis of the FAERS database
title_full_unstemmed Drospirenone-containing oral contraceptives and venous thromboembolism: an analysis of the FAERS database
title_short Drospirenone-containing oral contraceptives and venous thromboembolism: an analysis of the FAERS database
title_sort drospirenone containing oral contraceptives and venous thromboembolism an analysis of the faers database
topic Drug safety
Yaz
Venous thrombotic events
FDA Adverse Event Reporting System
Disproportionality
url https://www.dovepress.com/drospirenone-containing-oral-contraceptives-and-venous-thromboembolism-peer-reviewed-article-OAJC
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