Depression Events Associated with Proton-Pump Inhibitors in Postmarketing Drug Surveillance Data

Proton-pump inhibitors, PPIs, are widely prescribed and are available over the counter for prolonged reduction of stomach acid production and related disorders. PPIs irreversibly inhibit the hydrogen/potassium ATPase in gastric parietal cells. Recent retrospective studies have described an associati...

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Main Authors: Tigran Makunts, Haroutyun Joulfayan, Kenneth Ta, Ruben Abagyan
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Pharmacoepidemiology
Subjects:
Online Access:https://www.mdpi.com/2813-0618/2/3/23
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author Tigran Makunts
Haroutyun Joulfayan
Kenneth Ta
Ruben Abagyan
author_facet Tigran Makunts
Haroutyun Joulfayan
Kenneth Ta
Ruben Abagyan
author_sort Tigran Makunts
collection DOAJ
description Proton-pump inhibitors, PPIs, are widely prescribed and are available over the counter for prolonged reduction of stomach acid production and related disorders. PPIs irreversibly inhibit the hydrogen/potassium ATPase in gastric parietal cells. Recent retrospective studies have described an association between PPI use and depression. However, there is conflicting evidence that PPI therapy improves depressive symptoms. Considering the widespread use and over-the-counter availability of these drugs, further investigation into depression adverse event was warranted with a larger-scale postmarketing set of reports. Here we analyzed over 125,923 reports from the FDA Adverse Event Reporting System consisting of PPI and histamine-2 receptor antagonist monotherapy records and found a statistically significant association between use of PPIs and depression. Additionally, we analyzed each of the six currently marketed PPIs individually and observed the association with the depression adverse reaction for all of them.
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spelling doaj.art-a0c3b89a05184c309f3e046af9d2268b2023-11-19T12:28:53ZengMDPI AGPharmacoepidemiology2813-06182023-08-012327228210.3390/pharma2030023Depression Events Associated with Proton-Pump Inhibitors in Postmarketing Drug Surveillance DataTigran Makunts0Haroutyun Joulfayan1Kenneth Ta2Ruben Abagyan3Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA 92093, USASkaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA 92093, USASkaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA 92093, USASkaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA 92093, USAProton-pump inhibitors, PPIs, are widely prescribed and are available over the counter for prolonged reduction of stomach acid production and related disorders. PPIs irreversibly inhibit the hydrogen/potassium ATPase in gastric parietal cells. Recent retrospective studies have described an association between PPI use and depression. However, there is conflicting evidence that PPI therapy improves depressive symptoms. Considering the widespread use and over-the-counter availability of these drugs, further investigation into depression adverse event was warranted with a larger-scale postmarketing set of reports. Here we analyzed over 125,923 reports from the FDA Adverse Event Reporting System consisting of PPI and histamine-2 receptor antagonist monotherapy records and found a statistically significant association between use of PPIs and depression. Additionally, we analyzed each of the six currently marketed PPIs individually and observed the association with the depression adverse reaction for all of them.https://www.mdpi.com/2813-0618/2/3/23proton-pump inhibitorsPPIsFAERSdepressiondrug safetyadverse events
spellingShingle Tigran Makunts
Haroutyun Joulfayan
Kenneth Ta
Ruben Abagyan
Depression Events Associated with Proton-Pump Inhibitors in Postmarketing Drug Surveillance Data
Pharmacoepidemiology
proton-pump inhibitors
PPIs
FAERS
depression
drug safety
adverse events
title Depression Events Associated with Proton-Pump Inhibitors in Postmarketing Drug Surveillance Data
title_full Depression Events Associated with Proton-Pump Inhibitors in Postmarketing Drug Surveillance Data
title_fullStr Depression Events Associated with Proton-Pump Inhibitors in Postmarketing Drug Surveillance Data
title_full_unstemmed Depression Events Associated with Proton-Pump Inhibitors in Postmarketing Drug Surveillance Data
title_short Depression Events Associated with Proton-Pump Inhibitors in Postmarketing Drug Surveillance Data
title_sort depression events associated with proton pump inhibitors in postmarketing drug surveillance data
topic proton-pump inhibitors
PPIs
FAERS
depression
drug safety
adverse events
url https://www.mdpi.com/2813-0618/2/3/23
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