Publications by authors named "Lelong-Boulouard V"

Schizophrenia is a chronic mental illness, with a prevalence of about 1%. The symptoms are classified in three categories: positive symptoms, negative symptoms and deficits in cognitive function. Regarding the pharmacological treatment, current antipsychotics mainly improve positive symptoms while negative and cognitive symptoms remain inadequately treated.

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Objectives: Proton pump inhibitor (PPI) exposure can lead to hyponatraemia, which is a common cause of delirium. An association between PPI exposure and delirium without hyponatraemia has been suggested in the literature. We aimed to describe the association between reports of delirium and PPI exposure and to assess the association between PPI and delirium with and without hyponatraemia.

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Nirmatrelvir/ritonavir is a protease inhibitor antiviral drug indicated in the treatment of severe acute respiratory syndrome coronavirus-2 infections in high-risk patients for a severe disease. Unfortunately, ritonavir, used to boost nirmatrelvir pharmacokinetics, can also inhibit or induce the metabolism of other co-administered drugs substrates. This may lead to a subsequent risk of adverse drug reaction and lack of efficacy.

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Background: Psychoactive drugs frequently cause delirium adverse events in older adults. However, few data on the relationship between antidepressants and delirium are available. Here, we investigated the association between antidepressant prescription and pharmacovigilance reports of delirium in older adults.

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Background And Aims: Perioperative lidocaine infusion has many interesting properties such as analgesic effects in the context of enhanced recovery after surgery. However, its use is limited in liver surgery due to its hepatic metabolism.

Material And Methods: This prospective, monocentric study was conducted from 2020 to 2021.

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Endocrine therapies (ETs) and inhibitors of cyclin-dependent kinases-4/6 (iCDK4/6s) are a standard treatment in breast cancer. However, data on potential neurocognitive impacts remain inconsistent for ET and are scarce for iCDK4/6s. To evaluate whether ET and iCDK4/6s are associated with neurocognitive impairment (NCI).

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Article Synopsis
  • Hip fractures primarily impact older adults, leading to increased health complications and risks, prompting a review of non-steroidal anti-inflammatory drugs (NSAIDs) during their surgical recovery.
  • The systematic review followed PRISMA guidelines, analyzing various studies on NSAIDs' effectiveness and safety in post-operative outcomes like pain control and complications after hip fracture surgery.
  • Although some studies supported NSAIDs for pain management, findings on safety were inconsistent, indicating a need for more research to clarify the overall benefits and risks of using NSAIDs in these patients.*
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Clozapine is primarily reserved for treatment-resistant schizophrenia due to safety concerns associated with its use. Infections have been reported with clozapine, which may lead to elevated serum levels of the drug. However, the existing literature on this topic is limited.

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Background: In preclinical studies resorting to rodents, the effects of prolonged oral intake of active substances are difficult to evaluate. Indeed, to get closer to clinical reality, oral gavage (OG) is frequently used but the repetition of administrations induces risks of lesions of the digestive tract, and stress for animals which can compromise the quality of the results.

New Method: This study describes the development of a non-invasive oral administration method in male Sprague Dawley rats, as a safe alternative of OG, more faithful to clinical reality and limiting biases in pharmacokinetics and/or pharmacodynamics interpretation.

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  • The study investigated how variations in the CYP2D6 gene affect the body’s response to tramadol and its active form, O-dT, in European adult patients after surgery.
  • Researchers classified participants' CYP2D6 metabolizer types (EM, IM, PM, UM) and measured the O-dT/T ratio in their plasma to see if it could effectively indicate their CYP2D6 phenotype.
  • Results showed that while the O-dT/T ratio was lower in poor metabolizers (PM) compared to non-PM, there was significant overlap between groups, indicating that tramadol is not a reliable drug for accurately determining CYP2D6 phenotypes.
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  • - Transverse myelitis (TM) has been linked to the Janssen/Johnson & Johnson SARS-CoV-2 vaccine, but the relationship with other vaccines like Pfizer, Moderna, AstraZeneca, and Novavax is unclear, prompting this study to explore these associations.
  • - The research analyzed safety reports from the WHO's VigiBase, focusing on TM cases occurring within 28 days after receiving any FDA or EMA approved SARS-CoV-2 vaccine between December 2020 and March 2022.
  • - Results indicated a significant association between both mRNA-based and vector-based vaccines and TM, yet TM is still rare (0.28 cases per million doses), suggesting the overall benefits of vaccination outweigh the risks
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  • * A disproportionality analysis revealed that out of over 1.3 million reports involving ASMs, a small percentage (2.91‰) were related to RTAs, with certain ASMs (like cannabis) showing a stronger association with these accidents.
  • * The findings suggest that some ASMs may significantly increase the risk of RTAs, highlighting the need for caution in prescribing these medications to patients who may be at a higher risk for driving-related incidents.
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Tuberculous meningitis (TBM) is now uncommon in high-income countries. It is the most severe form of extrapulmonary tuberculosis with high rates of mortality and morbidity if diagnosis and treatment are delayed. An 8-month-old girl with TBM who was treated with high-dose intravenous anti-tuberculous drugs (ATD) is reported.

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Unlabelled: Drug repositioning aims to propose new indications for marketed drugs. Although several methods exist, the utility of pharmacovigilance databases for this purpose is unclear. We conducted a disproportionality analysis in the World Health Organization pharmacovigilance database VigiBase to identify potential anticholinesterase drug candidates for repositioning in Alzheimer's disease (AD).

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Clozapine is an atypical antipsychotic indicated in patients with treatment-resistant schizophrenia which remains underused due to safety issues. Mechanisms behind these adverse effects are complex and not fully understood. They may involve immune-related mechanisms, direct toxic effects and oxidative stress.

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Importance: Limited information is available on the safety of a rechallenge with an immune checkpoint inhibitor (ICI) after an immune-related adverse event (irAE).

Objective: To identify the recurrence rate of the same irAE that prompted discontinuation of ICI therapy after an ICI rechallenge in patients with cancer and to identify the clinical features associated with such recurrences.

Design, Setting, And Participants: This observational, cross-sectional, pharmacovigilance cohort study examined individual case safety reports from the World Health Organization database VigiBase, which contains case reports from more than 130 countries.

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Background: Clozapine is mainly used in patients with treatment-resistant schizophrenia and may lead to potentially severe haematologic adverse events, such as agranulocytosis. Whether clozapine might be associated with haematologic malignancies is unknown. We aimed to assess the association between haematologic malignancies and clozapine using Vigibase®, the WHO pharmacovigilance database.

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  • This study investigates the pharmacokinetics of paracetamol administered via subcutaneous (SC) and intravenous (IV) routes in palliative care patients to determine if they are equivalent.
  • It is a randomized, open, crossover trial involving 20 adult patients with spontaneous pain, focusing on specific pharmacokinetic parameters and monitoring for adverse events.
  • This research is significant as it is the first of its kind to compare these two administration routes in palliative care settings, with the goal of providing data to support clinical practices.
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