Reporting on Adverse Clinical Events

    October 2008 in “ Clin-alert
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    TLDR Certain medications can reduce mortality risk in COPD patients, but others can increase risks of cardiovascular issues, postoperative delirium, and other adverse effects.
    The document reported on various adverse clinical events associated with different medications. Key findings included that inhaled corticosteroids and long-acting beta-agonists reduced mortality risk in COPD patients, while ipratropium and theophylline increased cardiovascular and respiratory death risks. Statin use increased postoperative delirium risk in elderly surgery patients. Finasteride was linked to improved sperm counts after discontinuation, suggesting a causal relationship with spermatogenic failure. Sibutramine and duloxetine were associated with cardiac issues, and colchicine intoxication led to infection susceptibility and transient alopecia. Other findings included erlotinib-induced hearing loss, bisphosphonate-associated osteonecrosis of the jaw, pregabalin-induced heart failure decompensation, tamoxifen and acitretin interaction causing QT prolongation, hormone use increasing GERD risk, capecitabine-induced hand-foot syndrome, spironolactone-linked gastrointestinal bleeding, and hypothermia from combined topiramate and valproic acid therapy.
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