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12/2/2015 12:22:00 PM | Browse: 1373 | Download: 1289
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Received |
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2014-02-12 14:54 |
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Peer-Review Started |
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2014-02-12 21:36 |
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2014-03-20 20:42 |
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2014-03-26 17:38 |
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Second Decision by Editor |
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2014-07-17 14:17 |
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Final Decision by Editorial Office Director |
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2014-07-17 14:34 |
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Articles in Press |
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2014-07-17 14:50 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2014-08-28 14:03 |
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Publish the Manuscript Online |
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2014-08-29 07:54 |
| Category |
Pharmacology & Pharmacy |
| Manuscript Type |
Systematic Reviews |
| Article Title |
Assessing liver injury associated with antimycotics: Concise literature review and clues from data mining of the FAERS database
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Emanuel Raschi, Elisabetta Poluzzi, Ariola Koci, Paolo Caraceni and Fabrizio De Ponti |
| Funding Agency and Grant Number |
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| Corresponding Author |
Fabrizio De Ponti, MD, PhD, Pharmacology Unit, Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Via Irnerio, 48, I-40126 Bologna BO, Italy. fabrizio.deponti@unibo.it
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| Key Words |
Drug-induced hepatotoxicity; Antimycotics; Drug safety; Pharmacovigilance; Spontaneous reporting systems |
| Core Tip |
The recent regulatory interventions (United States restriction and Europe suspension) concerning ketoconazole for drug-induced liver injury (DILI) poses a prescribing challenge to clinicians, who should now carefully consider safer therapeutic alternatives. Data mining of FAERS database (2004-2011) highlighted that: (1) antimycotics are involved in approximately 3% of DILI cases (including acute liver failure events); (2) virtually all systemic antimycotics (e.g., azole derivatives), are associated with disproportionality signals; careful monitoring is therefore recommended, especially in critical poly-treated patients with multiple comorbidities; and (3) topical antimycotics, as expected, do not generate a post-marketing signal of DILI, thus indicating the accuracy of our approach.Data mining of FAERS database (2004-2011) highlighted that: (a) antimycotics are involved in approximately 3% of DILI cases (including acute liver failure events); (b) virtually all systemic antimycotics (e.g., azole derivatives), are associated with disproportionality signals; careful monitoring is therefore recommended, especially in critical poly-treated patients with multiple comorbidities; (c) topical antimycotics, as expected, do not generate a post-marketing signal of DILI, thus indicating the accuracy of our approach. |
| Publish Date |
2014-08-29 07:54 |
| Citation |
Raschi E, Poluzzi E, Koci A, Caraceni P, De Ponti F. Assessing liver injury associated with antimycotics: Concise literature review and clues from data mining of the FAERS database. World J Hepatol 2014; 6(8): 601-612 |
| URL |
http://www.wjgnet.com/1948-5182/full/v6/i8/601.htm |
| DOI |
http://dx.doi.org/10.4254/wjh.v6.i8.601 |
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