Most Read Articles
Rachel Soon, 08 Apr 2020

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Long- and short-term SSRI use contributes to increased hip fracture risk

07 Nov 2019

Treatment with selective serotonin reuptake inhibitors (SSRIs) in the short and long term appears to bear an increased risk of hip fracture, according to a recent study.

The case-control study used data from the US Renal Data System and included 4,912 maintenance haemodialysis patients with hip fracture and 49,120 nonfracture controls. All participants had >1 year of Medicare parts A and B coverage and >3 years of part D coverage.

During the 3-year part D coverage period, SSRI exposure was characterized as any (≥1 prescription filled), low, moderate and high use (<20 percent, 20 to <80 percent, and ≥80 percent of days covered by filled prescriptions, respectively).

On conditional logistic regression analysis, SSRI use conferred a 25-percent increase in hip fracture risk (adjusted odds ratio [OR], 1.25, 95 percent confidence interval [CI], 1.17–1.35). Risk estimates for fracture associated with any, low, moderate and high SSRI use were as follows: 1.25 (95 percent CI, 1.17–1.35), 1.20 (95 percent CI, 1.08–1.32), 1.31 (95 percent CI, 1.18–1.43) and 1.26 (95 percent CI, 1.12–1.41), respectively.

Researchers performed a separate examination of new short-term SSRI exposure in cases and controls with >18 months of part D coverage and no prior antidepressant use for 1 year. Results revealed a similar pattern of association with hip fracture risk (adjusted OR, 1.43, 95 percent CI, 1.23–1.67).

“The stronger association with new short-term use may suggest an acute mechanism potentially related to falls,” the researchers explained.

The study was limited by the inability to capture and account for biomarkers of mineral bone disorder.

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Most Read Articles
Rachel Soon, 08 Apr 2020

Guidelines for local pharmacists on what actions to take during the COVID-19 pandemic have been issued by the Malaysian Pharmaceutical Society (MPS).

Elaine Soliven, 20 May 2020
Early treatment with a triple antiviral combination of lopinavir-ritonavir, ribavirin, and interferon beta-1b significantly shortens the duration of virus shedding and reduces symptoms in patients with mild-to-moderate COVID-19 compared with lopinavir-ritonavir only, according to a recent study.
Pearl Toh, 26 Sep 2019
The Singapore Health Sciences Authority (HSA) has recalled eight brands of ranitidine products containing trace amounts of the nitrosamine impurity NDMA*, which is a potential human carcinogen.
Roshini Claire Anthony, 5 days ago

The use of a vaginal cleansing intervention prior to Caesarean delivery reduced the incidence of surgical site infections (SSIs), according to a study presented at ACOG 2020. However, the addition of intravenous (IV) azithromycin prophylaxis had no added impact on SSI rates.