Pharmacovigilance study of famciclovir in the Food and Drug administration adverse event reporting system database

Abstract Famciclovir, mainly used to treat herpes zoster, is rapidly transforms into penciclovir when administered orally. Our study evaluated adverse events (AEs) associated with famciclovir by mining data from the publicly available Food and Drug Administration Adverse Event Reporting System (FAER...

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Main Authors: Runan Fang, Yang Zhou, Lu Han, Wenjing Chen, Ning Guan, Jianhong Li
Format: Article
Language:English
Published: Nature Portfolio 2024-11-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-80236-1
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author Runan Fang
Yang Zhou
Lu Han
Wenjing Chen
Ning Guan
Jianhong Li
author_facet Runan Fang
Yang Zhou
Lu Han
Wenjing Chen
Ning Guan
Jianhong Li
author_sort Runan Fang
collection DOAJ
description Abstract Famciclovir, mainly used to treat herpes zoster, is rapidly transforms into penciclovir when administered orally. Our study evaluated adverse events (AEs) associated with famciclovir by mining data from the publicly available Food and Drug Administration Adverse Event Reporting System (FAERS) database, providing a reference for clinical safety. Disproportionality analysis (including reported odds ratio and proportional reporting ratio) and Bayesian methods (including Bayesian Confidence Propagation Neural Network and Gamma-Poisson Shrinkage) were used to quantify the AE signals associated with famciclovir. A total of 17,652,186 case reports were obtained from the FAERS database, and 432 famiclovir-related AEs were identified. Nausea, headache, altered mental status, vomiting, and dizziness were found to be the most common Aes, corresponding to those reported in the Food and Drug Administration (FDA) drug labelling and clinical trials. Our study found some potential AEs of famciclovir that were not mentioned in the FDA drug labelling, such as toxic encephalopathy, encephalopathy, ataxia, dysarthria, dementia, cerebral infarction, tremor, purpura, skin ulcers, acute pancreatitis, rhabdomyolysis, muscle twitching, increased blood urea, lowered blood pressure, hepatitis, disease recurrence, drug interactions, and pancytopenia. Our study identified potential famciclovir AE signals, providing insights for physicians to reduce possible side effects and promote the safe implementation of the drug in clinical settings.
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spelling doaj-art-81d7c1cda7724ab6b94dd0b6dcd2bfaa2025-08-20T02:33:31ZengNature PortfolioScientific Reports2045-23222024-11-011411910.1038/s41598-024-80236-1Pharmacovigilance study of famciclovir in the Food and Drug administration adverse event reporting system databaseRunan Fang0Yang Zhou1Lu Han2Wenjing Chen3Ning Guan4Jianhong Li5Dongzhimen Hospital Beijing University of Chinese MedicineBeijing University of Chinese MedicineDongzhimen Hospital Beijing University of Chinese MedicineDongzhimen Hospital Beijing University of Chinese MedicineDongzhimen Hospital Beijing University of Chinese MedicineDongzhimen Hospital Beijing University of Chinese MedicineAbstract Famciclovir, mainly used to treat herpes zoster, is rapidly transforms into penciclovir when administered orally. Our study evaluated adverse events (AEs) associated with famciclovir by mining data from the publicly available Food and Drug Administration Adverse Event Reporting System (FAERS) database, providing a reference for clinical safety. Disproportionality analysis (including reported odds ratio and proportional reporting ratio) and Bayesian methods (including Bayesian Confidence Propagation Neural Network and Gamma-Poisson Shrinkage) were used to quantify the AE signals associated with famciclovir. A total of 17,652,186 case reports were obtained from the FAERS database, and 432 famiclovir-related AEs were identified. Nausea, headache, altered mental status, vomiting, and dizziness were found to be the most common Aes, corresponding to those reported in the Food and Drug Administration (FDA) drug labelling and clinical trials. Our study found some potential AEs of famciclovir that were not mentioned in the FDA drug labelling, such as toxic encephalopathy, encephalopathy, ataxia, dysarthria, dementia, cerebral infarction, tremor, purpura, skin ulcers, acute pancreatitis, rhabdomyolysis, muscle twitching, increased blood urea, lowered blood pressure, hepatitis, disease recurrence, drug interactions, and pancytopenia. Our study identified potential famciclovir AE signals, providing insights for physicians to reduce possible side effects and promote the safe implementation of the drug in clinical settings.https://doi.org/10.1038/s41598-024-80236-1FAERSPharmacovigilanceFamciclovirAdverse event
spellingShingle Runan Fang
Yang Zhou
Lu Han
Wenjing Chen
Ning Guan
Jianhong Li
Pharmacovigilance study of famciclovir in the Food and Drug administration adverse event reporting system database
Scientific Reports
FAERS
Pharmacovigilance
Famciclovir
Adverse event
title Pharmacovigilance study of famciclovir in the Food and Drug administration adverse event reporting system database
title_full Pharmacovigilance study of famciclovir in the Food and Drug administration adverse event reporting system database
title_fullStr Pharmacovigilance study of famciclovir in the Food and Drug administration adverse event reporting system database
title_full_unstemmed Pharmacovigilance study of famciclovir in the Food and Drug administration adverse event reporting system database
title_short Pharmacovigilance study of famciclovir in the Food and Drug administration adverse event reporting system database
title_sort pharmacovigilance study of famciclovir in the food and drug administration adverse event reporting system database
topic FAERS
Pharmacovigilance
Famciclovir
Adverse event
url https://doi.org/10.1038/s41598-024-80236-1
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