Table 4.
Sex-specific adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for the association between lupus and exposure to selected drugs before diagnosis or index date
Women | Men | ||||||
---|---|---|---|---|---|---|---|
Drug name | Case (n = 721) | Control (n = 3012) | OR (95% CI)*†‡ | Case (n = 154) | Control (n = 620) | OR (95% CI)*†‡ | P value for interaction |
Drugs suspected of inducing lupus§ | |||||||
Hydralazine | 2 | 1 | 2.87 (0.26, 31.71) | 2 | 1 | 13.1 (1.04, 166) | 0.387 |
Minocycline | 45 | 44 | 4.29 (2.61, 7.06) | 5 | 5 | 4.47 (1.08, 18.58) | 0.885 |
Carbamazepine | 25 | 39 | 2.47 (1.37, 4.48) | 3 | 10 | 0.60 (0.15, 2.38) | 0.047 |
Quinidine | 2 | 2 | 1.36 (0.16, 11.65) | 0 | 0 | – | – |
Methyldopa | 2 | 7 | 1.43 (0.28, 7.26) | 0 | 0 | – | – |
Captopril | 9 | 16 | 1.84 (0.71, 4.76) | 2 | 8 | 0.53 (0.09, 3.21) | 0.203 |
Chlorpromazine | 3 | 12 | 0.51 (0.12, 2.15) | 4 | 4 | 1.75 (0.40, 7.69) | 0.301 |
‘Comparison’ drugs not suspected of inducing lupus | |||||||
Doxycycline | 110 | 275 | 1.17 (0.88, 1.56) | 13 | 24 | 1.62 (0.66, 3.97) | 0.608 |
Diazepam | 73 | 203 | 0.87 (0.62, 1.21) | 13 | 25 | 1.34 (0.59, 3.03) | 0.437 |
Salbutamol | 105 | 335 | 0.88 (0.68, 1.15) | 30 | 76 | 1.29 (0.75, 2.22) | 0.199 |
Reference category is the unexposed group for each drug.
ORs adjusted for time (in years) in database before diagnosis, and number of consultations in the year preceding diagnosis or index date.
Control drugs additionally adjusted for exposure to lupus-inducing drug.
Drugs are reported to have high, moderate or low risk, based on number of case reports published in the literature [3].