Table 5.
Medical terms observed in the TOBYO database |
Medical terms observed in the JADER database |
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Rank | Event description in the TOBYO database | MedDRA Preferred Terms in the TOBYO database | Number of events | Rank MedDRA Preferred Terms in the JADER database |
Number of events |
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1 | Adverse reactionc | Adverse reaction | 9977 | 1 | Inappropriate antidiuretic hormone secretion | 247 | |
2 | Depression | Depression | 6218 | 2 | Serotonin syndrome | 226 | |
3a | Anxiety | Anxiety | 5695 | 3 | Suicide attempt | 213 | |
4 | Headache | Headache | 2977 | 4 | Seizure | 153 | |
5 | Pain | Pain | 2016 | 5 | Completed suicide | 152 | |
6 | Withdrawal symptom | Withdrawal syndrome | 1848 | 6 | Hyponatraemia | 143 | |
7 | Stress | Stress | 1194 | 7a | Mania | 121 | |
8 | Malaise | Malaise | 1162 | 8 | Neuroleptic malignant syndrome | 108 | |
9a | Feeling queasy | Nausea | 1140 | 9a | Dizziness | 103 | |
10 | Constipation | Constipation | 897 | 10a | Nausea | 101 | |
11 | Psychosisc | Mental disorder | 777 | 11 | Aggression | 100 | |
12a | Dizzy | Dizziness | 762 | 12 | Suicidal ideation | 96 | |
13 | Paroxysmal attackc | Seizure-like phenomena | 691 | 13 | Hepatic function abnormal | 93 | |
14 | Emotional instabilityc | Affect lability | 685 | 14a | Tremor | 92 | |
15 | Abnormality | NAb | 641 | 15 | Altered state of consciousness | 90 | |
16 | Sufferingc | Sense of oppression | 637 | 16 | Activation syndromed | 86 | |
17 | Feeling downc | Depressed mood | 619 | 17 | Irritability | 85 | |
18 | Sleep disorder | Sleep disorder | 601 | 18 | Loss of consciousness | 78 | |
19 | Schizophrenia | Schizophrenia | 479 | 19a | Anxiety | 75 | |
20 | Allergy | Hypersensitivity | 474 | 20 | Hallucination | 74 | |
21a | Mania | Mania | 472 | 21 | Somnolence | 69 | |
22 | Migraine | Migraine | 445 | 22 | Delirium | 68 | |
23 | Pollinosis | Seasonal allergy | 427 | 23 | Liver disorder | 61 | |
24 | Hypersomnia | Hypersomnia | 418 | 24 | Urinary retention | 60 | |
25 | Bipolar disorder | Bipolar disorder | 376 | 25 | Overdose | 58 | |
26 | Diarrhea | Diarrhea | 368 | 26a | Intentional self-injury | 57 | |
27a | Trembling | Tremor | 326 | 27 | Electrocardiogram QT prolonged | 56 | |
28 | Panic disorder | Panic disorder | 314 | 28 | Drug withdrawal syndrome neonatal | 53 | |
29 | Asthma | Asthma | 294 | 29 | Insomnia | 50 | |
30 | Weight increased | Weight increased | 284 |
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Intentional overdose | 50 | |
31 | Diabetes mellitus | Diabetes mellitus | 281 |
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32 | Ache stomach | Abdominal pain upper | 277 |
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33 | Psychiatric disorderc | Mental disorder | 266 |
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34 | Vomiting | Vomiting | 240 |
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35 | Abdominal pain | Abdominal pain | 237 |
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36 | Slight fever | Pyrexia | 231 |
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37 | Influenza | Influenza | 228 |
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38 | Physical deconditioning | Asthenia | 226 |
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39 | Myalgia | Myalgia | 225 |
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40 | Dependence | Dependence | 210 |
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41 | Inflammation | Inflammation | 206 |
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42 | Panic attack | Panic attack | 197 |
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43a | Self-injury | Intentional self-injury | 194 |
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44 | Hypertension | Hypertension | 179 |
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45 | Severe pain | Pain | 152 |
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aEvents appearing in both databases (the TOBYO database and JADER database).
bNA (not applicable) in columns for MedDRA PTs (preferred terms) means there was no corresponding term in MedDRA.
cCoding discrepancies occurred between the 2 reviewers (the different suggestions from the reviewers are shown in parentheses): Adverse reaction (adverse reaction or adverse drug reaction), Psychosis (mental disorder or psychotic disorder), Paroxysmal attack (seizure-like phenomena or seizure), Emotional instability (affect lability or feeling abnormal), Suffering (sense of oppression or emotional distress), Feeling down (depressed mood or emotional distress), and Psychiatric disorder (mental disorder or psychotic disorder).
dActivation syndrome is a generic term used for central nervous system stimulation symptoms that are potential adverse effects caused by selective serotonin reuptake inhibitors.