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. 2020 Sep 19;9:100148. doi: 10.1016/j.bbih.2020.100148

Table 1.

Odds ratios for psychosis adverse drug reactions for individual antibiotics and antibiotic classes, relative to minocycline.

Drug

Adverse Event
Class Agent Total
Psychotic Symptoms
Hallucinations
% ADR N Male (n) OR 95% CI N Male (n) OR 95% CI
Tetracycline Minocycline 5149 0.4 21 6 1.00 Reference 13 4 1.00 Reference
Doxycycline 6237 0.9 59 31 2.32 1.41–3.82 32 11 2.03 1.07–3.88
Tetracycline 996 0.7 7 0 1.72 0.73–4.06 4 0 1.59 0.52–4.89
All Tetracyclines 7233 0.9 66 31 2.23 1.36–3.66 36 11 1.97 1.04–3.72
Sulfonamides SMX/TMP 22,697 0.7 168 80 1.81 1.15–2.86 134 62 2.34 1.32–4.14
Nitrofurantoin Nitrofurantoin 3300 0.9 32 8 2.38 1.37–4.13 25 8 3.00 1.53–5.87
Penicillin Penicillin 877 0.5 5 1 1.40 0.53–3.72 3 0 1.35 0.39–4.76
Amoxicillin 10,658 1.2 129 51 2.97 1.87–4.71 86 34 3.20 1.78–5.73
Amoxicillin/Clavulanate 15,552 0.6 106 46 1.67 1.05–2.67 74 27 1.88 1.04–3.40
Piperacillin 530 0.5 3 0 1.39 0.41–4.67 1 0 0.75 0.10–5.72
All Penicillins 27,617 0.8 243 98 2.15 1.38–3.37 164 61 2.35 1.33–4.14
Fluoroquinolone Levofloxacin 26,957 2.2 619 193 5.63 3.64–8.71 421 126 6.19 3.56–10.75
Ciprofloxacin 18,042 2.7 503 225 6.84 4.41–10.59 348 159 7.64 4.39–13.30
All Fluoroquinolones 44,999 2.0 1122 418 6.11 3.96–9.42 769 285 6.76 3.90–11.71
Macrolides Azithromycin 5272 0.8 46 21 2.14 1.27–3.59 31 15 2.33 1.22–4.46
Erythromycin 4254 1.0 45 22 2.59 1.54–4.36 37 20 3.44 1.83–6.49
Clarithromycin 18,356 3.8 710 271 9.48 6.14–14.65 439 169 9.47 5.45–16.46
All Macrolides 27,882 2.8 801 314 7.04 4.56–10.87 507 204 7.20 4.14–12.49
Glycopeptides Vancomycin 9787 0.3 32 21 0.80 0.46–1.39 24 16 0.97 0.49–1.91
Nitroimidazoles Metronidazole 11,168 2.5 283 110 6.21 3.98–9.69 182 74 6.45 3.67–11.34
Lincosamide Clindamycin 4604 0.4 19 9 1.01 0.54–1.88 16 7 1.38 0.66–2.86
Aminoglycoside Gentamicin 2432 0.3 8 7 0.81 0.36–1.82 7 6 1.14 0.45–2.86
Amikacin 1556 0.5 8 6 1.26 0.56–2.85 7 6 1.78 0.71–4.47
All Aminoglycosides 3988 0.4 16 13 0.98 0.52–1.88 14 12 1.39 0.65–2.96
Carbapenem Meropenem 3354 0.5 20 11 1.46 0.79–2.70 12 7 1.42 0.65–3.11
Cephalosporins Cefuroxime 2352 0.5 41 16 2.92 1.72–4.95 29 13 3.34 1.73–6.42
Ceftriaxone 6059 0.6 42 27 1.70 1.01–2.87 27 18 1.76 0.91–3.42
Cefepime 1334 1.7 23 9 4.23 2.33–7.66 22 9 6.53 3.28–13.00
Cephalexin 5799 0.8 47 8 1.99 1.19–3.33 35 4 2.39 1.26–4.52
All Cephalosporins 16,636 0.9 153 60 2.25 1.42–3.56 113 44 2.69 1.51–4.78