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 | |