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. 2022 Jan 20;31(3):179–190. doi: 10.1136/bmjqs-2021-013910

Table 1.

Advisory characteristics

Advisory (drug-risk group) Index country Control Advisory date Advisory type
(a) Advisories without dose-related advice*
 Aripiprazole-impulse control disorders30 CA DK 2 November 2015 Alert
 Azithromycin-cardiac arrhythmias43 USA USA† 12 March 2013 Alert
 Clopidogrel-acquired haemophilia38 DK AU 28 August 2013 DHPC
 Febuxostat-epidermal and dermal conditions27 UK USA† 6 May 2012 DHPC
 Finasteride-breast cancer male34 UK CA 1 December 2009 Alert
 Fingolimod-PML40 USA CA 29 August 2013 Alert
 Insulin-glargine-neoplasm malignant50 USA DK 1 July 2009 Alert
 Isotretinoin-epidermal and dermal conditions32 CA DK 11 February 2010 DHPC
 Ketoconazole-adrenal gland disorders‡41 USA USA† 26 July 2013 Alert
 Leflunomide methotrexate-hepatotoxicity49 USA AU 13 July 2010 Alert
 Methylphenidate-sexual dysfunction39 USA USA† 17 December 2013 Alert
 Mycophenolate-aplasia pure red cell33 UK USA†§ 2 June 2009 DHPC
 Nitrofurantoin-lack of effect36 UK AU¶ 1 August 2013 Alert
 Olmesartan-malabsorption42 USA AU¶ 3 July 2013 Alert
 Ondansetron-cardiac arrhythmias45 USA AU¶ 15 September 2011 Alert
 Pioglitazone-bladder cancer48 USA USA† 15 June 2011 Alert
 Quetiapine-metabolic syndrome29 UK UK† 23 December 2011 DHPC
 Tacrolimus-neoplasm malignant‡28 DK CA 1 May 2012 DHPC
 Testosterone-cardiovascular disorder31 CA UK 15 July 2014 Alert
 Topiramate-congenital anomaly37 DK CA 1 March 2011 DHPC
(b) Advisories with dose-related advice*
 Citalopram escitalopram-cardiac arrhythmias46 USA USA† 24 August 2011 Alert
 Fluconazole-congenital anomaly47 USA USA† 3 August 2011 Alert
 Hydroxyzine-cardiac arrhythmias35 UK CA 29 April 2015 Alert
 Zolpidem-cognitive impairment44 USA USA† 10 January 2013 Alert

Created by the authors.

*Dose-related advice was defined as advice that revised the recommended or maximum dose of a drug or warned about risk associated with higher doses.

†Historical control.

‡Advisory applied to a specific route of administration (oral for ketoconazole and topical for tacrolimus), so analysis was restricted to relevant forms of the drug.

§A historical control from the UK was unavailable due to a lack of sufficient preadvisory data, so a US historical control was used.

¶Restricted to drug use of concessional beneficiaries (eg, seniors and individuals with a low household income), due to better data capture in this population for these drugs.

AU, Australia; CA, Canada; DHPC, Direct Healthcare Professional Communication; DK, Denmark; PML, progressive multifocal leucoencephalopathy.