PMID- 23375423 OWN - NLM STAT- MEDLINE DCOM- 20130826 LR - 20211203 IS - 1769-664X (Electronic) IS - 0929-693X (Linking) VI - 20 IP - 3 DP - 2013 Mar TI - [Psychiatric disorders associated with montelukast: data from the National Pharmacovigilance Database]. PG - 269-73 LID - S0929-693X(12)00540-4 [pii] LID - 10.1016/j.arcped.2012.12.006 [doi] AB - Montelukast (Singulair((R))) has been the subject of post-marketing warnings about psychiatric events occurring that had not been identified during clinical trials. The objective of this study was to take stock of the adverse events (AEs) related to montelukast reported in France. Cases of psychiatric disorders reported to regional pharmacovigilance centers (CRPV) and the literature data were analyzed. The 56psychiatric AEs account for 20% of all AEs reported in the montelukast CRPV: essentially sleep disorders, behavioral disorders and depression. This risk is also found in pharmacovigilance databases in other countries, especially in the North American database, which recorded a significant number of cases of "suicidality", including suicidal ideation, suicide attempts, and suicides. Analysis of clinical efficacy studies have failed to confirm these AEs. The potential severity of these events prompts physicians to seek the existence of psychiatric disorders before prescribing the drug and to carefully monitor the occurrence of AEs during treatment. CI - Copyright (c) 2013 Elsevier Masson SAS. All rights reserved. FAU - Marchand, M-S AU - Marchand MS AD - Service de pharmacologie clinique, centre regional de pharmacovigilance et d'information sur le medicament, CHRU de Tours, 2, boulevard Tonnelle, 37044 Tours, cedex 9, France. marie-sara.marchand@hotmail.com FAU - Jonville-Bera, A-P AU - Jonville-Bera AP FAU - Autret-Leca, E AU - Autret-Leca E CN - Association francaise des centres regionaux de pharmacovigilance LA - fre PT - Journal Article TT - Troubles psychiatriques associes au montelukast : donnees de la base nationale de pharmacovigilance. DEP - 20130201 PL - France TA - Arch Pediatr JT - Archives de pediatrie : organe officiel de la Societe francaise de pediatrie JID - 9421356 RN - 0 (Acetates) RN - 0 (Anti-Asthmatic Agents) RN - 0 (Cyclopropanes) RN - 0 (Quinolines) RN - 0 (Sulfides) RN - MHM278SD3E (montelukast) SB - IM MH - Acetates/*adverse effects MH - Adolescent MH - Adult MH - Aged MH - Anti-Asthmatic Agents/*adverse effects MH - Child MH - Child, Preschool MH - Cyclopropanes MH - Databases, Factual MH - Female MH - France MH - Humans MH - Male MH - Mental Disorders/*chemically induced MH - Middle Aged MH - Pharmacovigilance MH - Quinolines/*adverse effects MH - Sulfides MH - Young Adult EDAT- 2013/02/05 06:00 MHDA- 2013/08/27 06:00 CRDT- 2013/02/05 06:00 PHST- 2012/07/24 00:00 [received] PHST- 2012/11/11 00:00 [revised] PHST- 2012/12/14 00:00 [accepted] PHST- 2013/02/05 06:00 [entrez] PHST- 2013/02/05 06:00 [pubmed] PHST- 2013/08/27 06:00 [medline] AID - S0929-693X(12)00540-4 [pii] AID - 10.1016/j.arcped.2012.12.006 [doi] PST - ppublish SO - Arch Pediatr. 2013 Mar;20(3):269-73. doi: 10.1016/j.arcped.2012.12.006. Epub 2013 Feb 1.