PMID- 32080337 OWN - NLM STAT- MEDLINE DCOM- 20201230 LR - 20210219 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 10 IP - 1 DP - 2020 Feb 20 TI - Assessment of adverse events related to anti-influenza neuraminidase inhibitors using the FDA adverse event reporting system and online patient reviews. PG - 3116 LID - 10.1038/s41598-020-60068-5 [doi] LID - 3116 AB - The recommended antiviral drugs available for the treatment and prevention of influenza are neuraminidase inhibitors (NAIs). The aim of this study was to evaluate age-related clinical manifestations of adverse events (AEs) related to NAIs. FAERS and WebMD data were downloaded. The available NAIs selected for the analysis were oseltamivir, peramivir, zanamivir, and laninamivir. Disproportionality was analyzed using the proportional reporting ratio (PRR), the reporting odds ratio (ROR), and the information component (IC) methods. In total, 16729 AEs from 4598 patients and 575 AEs from 440 patients in the FAERS and WebMD, respectively, were included in the analysis. In the FAERS, AEs were more common among those who were younger (<19 years) for zanamivir, while for those who were older (>65 years) for peramivir. A disproportionality analysis showed that signals for vomiting and hallucinations were detected in younger patients given oseltamivir, while an abnormal hepatic function, cardiac failure, shock, and cardio-respiratory arrest were detected in older patients given peramivir. Psychiatric disorders were most common in younger and older patients, while gastrointestinal disorders were most common in adult given oseltamivir in the WebMD. Adverse symptoms related to NAIs varied and depended on the drugs used and the age of the patient. FAU - Han, Nayoung AU - Han N AD - College of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul, Republic of Korea. FAU - Oh, Jung Mi AU - Oh JM AUID- ORCID: 0000-0002-1836-1707 AD - College of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul, Republic of Korea. jmoh@snu.ac.kr. FAU - Kim, In-Wha AU - Kim IW AD - College of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul, Republic of Korea. iwkim2@hanmail.net. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200220 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Acids, Carbocyclic) RN - 0 (Antiviral Agents) RN - 0 (Guanidines) RN - 0 (Pyrans) RN - 0 (Sialic Acids) RN - 20O93L6F9H (Oseltamivir) RN - B408IW3GL5 (laninamivir) RN - EC 3.2.1.18 (Neuraminidase) RN - L6O3XI777I (Zanamivir) RN - QW7Y7ZR15U (peramivir) SB - IM MH - Acids, Carbocyclic/adverse effects MH - Adolescent MH - Adult MH - *Adverse Drug Reaction Reporting Systems MH - Aged MH - Aged, 80 and over MH - Antiviral Agents/*adverse effects MH - Child MH - Child, Preschool MH - Female MH - Guanidines/adverse effects MH - Humans MH - Infant MH - Infant, Newborn MH - Influenza, Human/*drug therapy MH - Internet MH - Male MH - Middle Aged MH - Neuraminidase/*antagonists & inhibitors MH - Odds Ratio MH - Oseltamivir/adverse effects MH - Patient Participation MH - Pyrans/adverse effects MH - Risk Factors MH - Sialic Acids/adverse effects MH - United States MH - United States Food and Drug Administration MH - Young Adult MH - Zanamivir/adverse effects PMC - PMC7033147 COIS- The authors declare no competing interests. EDAT- 2020/02/23 06:00 MHDA- 2020/12/31 06:00 PMCR- 2020/02/20 CRDT- 2020/02/22 06:00 PHST- 2019/08/07 00:00 [received] PHST- 2020/02/07 00:00 [accepted] PHST- 2020/02/22 06:00 [entrez] PHST- 2020/02/23 06:00 [pubmed] PHST- 2020/12/31 06:00 [medline] PHST- 2020/02/20 00:00 [pmc-release] AID - 10.1038/s41598-020-60068-5 [pii] AID - 60068 [pii] AID - 10.1038/s41598-020-60068-5 [doi] PST - epublish SO - Sci Rep. 2020 Feb 20;10(1):3116. doi: 10.1038/s41598-020-60068-5.