PMID- 38032491 OWN - NLM STAT- Publisher LR - 20231130 IS - 1432-1912 (Electronic) IS - 0028-1298 (Linking) DP - 2023 Nov 30 TI - Strong opioids-induced cardiac, neurologic, and respiratory disorders: a real-world study from 2004 to 2023 based on FAERS. LID - 10.1007/s00210-023-02844-4 [doi] AB - Opioids are mainly used as adjuncts to the induction and maintenance of general anesthesia, postoperative analgesia, and treating moderate to severe cancer pain and chronic pain. However, the hazards of these drugs to various organ organs still need to be further explored. This study used the US FDA Adverse Event Reporting System (FAERS) database to determine whether commonly receiving opioids was higher than the baseline risk for all other medications. FAERS was asked about adverse events (AEs) for the opioids "morphine," "fentanyl," "oxycodone," "hydromorphone," "sufentanil," and "remifentanil" from the first quarter of 2004 (2004Q1) through the second quarter of 2023 (2023Q2). Disproportionality signaling analysis was performed by calculating reporting odds ratio (ROR), proportional reporting ratio (PRR), Bayesian confidence propagation neural network (BCPNN), and Empirical Bayesian Geometric Mean (EBGM). AEs with system organ classes (SOCs) of "cardiac disease," "neurologic disease," and "respiratory, thoracic, and mediastinal disease" were then screened. The statistical analysis included 12,819,518 reports in the FAERS database from 2004Q1 to 2023Q2, of which 236,619 AEs were reported as "primary suspect" for the six drugs mentioned above, which were selected as "cardiac disorders," "nervous system disorders," and "respiratory, thoracic and mediastinal disorders." Some AEs identified in this study are consistent with the drug labeling, such as bradycardia, respiratory depression, and somnolence. In addition, some unexpected and significant acute adverse drug reactions (ADRs), such as toxic leukoencephalopathy and coma, may occur. This study identified potential new and unexpected ADRs for opioids, providing valuable evidence for safety studies of opioids. CI - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Dai, Maosha AU - Dai M AD - Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. AD - Institute of Anesthesia and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. AD - Key Laboratory of Anesthesiology and Resuscitation, Ministry of Education, Huazhong University of Science and Technology), Wuhan, China. FAU - Dou, Xiaoke AU - Dou X AD - Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. AD - Institute of Anesthesia and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. AD - Key Laboratory of Anesthesiology and Resuscitation, Ministry of Education, Huazhong University of Science and Technology), Wuhan, China. FAU - Chen, Min AU - Chen M AD - Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. AD - Institute of Anesthesia and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. AD - Key Laboratory of Anesthesiology and Resuscitation, Ministry of Education, Huazhong University of Science and Technology), Wuhan, China. FAU - Yang, Juexi AU - Yang J AD - Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. AD - Institute of Anesthesia and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. AD - Key Laboratory of Anesthesiology and Resuscitation, Ministry of Education, Huazhong University of Science and Technology), Wuhan, China. FAU - Long, Junhao AU - Long J AD - Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. AD - Institute of Anesthesia and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. AD - Key Laboratory of Anesthesiology and Resuscitation, Ministry of Education, Huazhong University of Science and Technology), Wuhan, China. FAU - Lin, Yun AU - Lin Y AD - Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. franklinyun@hust.edu.cn. AD - Institute of Anesthesia and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. franklinyun@hust.edu.cn. AD - Key Laboratory of Anesthesiology and Resuscitation, Ministry of Education, Huazhong University of Science and Technology), Wuhan, China. franklinyun@hust.edu.cn. LA - eng GR - No. 320.6750.2020-21-12/Wu Jieping Medical Foundation/ GR - No. 320.6750.2020-21-12/Wu Jieping Medical Foundation/ GR - No. 320.6750.2020-21-12/Wu Jieping Medical Foundation/ GR - No. 320.6750.2020-21-12/Wu Jieping Medical Foundation/ GR - No. 320.6750.2020-21-12/Wu Jieping Medical Foundation/ PT - Journal Article DEP - 20231130 PL - Germany TA - Naunyn Schmiedebergs Arch Pharmacol JT - Naunyn-Schmiedeberg's archives of pharmacology JID - 0326264 SB - IM OTO - NOTNLM OT - Cardiac disorders OT - FAERS OT - Nervous disorders OT - Opioids OT - Respiratory disorders EDAT- 2023/11/30 12:41 MHDA- 2023/11/30 12:41 CRDT- 2023/11/30 11:13 PHST- 2023/09/06 00:00 [received] PHST- 2023/11/09 00:00 [accepted] PHST- 2023/11/30 12:41 [medline] PHST- 2023/11/30 12:41 [pubmed] PHST- 2023/11/30 11:13 [entrez] AID - 10.1007/s00210-023-02844-4 [pii] AID - 10.1007/s00210-023-02844-4 [doi] PST - aheadofprint SO - Naunyn Schmiedebergs Arch Pharmacol. 2023 Nov 30. doi: 10.1007/s00210-023-02844-4.