Evidence map›Paper›PMID 27784418›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2017

Spontaneous Adverse Event Reports Associated with Zolpidem in the United States 2003-2012.

Carmen K Wong, Nathaniel S Marshall, Ronald R Grunstein, Samuel S Ho, Romano A Fois, David E Hibbs, Jane R Hanrahan, Bandana Saini

Abstract read
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Prescription medications for insomnia are associated with suicidal thoughts and behaviors in two nationally representative samples.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  10. Article
  11. Zolpidem: Efficacy and Side Effects for Insomnia.Health psychology research · 2021
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Use of Sedative-Hypnotics and Mortality: A Population-Based Retrospective Cohort Study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2018
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Carmen K WongFaculty of Pharmacy, The University of Sydney, Sydney, Australia.
Nathaniel S MarshallNHMRC Centre for Integrated Research and Understanding of Sleep (CIRUS) and NeuroSleep Centre, Woolcock Institute of Medical Research, The University of Sydney and Sydney Local Health District, Sydney, Australia.
Ronald R GrunsteinNHMRC Centre for Integrated Research and Understanding of Sleep (CIRUS) and NeuroSleep Centre, Woolcock Institute of Medical Research, The University of Sydney and Sydney Local Health District, Sydney, Australia.
Samuel S HoFaculty of Pharmacy, The University of Sydney, Sydney, Australia.
Romano A FoisFaculty of Pharmacy, The University of Sydney, Sydney, Australia.
David E HibbsFaculty of Pharmacy, The University of Sydney, Sydney, Australia.
Jane R HanrahanFaculty of Pharmacy, The University of Sydney, Sydney, Australia.
Bandana SainiFaculty of Pharmacy, The University of Sydney, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesStimulated reporting occurs when patients and healthcare professionals are influenced or "stimulated" by media publicity to report specific drug-related adverse reactions, significantly biasing pharmacovigilance analyses. Among countries where the non-benzodiazepine hypnotic drug zolpidem is marketed, the United States experienced a comparable surge of media reporting during 2006-2009 linking the above drug with the development of complex neuropsychiatric sleep-related behaviors. However, the effect of this stimulated reporting in the United States Food and Drug Administration Adverse Event Reporting System has not been explored.

methodsUsing disproportionality analyses, reporting odds ratios for zolpidem exposure and the following adverse events; parasomnia, movement-based parasomnia, nonmovement-based parasomnia, amnesia, hallucination, and suicidality were determined and compared to all other medications in the database, followed by specific comparison to the benzodiazepine hypnotic class, year-by-year from 2003 to 2012.

resultsOdds ratios were increased significantly during and after the period of media publicity for parasomnias, movement-based parasomnias, amnesias and hallucinations. We also observed that zolpidem adverse drug reaction (ADR) reports have higher odds for parasomnias, movement-based parasomnias, amnesias, hallucinations, and suicidality compared to all other drugs, even before the media publicity cluster.

conclusionsAlthough our results indicate that zolpidem reports have higher odds for the ADR of interest even before the media publicity cluster, negative media coverage greatly exacerbated the reporting of these adverse reactions. The effect of such reporting must be borne in mind when decisions around drugs which have been the subject of intense media publicity are made by health professionals or regulatory bodies.

Indexed as

AdolescentAdultAgedDrug-Related Side Effects and Adverse ReactionsFemaleHumansHypnotics and SedativesMaleMiddle AgedPyridinesUnited StatesYoung AdultZolpidemHypnotics and SedativesPyridinesZolpidemmedia publicityparasomniasleep-drivingsleepwalkingzolpidem

Identifiers

PMID27784418
PMCPMC5263078

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.