Evidence map›Paper›PMID 30479035›Full record

ArticleBritish journal of clinical pharmacology2019

Nightmares and hallucinations with aprepitant and opium powder: a suspected drug-drug interaction.

Grégoire Narjoux, Justine Clarenne, Brahim Azzouz, Pauline-Saraï Zeller, Florian Slimano, Olivier Bouché

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% of its field
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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

6 authors at 1 institution in 1 country.

Grégoire NarjouxOncology Day-Hospital, CHU Reims, Avenue General-Koenig, 51100, Reims, France.
Justine ClarenneDepartment of Pharmacy, CHU Reims, Avenue General-Koenig, 51100, Reims, France.
Brahim AzzouzDepartment of Pharmacovigilance, CHU Reims, Avenue General-Koenig, 51100, Reims, France.ORCID 0000-0002-4395-2445
Pauline-Saraï ZellerOncology Day-Hospital, CHU Reims, Avenue General-Koenig, 51100, Reims, France.
Florian SlimanoDepartment of Pharmacy, CHU Reims, Avenue General-Koenig, 51100, Reims, France.ORCID 0000-0001-5139-7034
Olivier BouchéOncology Day-Hospital, CHU Reims, Avenue General-Koenig, 51100, Reims, France.
Centre Hospitalier Universitaire de Reims · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polypharmacy of elderly oncology patients and fragmented medication management are well-known risk factors for drug-drug interactions (DDIs). These interactions can occur among antineoplastic, ongoing chronic treatment(s) and chemotherapy-associated treatments, like antiemetics. Clinically relevant interactions based on enzyme- or transporter-inhibition phenomena of active drugs can increase the frequency of their DDIs. We describe a strongly suspected elderly cancer patient's DDI between aprepitant and opium powder in the context of an irinotecan-based regimen manifested by nightmares and visual hallucinations. We discuss this DDI's hypothetical pharmacological mechanisms and management.

Indexed as

PolypharmacyAdenocarcinomaAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsAprepitantArthralgiaCamptothecinDreamsDrug InteractionsFluorouracilHallucinationsHumansLeucovorinMaleNauseaOpiumAprepitantCamptothecinFluorouracilLeucovorinOpiumPowdersaprepitantdrug-drug interactionirinotecanOCT1opium powderUGT2B7

Identifiers

PMID30479035
PMCPMC6339988
OpenAlexW2903443801

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.