Evidence map›Paper›PMID 30799349›Full record

ArticleInternal medicine (Tokyo, Japan)2019

Duloxetine and Angiotensin II Receptor Blocker Combination Potentially Induce Severe Hyponatremia in an Elderly Woman.

Atsushi Takayama, Takahiko Nagamine, Yoshinobu Matsumoto, Masaru Nakamura

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

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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

4 authors at 2 institutions in 1 country.

Atsushi TakayamaDepartment of Family Medicine, Iwakuni Municipal Miwa Hospital, Japan.
Takahiko NagamineSunlight Brain Research Center, Japan.
Yoshinobu MatsumotoDepartment of Emergency Medicine, Matsumoto Surgical Hospital, Japan.
Masaru NakamuraDepartment of Psychiatric Internal Medicine, Kosekai-Kusatsu Hospital, Japan.
Matsumoto City Hospital · JPMiwa Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We encountered a case of syndrome of inappropriate antidiuretic hormone secretion (SIADH) caused by duloxetine, serotonin and norepinephrine reuptake inhibitor (SNRI). A 74-year-old woman complaining of severe lethargy was transferred to our emergency department. Her serum sodium level was 109 mEq/L. Plasma hypo-osmolality with urine normo-osmolality was observed, indicating SIADH. Her essential hypertension had long been treated with telmisartan, and she had just started duloxetine 20 mg/day for chronic musculoskeletal pain 4 days prior to admission. On prescribing duloxetine in the primary care setting, clinicians should be aware of the possibility of duloxetine-induced hyponatremia, particularly in combination with telmisartan.

Indexed as

AgedAngiotensin II Type 1 Receptor BlockersCalcium Channel BlockersDuloxetine HydrochlorideFemaleHumansHyponatremiaInappropriate ADH SyndromeAngiotensin II Type 1 Receptor BlockersCalcium Channel BlockersDuloxetine Hydrochloridechronic musculoskeletal painduloxetinehyponatremiaprimary care settingSIADH

Identifiers

PMID30799349
PMCPMC6630130
OpenAlexW2917992869

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.