Evidence map›Paper›PMID 39843186›Full record

ArticleCanadian family physician Medecin de famille canadien2025

Changes in doxylamine-pyridoxine dispensation in Ontario following media attention: Time-series analysis.

Shanzeh Chaudhry, Setayesh Yazdani, Cherry Chu, Shenthuraan Tharmarajah, Nav Persaud, Mina Tadrous

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2025. 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
–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

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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.

  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.

Shanzeh ChaudhryResearch officer in the Leslie Dan Faculty of Pharmacy at the University of Toronto in Ontario. shanzeh.chaudhry@utoronto.ca.
Setayesh YazdaniDoctor of pharmacy student at the University of Toronto.
Cherry ChuBiostatistician at Women's College Hospital in Toronto.
Shenthuraan TharmarajahPhD student in the Leslie Dan Faculty of Pharmacy at the University of Toronto.
Nav PersaudCanada Research Chair in Health Justice, Associate Professor in the Department of Family and Community Medicine at the University of Toronto, and a family physician in the Department of Family and Community Medicine at St Michael's Hospital in Toronto.
Mina TadrousAssistant Professor in the Leslie Dan Faculty of Pharmacy at the University of Toronto, Scientist at Women's College Hospital Institute for Health System Solutions and Virtual Care in Toronto, Investigator with the Ontario Drug Policy Research Network, and Adjunct Scientist at ICES.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand the possible association between media coverage and changes in the dispensation of doxylamine-pyridoxine in Canada.

designCross-sectional time-series analysis using data from the IQVIA CompuScript database.

settingTen Canadian provinces.

participantsFamily physicians, general practitioners, and obstetrician-gynecologists.

main outcome measuresData on the estimated total volume of doxylamine-pyridoxine prescriptions dispensed by retail pharmacists in Ontario and across Canada between July 2016 and May 2022 were used for a time-series analysis. Birth data obtained from Statistics Canada were used to adjust for pregnancy rates. Finally, the possible impact of media coverage in January 2018 on doxylamine-pyridoxine use was assessed with interventional autoregressive integrated moving average modelling, and dispensation rates of doxylamine-pyridoxine were reported overall and by prescriber specialty.

resultsDoxylamine-pyridoxine dispensation decreased by 1.2% (

conclusionDespite nationwide media attention questioning the efficacy of doxylamine-pyridoxine in early 2018, trends in dispensation rates of doxylamine-pyridoxine were only modestly affected and only in Ontario. Within Ontario, a small but significant reduction in doxylamine-pyridoxine dispensations was noted based on prescriptions from family physicians or general practitioners but not based on those written by obstetrician-gynecologists. Factors associated with the ongoing use of doxylamine-pyridoxine despite evidence of lack of benefit require further research.

Indexed as

DicyclomineDoxylaminePractice Patterns, Physicians'PyridoxineCross-Sectional StudiesDrug CombinationsFemaleHumansOntarioPregnancyDicyclominedicyclomine, doxylamine, pyridoxine drug combinationDoxylamineDrug CombinationsPyridoxine

Identifiers

PMID39843186
PMCPMC11753282

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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.