Evidence map›Paper›PMID 40890234›Full record

ArticleScientific reports2025

A comprehensive study on drug-related Raynaud's phenomenon based on the FDA adverse event reporting system.

Pingping Zheng, Xiulian Zheng, Qun Chen, Dongmei Wang, Longzhuan Huang, Jianping Lin, Shaoqing Chen

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  4. Drug-induced Raynaud phenomenon following initiation of metoprolol succinate.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  5. 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

7 authors.

Pingping Zheng *First School of Clinical Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Xiulian Zheng *College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China.
Qun Chen *The School of Adult Education, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Dongmei WangCollege of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China.
Longzhuan HuangKey Specialty of Clinical Pharmacy, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Jianping LinSchool of Health, Fujian Medical University, Fuzhou, 350122, China. ljp1985@fjmu.edu.cn.
Shaoqing ChenCollege of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China. chensq@fjtcm.edu.cn.

Funding

the Special Financial Grant Project of Fujian University of Traditional Chinese Medicine NO. X2021003
6 · The paper itself

Abstract

Raynaud's phenomenon (RP) is often an overlooked adverse event, mainly secondary RP, where drug induction or exacerbation is a controllable and preventable factor. This study aimed to systematically evaluate the association between drugs and RP using the FDA adverse event reporting system (FAERS) database. Utilizing disproportionality analysis, we quantified the risk of RP-associated drugs based on large-scale FAERS case data. Drugs were categorized by ATC classification, and descriptive analyses were conducted to assess population characteristics and reporting patterns. Secondary analyses and Weibull shape parameter testing were performed to verify the reliability of the results and the temporal patterns of adverse event onset. A total of 562 drugs and 4303 cases were linked to RP. Significant signals were identified across 8 ATC categories, predominantly nervous system agents (21 drugs, n = 632), cardiovascular drugs (20 drugs, n = 403), and immunomodulators (14 drugs, n = 185). Pharmacologically, CGRP inhibitors, triptans, non-selective β-blockers, interferons, and antineoplastic/immunomodulatory agents demonstrated high mechanistic relevance to RP. Indications such as rheumatoid arthritis (256 cases, 5.95%), narcolepsy (149 cases, 3.46%), and attention-deficit hyperactivity disorder (117 cases, 2.72%) were frequently associated with RP. Cases were concentrated in individuals aged 25-59, with a female predominance (ratio 3.13:1). This study systematically reports drug-RP associations. Clinicians should consider RP risk when prescribing CGRP inhibitors, triptans, non-selective β-blockers, interferons, or antineoplastic/immunomodulatory agents. Middle-aged and elderly females, particularly those with rheumatoid arthritis, warrant heightened vigilance for drug-induced RP.

Indexed as

Adverse Drug Reaction Reporting SystemsDrug-Related Side Effects and Adverse ReactionsRaynaud DiseaseAdolescentAdultAgedChildChild, PreschoolDatabases, FactualFemaleHumansMaleMiddle AgedUnited StatesUnited States Food and Drug AdministrationYoung AdultDisproportionality analysisDrugsDrug safetyFAERS databaseRaynaud’s phenomenon

Identifiers

PMID40890234
PMCPMC12402058

What OpenQuestion holds

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Registered trials

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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.