Most recents (3)

@HopeRising19

#Israel was one of the 1st countries to roll out #pfizer #covidvaccine nationwide. They only used Pfizer and heavily vaccinated the population. For the first year of roll out they had virtually NO safety pharmacovigilence system in place to find early safety warnings and respond

Finally in early 2022 a team was convened to collect and analyse #adverseevent data. The team identified 22 categories of adverse events, including safety signals not listed by Pfizer such as neurological side effects, tinnitus and others.

They also found that there were many long-term adverse reactions; in 50% of the reports in which duration was mentioned at all, the side effect lasted longer than SIX MONTHS.

Read 9 tweets

Therapeutics Initiative

@Drug_Evidence

🧵 Reducing #PrescribingCascades ⬇️

1/ What are #Prescribing Cascades?

1⃣ A drug is prescribed 💊
2⃣ #AdverseEvent occurs but is misinterpreted as a new medical condition ⚠️
3⃣Another drug is prescribed for the drug-induced adverse event 💊💊

ti.ubc.ca/letter138 #MedEd

2/ Anticholinergics ➡️ cognitive dysfunction ➡️ drugs for #dementia

#Anticholinergic 💊 block acetylcholinergic neurotransmission in the brain, impairing cognition & memory

Can lead to new Rx or ↗️ acetylcholinesterase inhibitor doses

ti.ubc.ca/letter138 #MedEd #FOAMed

3/ Drugs for #dementia ➡️ incontinence ➡️ anticholinergics

Conversely, AChE-I can cause urinary or fecal incontinence, that may "cascade" to prescription of an #anticholinergic

👉🏽 full Letter here: ti.ubc.ca/letter138

#MedEd #PrescribingCascades #MedTwitter

Read 10 tweets