An exploratory study evaluated the 30 most commonly reported medications in the United States food and drug administration’s adverse event reporting system that are associated with the occurrence of kidney stones
2024

Common Medications Linked to Kidney Stones

Sample size: 37781 publication 10 minutes Evidence: high

Author Information

Author(s): Bao Erhao, Yang Yang, Jiang Binglei, Wang Ben, Liu Ying, Yang Lin, Xia Long, Zhu Pingyu

Primary Institution: Affiliated Hospital of North Sichuan Medical College

Hypothesis

This research project aimed to identify and analyze the top 30 drugs most commonly associated with kidney stone formation using data from the U.S. Food and Drug Administration’s Adverse Event Reporting System (FAERS) database.

Conclusion

The study identified specific medications that are associated with an increased risk of kidney stones, which can help in managing and reducing this health issue.

Supporting Evidence

  • Atazanavir was found to have a very high risk of developing nephrolithiasis with an ROR of 46.35.
  • Topamax was associated with a 2-4 times higher risk of kidney stones compared to the general population.
  • Proton pump inhibitors like Prevacid were linked to increased incidence and recurrence rates of kidney stones.

Takeaway

Some medicines can make people more likely to get kidney stones, and knowing which ones can help doctors keep patients safe.

Methodology

The study used the FDA Adverse Event Reporting System (FAERS) database to extract data from 2010 to 2024, focusing on drug-induced kidney stones and employing disproportionality analyses to calculate Reporting Odds Ratios (ROR) and Proportional Reporting Ratios (PRR).

Potential Biases

The FAERS database may favor reporting of more severe adverse events, potentially leading to an underrepresentation of less severe cases.

Limitations

The study is limited by biases in the FAERS database, including underreporting and a lack of severity ratings for adverse reactions.

Participant Demographics

{"gender_ratio":"1:1.34 (male to female)","age_distribution":"Mainly concentrated in the age group of 18–65 years (42.6%)"}

Statistical Information

Confidence Interval

95% CI for ROR values ranged from 43 to 50 for the most common drugs.

Digital Object Identifier (DOI)

10.3389/fphar.2024.1377679

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