DOACs appear to trump warfarin in extended anticoagulation

A systematic review and meta-analysis recently published by the American College of Chest Physicians has assessed the effects of vitamin K antagonists (VKAs) and direct oral anticoagulants (DOACs) during extended anticoagulation for VTE events, addressing both overall...

Shingles risk up for RA patients receiving DMARDs + steroids

While herpes zoster (HZ) has been linked to JAK inhibitors such as tofacitinib, it is unclear whether concomitant methotrexate (MTX) and/or glucocorticoids increase this risk. In a recent American study, HZ risk has been assessed in tofacitinib-treated rheumatoid...

Thiopurines and gabapentinoids in the safety radar in Australia

Advice issued by the Australian Advisory Committee on Medicines. Thiopurines (azathioprine, mercaptopurine, tioguanine)  People with a deficiency in the thiopurine methyltransferase (TPMT) gene have greater susceptible to serious thiopurine toxicities...

Pregabalin – time to reassess the rush towards expanded indications?

The relationship between exploratory and confirmatory post-approval trials for pregabalin (Lyrica) has been recently analysed by Canadian researchers, who conducted a systematic review of all clinical trials testing the effectiveness of pregabalin in non-approved...