Evidence map›Paper›PMID 27240849›Full record

ArticleNeurology and therapy2016

Neuropsychiatric Adverse Reactions to Mefloquine: a Systematic Comparison of Prescribing and Patient Safety Guidance in the US, UK, Ireland, Australia, New Zealand, and Canada.

Remington L Nevin, Aricia M Byrd

Open access · goldAbstract read
In one paragraph

Article in Neurology and therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.5field-weighted citation impact, top 6% of its field
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

20 citing papers in PubMed, 36 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Mefloquine as a prophylaxis for malaria needs to be revisited.International journal for parasitology. Drugs and drug resistance · 2021
    Review
  8. Article
  9. Article
  10. Bias and Confounding in Studies of Chronic Mental Health Effects from Mefloquine Exposure.The American journal of tropical medicine and hygiene · 2019
    Article
  11. Activity of mefloquine and mefloquine derivatives against Echinococcus multilocularis.International journal for parasitology. Drugs and drug resistance · 2018
    Article
  12. Measurement of Mefloquine Exposure in Studies of Veterans' Sleep Disorders.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2018
    Article
  13. Article
  14. Article
  15. Article
  16. Screening for Symptomatic Mefloquine Exposure Among Veterans With Chronic Psychiatric Symptoms.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2017
    Article
  17. Article
  18. Article
  19. Review
  20. Implications of Changes to the Mefloquine Product Monograph.The Canadian journal of hospital pharmacy
    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

2 authors at 2 institutions in 2 countries.

Remington L NevinDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. rnevin@jhu.edu.
Aricia M ByrdTrinity School of Medicine, Kingstown, Saint Vincent and the Grenadines.
Johns Hopkins University · USTrinity School of Medicine · VC

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe antimalarial drug mefloquine (MQ) is associated with neuropsychiatric adverse reactions, some of which may predict the development of more serious effects. Although prescribing guidance in the United States drug label (DL) recommends to discontinue MQ at the onset of neuropsychiatric symptoms, only certain reactions are listed in both the DL and the corresponding patient medication guide with a recommendation to discontinue or to consult a physician should they occur. To identify possible prodromal reactions for which there is complete or partial agreement in prescribing and patient recommendations, a systematic comparison of international drug safety labeling was performed.

methodsThe full text of each DL and medication guide (or equivalent) from six primarily English-speaking countries was reviewed to identify specific reactions with corresponding recommendations in drug safety labeling. Percentage agreement across the countries in corresponding recommendations was determined by MedDRA(®) high level group term (HLGT).

resultsRecommendations were found for reactions in 22 neuropsychiatric HLGTs. Complete or partial international agreement was found for reactions in 11 (50%) HLGTs.

conclusionThis analysis suggests opportunities for physicians to improve patient counseling and for international drug regulators to clarify language in MQ safety labeling to reflect national risk-benefit considerations.

Indexed as

Medication guideMefloquineNeurologicPsychiatricSide effects

Identifiers

PMID27240849
PMCPMC4919134
OpenAlexW2411351210

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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 Socratic graph.