Evidence mapPaperPMID 39670536Full record

ArticleCNS neuroscience & therapeutics2024

Reproductive Toxicity Induced by Serotonin-Norepinephrine Reuptake Inhibitors: A Pharmacovigilance Analysis From 2004 to 2023 Based on the FAERS Database.

Yujia Xi, Zhuocheng Bao, Qiang Guo, Jingqi Wang, Zhinan Jing, Jingkai Di, Ke Yang

Abstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
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

6 citing papers in PubMed.

  1. Article
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  5. CD14Frontiers in cellular and infection microbiology · 2025
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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.

Yujia XiDepartment of Urology, Second Hospital of Shanxi Medical University, Taiyuan, China.
Zhuocheng BaoMale Reproductive Medicine Center, Shanxi Medical University, Jinzhong, China.ORCID 0009-0006-2986-1412
Qiang GuoDepartment of Urology, Second Hospital of Shanxi Medical University, Taiyuan, China.
Jingqi WangDepartment of Urology, Second Hospital of Shanxi Medical University, Taiyuan, China.
Zhinan JingMale Reproductive Medicine Center, Shanxi Medical University, Jinzhong, China.
Jingkai DiDepartment of Orthopedics, Second Hospital of Shanxi Medical University, Taiyuan, China.
Ke YangDepartment of Urology, Second Hospital of Shanxi Medical University, Taiyuan, China.ORCID 0000-0003-2282-8565

Funding

"Four batches" of key projects of Shanxi Provincial Department of Science and Technology 2023XM008Natural Science Foundation of Shanxi Province 202203021221269Shanxi Association for Science and Technology JKKP202137Wu Jieping Medical Foundation 320.6750.2022-02-39
6 · The paper itself

Abstract

aimSerotonin-norepinephrine reuptake inhibitors (SNRIs) have been extensively utilized for the treatment of depression and anxiety disorders. Clinical trials and real-world data suggest that SNRIs may cause reproductive toxicity. To comprehensively assess this association, we conducted a pharmacovigilance study.

methodsWe utilized various disproportionality analysis algorithms, including reporting odds ratio (ROR), proportional reporting ratio (PRR), bayesian confidence propagation neural network (BCPNN), and multi-item gamma poisson shrinker (MGPS), to assess the significance of reproductive toxicity-related adverse events (AEs) reported to FDA Adverse Event Reporting System (FAERS) from January 2004 to December 2023, with subgroup analysis conducted by sex and age.

resultsDuloxetine and venlafaxine were associated with 14 and 25 AE signals related to reproductive toxicity, respectively, with erectile dysfunction (ED) and retrograde ejaculation identified as shared important medical events (IMEs). ED had the highest reporting frequency, strongest in venlafaxine-treated patients under 45 years (ROR 4.34, PRR 4.33, IC 2.09, EBGM 4.25). Retrograde ejaculation was newly identified. With decreasing incidence, venlafaxine's median ED onset was 122.5 days and duloxetine's 38 days.

conclusionOur study provides evidence through an extensive analysis of the large-scale real-world FAERS database, aiding healthcare professionals in mitigating, and prioritizing SNRI-related reproductive toxicity AEs.

Indexed as

Adverse Drug Reaction Reporting SystemsDatabases, FactualDuloxetine HydrochloridePharmacovigilanceSerotonin and Noradrenaline Reuptake InhibitorsVenlafaxine HydrochlorideAdolescentAdultAgedFemaleHumansMaleMiddle AgedReproductionUnited StatesYoung AdultDuloxetine HydrochlorideSerotonin and Noradrenaline Reuptake InhibitorsVenlafaxine Hydrochloridedisproportionality analysisdrug safetyFAERSpharmacovigilancereproductive toxicityserotonin‐norepinephrine reuptake inhibitors

Identifiers

PMID39670536
PMCPMC11638886

What Socratic holds

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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 Socratic graph.