Details

Autor(en) / Beteiligte

• Lertxundi, U.
• Marquínez, A.C
• Domingo-Echaburu, S.
• Solinís, M.Á
• Calvo, B.
• Del Pozo-Rodríguez, A.
• García, M.
• Aguirre, C.
• Isla, A.

Titel

Hiccups in Parkinson’s disease: an analysis of cases reported in the European pharmacovigilance database and a review of the literature

Ist Teil von

• European journal of clinical pharmacology, 2017-09, Vol.73 (9), p.1159-1164

Ort / Verlag

Berlin/Heidelberg: Springer Berlin Heidelberg

Erscheinungsjahr

2017

Quelle

SpringerLink

Beschreibungen/Notizen

• Background Some reports have suggested an association between dopamine agonists and hiccups, involuntary contractions that merit full clinical attention because they can be very debilitating. Many drugs frequently used to treat hiccups are formally contraindicated in Parkinson’s disease due to their liability to worsen motor symptoms, making the treatment of hiccups problematic in this disease. The objective of the present study was to analyze all spontaneous reports of hiccups from the European Pharmacovigilance Database in patients with Parkinson’s disease and/or on dopaminergic drugs. Finally, we sought to identify evidence-based recommendations on the management of hiccups in Parkinson’s disease. Methods We searched for all reports of hiccups in the European Pharmacovigilance Database (EudraVigilance) and calculated proportional reporting ratios for dopamine agonists and hiccups. We reviewed the literature on Parkinson’s disease, dopamine agonists, and hiccups, searching for specific treatment recommendations for hiccups in this disease. Results Both rotigotine and pramipexole fulfilled the criteria to generate a safety signal. We found 32 and 13 cases of hiccups associated with dopamine agonists in EudraVigilance and the literature, respectively. There were no specific recommendations for the management of hiccups in Parkinson’s disease in the clinical guidelines consulted. Conclusions We have found evidence that rotigotine and pramipexole are associated with the appearance of hiccups and that this adverse reaction occurs predominantly in males. Given the scarce information available, specific recommendations are needed in clinical guidelines for the adequate management of hiccups in Parkinson’s disease.