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Revista Cubana de Salud Pública

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2012, Number 1

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Revista Cubana de Salud Pública 2012; 38 (1)

Adverse events after treatment with the transfer factor

Cruz BMA, Rodríguez MBN, Furones MJA, Alfonso OI, Rodríguez PD
Full text How to cite this article

Language: Spanish
References: 10
Page: 20-28
PDF size: 64.08 Kb.


Key words:

Transfer factor, adverse reactions, adverse events, adverse, effects, drug surveillance, drug epidemiology.

ABSTRACT

Introduction: the transfer factor is an immunologic stimulant used in a wide range of diseases. Its safety and efficiency have been evaluated in pre-registration clinical trials, but little is known about its safety margin under regular practical conditions, hence the need of closely watching its use and setting the benefit-risk relation.
Objectives: to identify adverse events in patients treated with the transfer factor and to determine the level of association of the drug and the observed adverse event and severity.
Methods: prospective, multicentered, descriptive and observational study of active drug surveillance. Two hundred and eighty two patients, who were attended by their physicians from April 2001 to April 2002 in 9 hospitals of Havana, were observed for one year after the end of a treatment with the transfer factor. The occurrence of adverse events as well as their severity, association with the drug, the number of events per patient, the supplied dosage and the age of the patient was all analyzed.
Results: in this group of patients, 13.8 % had at least one adverse effect; 38.5 % were aged 45 to 59 years. The treatment schemes with high and prolonged dosage did not cause any further event. Eighty adverse effects were identified, 55 % mild and 80 % were considered as unlikely related with the drug. None of them was definitive or probable whereas fever, arthralgia, dysnea, myalgia, allergy and asthenia were considered as possible mild adverse reactions.
Conclusions: most of adverse events during the year after the end of treatment with the transfer factor were mild and unrelated to the use of the drug. However, the drug manufacturers should advise professionals and patients on the possible occurrence of adverse reactions.


REFERENCES

  1. Furones JA, Pérez J. Necesidad de la Farmacoepidemiología. En: Colectivo de autores, editores. Farmacoepidemiología. Uso racional de medicamentos. La Habana: Editorial Academia; 2010. p. 1-14.

  2. Furones JA. Reacciones adversas. Farmacovigilancia e interacciones medicamentosas. En: Vergel Rivera G, Tasé Martínez MJ, Groning Roque E, editores. Farmacología en el proceso de atención de enfermería. La Habana: Editorial Ciencias Médicas; 2009. p. 52-88

  3. Fernández CB. Factor de transferencia, nuevas actividades biológicas. Avances Médicos Cuba. 1999;7:30-2.

  4. Simposio Internacional sobre Interferón y Citoquinas. La Habana, Cuba. Diciembre 2-5, 2001[Internet]. [citado 21 diciembre 2007]. Disponible en: http://elfosscientiae.cigb.edu.cu/PDFs/BA/2001/18/Especial/BA00180E013-024.pdf

  5. Foschi FG, Marsigli L, Bernardi M, Salvi F, Mascalchi M, Gasbarrini G, et al. Acute multifocal cerebral white matter lesions during transfer factor therapy. J Neurol Neurosurg Psychiatry [Internet]. 2000 [citado Ene 2002];68. Available from: http://jnnp.bmj.com/content/68/1/114.full

  6. Cruz MA, Rodríguez BN, Furones JA, Martín AD, Guerra LM, Páez AT. Patrones de prescripción de factor de transferencia en 11 hospitales de Ciudad de La Habana, año 2002. Rev Cubana Salud Pública [Internet]. 2005 [citado 23 Abr 2010];31(4). Disponible en: http://bvs.sld.cu/revistas/spu/vol31_4_05/spu04405.htm

  7. Cruz MA, Rodríguez BN, Furones JA, Pérez E, Morris AC, Huete S. Evolución clínica de pacientes tratados con factor de transferencia. Rev Cubana Hematología [Internet]. 2004 [citado 23 Abr 2010];20(3). Disponible en: http://bvs.sld.cu/revistas/hih/vol20_3_04/hih06304.htm

  8. Cruz MA, Rodríguez BN, Furones JA, Alonso L, Calvo DM, Rego JJ. Efectos adversos asociados al tratamiento con factor de transferencia. Ciudad de La Habana, 2004. Rev Cubana Farm [Internet]. 2006 [citado 23 Abr 2010];40(1). Disponible en: http://bvs.sld.cu/revistas/far/vol40_1_06/far04106.htm

  9. Vigilancia de la seguridad de los medicamentos. Guía para la instalación y puesta en funcionamiento de un centro de farmacovigilancia [Internet]. WHO: Uppsala Monitoring Centre [citado 24 May 2002]. Disponible en: http://whoumc.org/graphics/24751.pdf

  10. Naranjo CA, Busto UE. Reacciones adversas a medicamentos. En: Naranjo CA, editor. Métodos de farmacología clínica. Washington, D.C.: OPS/OMS; 1992. p. 331.




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Revista Cubana de Salud Pública. 2012;38