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Szerző szerinti böngészés "Girgis, Michael Magdy Fahmy"

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    TételSzabadon hozzáférhető
    Pharmacovigilance study of anti-seizure medications among people living with epilepsy and the potential impact of complementary and alternative medicine regarding outcome
    (2024) Girgis, Michael Magdy Fahmy; Horváth, László; Girgis, Michael Magdy Fahmy; Gyógyszertudományok doktori iskola; Gyógyszerésztudományi Kar
    Epilepsy is a disease needing life-long treatment affecting millions of people. We have focused on two important aspects of treatment in order to achieve better tailored therapy. Firstly, we conducted a pharmacovigilance study of ASMs covering a ten-year-period using EV database with focus on their seriousness and outcomes of reported sADRs. A total of 276,694 reports were retrieved, including1,051,142 individual sADRs reported as PTs. ROR, 95% CI, p value and chi-square statistics were calculated. The most frequent SOCs were the following: nervous system disorders (19.26%), general disorders and administration site conditions (14.39%), psychiatric disorders (11.29%) and injury, poisoning and procedural complications (9.79%). Old ASMs had a significant positive association with ‘caused/prolonged hospitalisation’, ‘congenital anomaly’, ‘disabling’, ‘life threatening’ and ‘results in death’, while new ASMS with ‘other medically important condition’. SUDEP was reported in 0.04% of PTs. Concluding, Old ASMs were generally more commonly associated with undesired outcomes and seriousness. Considering their expected seriousness and outcomes, the safety profile of the different ASMs, can play a major role in the selection of ASMs. Summarizing our PV studies, most of the PTs felt in the serious condition. Undesired outcomes and seriousness among reported ICSR were more common by old ASMs. Only with the precise knowledge of the safety profile of prescribed ASMs can fulfil patients’ preference and lead to adequate adherence increasing the probability of better seizure control. Secondly, CAM use was examined with a self-developed questionnaire focusing on the outcomes of treatment among PWE. Filled questionnaires were used in compiling database that was eventually analysed. Number of PWE was 127. Mean age was 45.1±16.1 years. From PWE group, ten patients (7.9%) used CAM because they believed in CAM. Comparing to patients with diabetes mellitus, the prevalence was 12%. Two of them reported ADR. The CAM users among PWE were younger, while patients with DM were elderly who tended to use CAM. The major findings were that health-conscious patients tended to use more CAM which highlights the necessity to discuss CAM use openly. The most commonly reported CAMs were CYPs enzymes modulating that can lead to many interactions and lead to ADR. Accordingly, role of treating team including clinical pharmacists and patient’s education may be essential. Both studies may show, how a clinical pharmacist could contribute to the treatment of PWE.
  • Nincs kép
    TételSzabadon hozzáférhető
    Seriousness and outcomes of reported adverse drug reactions in old and new antiseizure medications: a pharmacovigilance study using EudraVigilance database
    (2024) Girgis, Michael Magdy Fahmy; Farkasinszky, Gergely; Fekete, Klára; Fekete, István; Vecsernyés, Miklós; Bácskay, Ildikó; Horváth, László
  • Nincs kép
    TételSzabadon hozzáférhető
    Sex differences in suspected adverse drug reactions of anti-seizure medications reported in EudraVigilance
    (2025) Girgis, Michael Magdy Fahmy; Farkasinszky, Gergely; Fekete, Klára; Fekete, István; Vecsernyés, Miklós; Bácskay, Ildikó; Horváth, László
  • Nincs kép
    TételSzabadon hozzáférhető
    Six years' experience and trends of serum 25-hydroxy vitamin D concentration and the effect of vitamin D3 consumption on these trends
    (2023) Horváth, László; Mirani, Sara; Girgis, Michael Magdy Fahmy; Rácz, Szilvia; Bácskay, Ildikó; Bhattoa, Harjit Pal; Tóth, E. Béla
  • Nincs kép
    TételKorlátozottan hozzáférhető
    Use of complementary and alternative medicine among patients with epilepsy and diabetes mellitus, focusing on the outcome of treatment
    (2022) Girgis, Michael Magdy Fahmy; Fekete, Klára; Homoródi, Nóra; Márton, Sándor; Fekete, István; Horváth, László
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