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Drug-induced male infertility: a real-world study using FAERS and EudraVigilance databases - PubMed

6 days ago
  • #pharmacovigilance
  • #drug-safety
  • #male-infertility
  • Study identifies 19 high-risk drugs linked to male infertility using FAERS and EudraVigilance databases.
  • Key drugs include hormonal agents (finasteride, dutasteride, testosterone), antineoplastic drugs (bleomycin, vinblastine), and antidepressants (citalopram, paroxetine).
  • Median time to event onset was 132 days, aligning with the spermatogenic cycle.
  • Finasteride showed strong causality evidence through dechallenge/rechallenge analyses.
  • Recommendations include pre-prescription fertility counseling and sperm cryopreservation before chemotherapy.