Bupropion (All indications except smoking cessation) updated on 07-01-2025

Preeclampsia

R analysis
id Study   Lib. in paper Exposition period    Study type  Control type 
 
Tags OR 95%CI x1/n1 x0/n0 no cases no exposed ROB Ref.
S11824
R43434
Newport, 2016 Hypertensive disorders of pregnancy (gestational hypertension, preeclampsia, eclampsia, or HELLP syndrome) throughout pregnancy nested case control exposed to other treatment, sick Adjustment: No Indications Bupropion: Depression, mood or anxiety disorders Monotherapy: no or not specified 1.27 [0.64;2.53] C 11/73   75/613 86 73
ref
S11720
R43080
Palmsten (control exposed to SSRIs), 2013 Preeclampsia and/or eclampsia (ICD-9 codes 642.4x–642.7x, after 140 gestational days and within 30 days after the delivery) 2nd and/or 3rd trimester retrospective cohort (claims database) exposed to other treatment, sick excluded Adjustment: No Indications Bupropion: Depression, mood or anxiety disorders Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) 1.08 [0.90;1.28] C
excluded (control group)
153/2,622   1,033/19,000 1,186 2,622
ref
S11721
R43081
Palmsten (Controls unexposed, sick), 2013 Preeclampsia and/or eclampsia (ICD-9 codes 642.4x–642.7x, after 140 gestational days and within 30 days after the delivery) 2nd and/or 3rd trimester retrospective cohort (claims database) unexposed, sick Adjustment: Yes Indications Bupropion: Depression, mood or anxiety disorders Monotherapy: substance alone among all Antidep (SSRI, SNRI, ...) Unexposed sick: recent illness/treatment (during or juste before pregnancy or treatment stopped in view of pregnancy) 1.06 [0.91;1.25] 153/2,622   3,215/59,219 3,368 2,622
ref
Total 2 studies 1.07 [0.92;1.25] 3,454 2,695
x1: number of endpoints among exposed, n1: number of exposed; x0: number of endpoints among non exposed, n0: number of non exposed; C: calculated odds ratio from numbers of events and effectives

Forest plot

StudyTE95% CIn casesn exposedweightROBABCDEF Newport, 2016Newport, 2016 1.27[0.64; 2.53]86735%ROB confusion: criticalROB selection: lowROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate Palmsten (Controls unexposed, sick), 2013Palmsten, 2013 1 1.06[0.91; 1.25]3,3682,62295%ROB confusion: moderateROB selection: lowROB classification: criticalROB missing: unclearROB mesure: moderateROB reporting: moderate Total (2 studies) I2 = 0% 1.07[0.92; 1.25]3,4542,6950.55.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, sick;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.06[0.90; 1.24]3,3682,622 -NAPalmsten (Controls unexposed, sick), 2013 1 case control studiescase control studies 1.27[0.64; 2.53]8673 -NANewport, 2016 1 Type of controls unexposed, sickunexposed, sick 1.06[0.90; 1.24]3,3682,622 -NAPalmsten (Controls unexposed, sick), 2013 1 exposed to other treatment, sickexposed to other treatment, sick 1.27[0.64; 2.53]8673 -NANewport, 2016 1 Tags Adjustment   - No  - No 1.27[0.64; 2.53]8673 -NANewport, 2016 1   - Yes  - Yes 1.06[0.90; 1.24]3,3682,622 -NAPalmsten (Controls unexposed, sick), 2013 1 Indications Bupropion   - Depression, mood or anxiety disorders  - Depression, mood or anxiety disorders 1.07[0.92; 1.25]3,4542,6950%NANewport, 2016 Palmsten (Controls unexposed, sick), 2013 2 Monotherapy   - no or not specified  - no or not specified 1.27[0.64; 2.53]8673 -NANewport, 2016 1   - substance alone among all Antidep ( ...  - substance alone among all Antidep (SSRI, SNRI, ...) 1.06[0.90; 1.24]3,3682,622 -NAPalmsten (Controls unexposed, sick), 2013 1 Unexposed sick   - recent illness/treatment (during o ...  - recent illness/treatment (during or juste before pregnancy or treatment stopped in view of pregnancy) 1.06[0.90; 1.24]3,3682,622 -NAPalmsten (Controls unexposed, sick), 2013 1 All studiesAll studies 1.07[0.92; 1.25]3,4542,6950%NANewport, 2016 Palmsten (Controls unexposed, sick), 2013 20.55.01.0

Publication bias and p-hacking diagnosis

funnel plot

Funnel plot not drawn. Less than 3 points.

Asymetry test p-value = NaN (by Egger's regression)

not enought points

p values plot

Funnel plot not drawn. Less than 3 points.

Sub-groups analysis using all included studies

excluded 11720

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed, sick controlsunexposed, sick controls 1.06[0.90; 1.24]3,3682,622 -NAPalmsten (Controls unexposed, sick), 2013 1 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.09[0.92; 1.29]1,2722,6950%NANewport, 2016 Palmsten (control exposed to SSRIs), 2013 20.510.01.0