Is there a Link between Non Melanoma Skin Cancer and Hydrochlorothiazide?

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AIMS: Here in we evaluated the association between the use of Hydrochlorothiazide (HCTZ) and the risk of NMSC both, basal cell carcinoma (BCC) and squamous cell carcinoma (SCC).

BACKGROUND: Even though the use of HCTZ is not linked with the development of serious adverse drug reactions, non-melanoma skin cancer (NMSC) has been reported in patients treated with the drug in recent years, most likely due to its photosensitizing ability.

OBJECTIVE: To evaluate the statistically significant difference (P<0.05) in the development of NMSC between HCTZ users and non-users and the correlation (P<0.05) between HCTZ use and NMSC.

METHODS: We performed a retrospective study on patients referred to general practitioners who developed skin cancer or NMSC whether or not they were treated with antihypertensive drugs. Controls were matched with the test by age and sex. We calculated odds ratios (ORs) for skin cancer and NMSC associated with hydrochlorothiazide using conditional logistic regression.

RESULTS: We enrolled 19,320 patients in the present study, out of a total of 10,110 (52.3%) who were treated with antihypertensive drugs. Of 10,110 patients, 3,870 were treated with HCTZ (38.3%). During the study, we failed to report an increased risk of NMSC in HCTZ-treated vs. untreated patients. Gender stratification revealed an OR for NMSC of 1.36 for men and 0.56 for women. We did not find a dose-response relationship between HCTZ use and NMSC.

CONCLUSION: In the present study, we failed to report an association between the use of HCTZ and the development of NMSC.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Current drug safety - 17(2022), 3 vom: 03., Seite 211-216

Sprache:

Englisch

Beteiligte Personen:

Gallelli, Luca [VerfasserIn]
Cione, Erika [VerfasserIn]
Siniscalchi, Antonio [VerfasserIn]
Vasta, Gianfranco [VerfasserIn]
Guerra, Antonio [VerfasserIn]
Scaramuzzino, Andrea [VerfasserIn]
Longo, Lucia [VerfasserIn]
Muraca, Lucia [VerfasserIn]
De Sarro, Giovambattista [VerfasserIn]
G Sp Working Group [VerfasserIn]
Leuzzi, Giacomo [VerfasserIn]
Gerace, Antonio [VerfasserIn]
Scuteri, Antonio [VerfasserIn]
Vasapollo, Piero [VerfasserIn]
Natale, Vincenzo [VerfasserIn]
Zampogna, Stefania [VerfasserIn]
Luciani, Filippo [VerfasserIn]

Links:

Volltext

Themen:

0J48LPH2TH
Antihypertensive Agents
BCC
Hydrochlorothiazide
Hypertension
Journal Article
Non-melanoma
Pharmacology
SCC
Skin cancer

Anmerkungen:

Date Completed 29.07.2022

Date Revised 29.07.2022

published: Print

Citation Status MEDLINE

doi:

10.2174/1574886316666211103164412

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM332702413