Psychiatric events induced by roflumilast: a real-world pharmacovigilance study of the FDA Adverse Event Reporting System database - Summary - MDSpire

Psychiatric events induced by roflumilast: a real-world pharmacovigilance study of the FDA Adverse Event Reporting System database

  • By

  • Lifang Wu

  • Yan Chen

  • Yaping Huang

  • Shaojun Jiang

  • Chengjie Ke

  • June 11, 2026

  • 0 min

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Objective:

To investigate the relationship between roflumilast and psychiatric adverse events (AEs) specifically linked to its use, utilizing the FDA Adverse Event Reporting System (FAERS) data.

Approach:
    Key Findings:
    • 414 reports of psychiatric AEs related to roflumilast were identified.
    • 31 preferred terms for psychiatric AEs were noted.
    • Five significant positive signals were found: insomnia (ROR 3.55), suicidal ideation (ROR 4.32), sleep disorder due to a general medical condition (ROR 13.47), nervousness (ROR 3.30), and eating disorder (ROR 5.16).
    • Increased risk of life-threatening events and hospitalization associated with psychiatric AEs.
    Interpretation:

    The findings provide critical evidence for healthcare professionals to recognize and monitor psychiatric AEs associated with roflumilast, enhancing patient safety.

    Limitations:
    • The study is based on post-marketing data, which may have reporting biases and underreporting.
    • The analysis does not establish causality between roflumilast and psychiatric AEs.
    Conclusion:

    The study highlights the urgent need for awareness and monitoring of psychiatric AEs associated with roflumilast in clinical practice to ensure patient safety.

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