This week, the Innovative Medicines Initiative project, ConcePTION, is part of the fifth annual social media campaign called #MedSafetyWeek. The purpose is to raise awareness about the importance of reporting suspected side effects from medicines to national health authorities, registries and drug manufacturers. This year, ConcePTION is adding an important message to this campaign. We are calling on women and health care professionals to report any medications used during pregnancy and breastfeeding. This is important, even if you do not think you are experiencing any side effects. Why? Because information about medicine safety for pregnant and breastfeeding women is desperately lacking. Every report counts, and adds knowledge about how safe medicines are for both mums and babies!
Don’t wait for someone else to report their concerns! This week, ConcePTION is one of many projects and organisations devoting social media channels to medicine safety. The theme of the campaign is ‘every report counts’. Your reporting today can help others in the future. This is why especially during #MedSafetyWeek, we call on everyone to report suspected side effects from medicines. In pregnancy, every report counts and contributes to improving medicine safety for all patients!
Medicines are regularly tested for safety, quality, and benefit, but side effects (also known as adverse reactions), can happen. It is hard to predict who will experience an unexpected medical problem while taking a medicine. It is critical that everyone involved with developing, prescribing, and using a drug understand and communicate any possible risks. This includes how a medicine is used.
Pregnant women are often discouraged to take medicines when there is little knowledge about their effects on her foetus and baby. Despite this, 9 out of 10 women take at least one medicine at some time during their pregnancy. Sometimes women don’t know they are pregnant when they take the medicine. For these women, every bit of knowledge is critical to help make the choice that is right for them. Which is why ConcePTION is building a system to develop evidence about the safety of authorised medicines in pregnancy and for nursing mothers.
“One element of that system is collecting and collating reported exposures and pregnancy outcomes, which is why women’s self-reporting of the use of medicines is a very important piece of the puzzle”, says Dr. David Lewis, Qualified Person for Pharmacovigilance at Novartis & Senior Visiting Research Fellow, University of Hertfordshire, who leads work to develop a ConcePTION app for self-reporting.
This kind of reporting helps identify new side effects or other unexpected and serious safety problems. The information also builds the knowledge we need to provide women with evidence about medicine safety. By reporting any medicines that you have taken, you can help make medicines safer for everyone. Whether they are over-the-counter painkillers or complex chemotherapy, your report can help health care professionals treat women who are pregnant or want to be, or those who wish to breastfeed.
Patient safety concerns during pregnancy or when breastfeeding often results in women not taking treatment properly. Inadequate treatment can put both mum and unborn baby at greater risk.
“We need to remember that women with chronic illnesses want to have children, and they often do. They deserve to make informed choices about their treatment. In the best of worlds, women can discuss with their doctors about positive and negative effects of medicines on both mother and foetus and baby during breastfeeding, but that requires proper safety data for pregnancy and breastfeeding”, says Dr Ida Niklson, Managing Director I.D.D.A. Pharma Consulting, representing Novartis, who is one of the project leaders of the ConcePTION project.
To support these decisions, ConcePTION is building an online knowledge base with information for women and health care professionals. Women’s voluntary reporting will play an important role in ensuring that we provide up-to-date information.
How and where can I report?
If you are a pregnant woman
If you have taken a medicine during your pregnancy (regardless of whether there are side effects or not), you can ask your health care provider to report on your behalf. You can also report it to the company who makes the medicine (Marketing Authorization Holder). You can find the information on where and how to notify the Marketing Authorisation Holder in the label or information leaflet included in the product packaging, or by visiting the company website.
In some countries (Italy and Sweden for example), physicians have obligations to report adverse reactions directly to the National Competent Authority. But this differs from country to country. The national regulatory authorities also collect information about adverse reactions in pregnancy.
If you do not know where to turn, your doctor or midwife can help you find out.
Health care providers
Where a pregnancy exposure occurs, whether or not it is associated with an adverse drug reaction, you can report it to the Marketing Authorization Holder of the product. In some countries (Italy and Sweden for example), physicians have obligations to report adverse reactions directly to the National Competent Authority. But this differs from country to country. Your report will likely feed into the EudraVigilance database, a collaboration between different actors in Europe. These include European Medicines Agency, different National Competent Authorities (national regulatory authorities), the Market Authorisation Holders (companies that make the medicines), and different sponsors of clinical trials (including physicians, academic centres, non-governmental organisations, and companies that develop medicines).
You can find a list of the national competent authorities of the EU and EEA on the European Medicines Agency website.
Who is taking part in this campaign
National medicines regulatory authorities from 75 countries across the globe and their stakeholders will be taking part in this international campaign. The campaign is led by Uppsala Monitoring Centre (UMC), and the World Health Organisation (WHO) Collaborating Centre for International Drug Monitoring. The campaign is supported by members of the Heads of Medicines Agencies (HMA) and the International Coalition of Medicines Regulatory Authorities (ICMRA). The #MedSafetyWeek 2020 project team consists of representatives from the following medicines regulators working collaboratively: Medicines and Healthcare products Regulatory Agency (UK), Food and Drugs Authority (Ghana), Pharmacy and Poisons Board (Kenya), Health Sciences Authority (Singapore), and State Institute for Drug Control (Slovakia).
About the ConcePTION project
ConcePTION is a project funded by the Innovative Medicines Initiative, a private-public partnership. The project was launched in April 2019 and is due to complete in March 2024. We believe that we have an important societal obligation to radically and rapidly reduce uncertainty about the effects of medication used during pregnancy and breastfeeding. This will benefit women in making informed decisions about medications used before, during and after pregnancy.