Risk of Breast Cancer According to Use of Antidepressants, Phenothizaines, and Anthistamines
Abstract
In laboratory studies, some antidepressants caused increased growth of mammary tumors. The relation of use of these drugs to the development of breast cancer was examined in a hospital-based case-control study. Information, including lifetime medication history, was collected by interview from 5,814 women with primary breast cancer diagnosed within the previous year, 5,095 women with primary malignancies of other sites, and 5,814 women with other conditions. Relative risks were estimated by using unconditional multiple logistic regression for regular use (> or =4 days per week for > or =4 weeks beginning > or =1 year before admission) of antidepressants and structurally similar drugs. With reference to never use of each drug, relative risks were statistically compatible with 1.0 for selective serotonin reuptake inhibitors (SSRI), tricyclics, other antidepressants, phenothiazines, and antihistamines; results were very similar using both control groups. There were no significant increases in risk for any category of regular use, stratified according to cumulative duration of use or time interval since the most recent use or for any individual drug within the broader classes. However, the estimate for regular SSRI use in the previous year, 1.8, was of borderline statistical significance (95% confidence interval: 1.0, 3.3). The findings do not support an overall association between the use of antidepressants, phenothiazines, or antihistamines and breast cancer. However, the results for SSRIs are not entirely reassuring.
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The majority of studies investigating the risk of breast cancer in patients treated with conventional antipsychotics did not uncover an increased risk of breast cancer, with an exception being the cohort study by Wang et al.
“The majority of the studies in which the risk of breast cancer has been investigated in patients treated with conventional AP (465-468) did not uncover an increased risk of breast cancer, an exception being the cohort study by Wang et al (469).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [467]
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Pharmacodynamics of IV Citalopram Using Functional MRI
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- Authors
- Kelly, J. P., Rosenberg, L., Palmer, J. R., Rao, R. S., Strom, B. L., Stolley, P. D., Zauber, A. G., & Shapiro, S.
- Affiliations
- Boston University (US)
- University of Pennsylvania (US)
- University of Maryland, Baltimore (US)
- Memorial Sloan Kettering Cancer Center (US)
- Corresponding author
- Kelly, J. P.
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 1999-10-15
- Volume
- 150
- Issue
- 8
- Pages
- 861-868
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W1990244587
- Cited by
- 89
- References
- 19
- Citations by year
- 2025: 6 · 2024: 1 · 2022: 5 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 3 · 2016: 3 · 2015: 3 · 2014: 1 · 2013: 3 · 2012: 3
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Pennsylvania
- Memorial Sloan-Kettering Cancer Center
- Johns Hopkins University
- Thomas Jefferson University
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Cancer, Stress, Anesthesia, and Immune Response
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Health Sciences › Medicine › Pharmacology › Inflammatory mediators and NSAID effects
- Keywords
- breast cancer, antidepressants, phenothiazines, antihistamines, selective serotonin reuptake inhibitors, tricyclic antidepressants, drug-induced cancer risk, mammary tumor growth, drug history
- MeSH terms
- Adult, Aged, Antidepressive Agents, Breast Neoplasms, Female, Histamine H1 Antagonists, Humans, Middle Aged, Phenothiazines, Surveys and Questionnaires, Risk Factors, Logistic Models, Case-Control Studies
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