Chinese Journal of Pharmacovigilance ›› 2017, Vol. 14 ›› Issue (11): 680-682.

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Clinical Application and Potential Risk of Xylitol-containing Injections

XU Xian-xing1, YANG Jing-wen2, WU Gui-zhi1, DONG Duo1   

  1. 1 Center for Drug Reevaluation, CFDA, Beijing, 100045, China;
    2 The First Affiliated Hospital of PLA General Hospital, Beijing,100048, China
  • Received:2017-12-26 Revised:2017-12-26 Online:2017-11-20 Published:2017-12-26

Abstract: Objective To investigate the potential risks of xylitol-containing injections so as to promote rational use of these products in clinical practice. Methods The valid data of xylitol-containing injections were retrieved from the national database of drug adverse reaction monitoring and literature at home and abroad, and the characteristics and potential risks were analyzed. Results Xylitol-containing injections were widely used as glucose substitutes in our country. Although there are strict restrictions in the indications for such products, off-label use is common, which may increase the incidence of adverse reactions in patients. Additionally, some of the xylitol-containing formulations are not restricted for use in diabetic patients, and substantial intake of xylitol may happen. Conclusion Xylitol-containing injections should be used in accordance with indications, meanwhile, the potential risk of excessive intake of xylitol must be concerned about.

Key words: xylitol, safety, adverse drug reaction

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