The Cognitive Footprint of Medication Use

ABSTRACT Introduction The cognitive side‐effects of medication are common, but often overlooked in practice, and not routinely considered in interventional trials or post‐market surveillance. The cognitive footprint of a medication seeks to quantify the impact of its cognitive effects based on magni...

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Main Authors: Marta Suárez Pinilla, Charlotte R. Stoner, Martin Knapp, Parashkev Nachev, Martin Rossor
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.70200
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author Marta Suárez Pinilla
Charlotte R. Stoner
Martin Knapp
Parashkev Nachev
Martin Rossor
author_facet Marta Suárez Pinilla
Charlotte R. Stoner
Martin Knapp
Parashkev Nachev
Martin Rossor
author_sort Marta Suárez Pinilla
collection DOAJ
description ABSTRACT Introduction The cognitive side‐effects of medication are common, but often overlooked in practice, and not routinely considered in interventional trials or post‐market surveillance. The cognitive footprint of a medication seeks to quantify the impact of its cognitive effects based on magnitude, duration, and interaction with other factors, evaluated across the exposed population. Methods Bayesian multivariable regression analysis of retrospective population‐based cross‐sectional cohorts. Results We replicate positive and negative cognitive effects of commonly used medications in UK Biobank, and extend observed associations to two additional cohorts, the EPIC Norfolk, and the Caerphilly Prospective Cohort. We quantify the resultant cumulative impact at the population level given known patterns of prescribing and compare it with exemplar common diseases. Conclusion The cognitive side‐effects of commonly used drugs may have significant impact at the population level. Consideration should be given to a routine structured assessment of cognition in interventional trials and post‐market surveillance.
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spelling doaj-art-7ac66493ad534ab5b1f26e87654b986e2025-01-29T13:36:40ZengWileyBrain and Behavior2162-32792025-01-01151n/an/a10.1002/brb3.70200The Cognitive Footprint of Medication UseMarta Suárez Pinilla0Charlotte R. Stoner1Martin Knapp2Parashkev Nachev3Martin Rossor4Clinical Neuroscience Laboratory, Center for Biomedical Technology Universidad Politécnica de Madrid Madrid SpainUCL Queen Square Institute of Neurology University College London London UKHealth Policy Department London School of Economics and Political Science London UKUCL Queen Square Institute of Neurology University College London London UKUCL Queen Square Institute of Neurology University College London London UKABSTRACT Introduction The cognitive side‐effects of medication are common, but often overlooked in practice, and not routinely considered in interventional trials or post‐market surveillance. The cognitive footprint of a medication seeks to quantify the impact of its cognitive effects based on magnitude, duration, and interaction with other factors, evaluated across the exposed population. Methods Bayesian multivariable regression analysis of retrospective population‐based cross‐sectional cohorts. Results We replicate positive and negative cognitive effects of commonly used medications in UK Biobank, and extend observed associations to two additional cohorts, the EPIC Norfolk, and the Caerphilly Prospective Cohort. We quantify the resultant cumulative impact at the population level given known patterns of prescribing and compare it with exemplar common diseases. Conclusion The cognitive side‐effects of commonly used drugs may have significant impact at the population level. Consideration should be given to a routine structured assessment of cognition in interventional trials and post‐market surveillance.https://doi.org/10.1002/brb3.70200medications | cognitive footprint | large‐scale cohorts | medication side effects | cognition
spellingShingle Marta Suárez Pinilla
Charlotte R. Stoner
Martin Knapp
Parashkev Nachev
Martin Rossor
The Cognitive Footprint of Medication Use
Brain and Behavior
medications | cognitive footprint | large‐scale cohorts | medication side effects | cognition
title The Cognitive Footprint of Medication Use
title_full The Cognitive Footprint of Medication Use
title_fullStr The Cognitive Footprint of Medication Use
title_full_unstemmed The Cognitive Footprint of Medication Use
title_short The Cognitive Footprint of Medication Use
title_sort cognitive footprint of medication use
topic medications | cognitive footprint | large‐scale cohorts | medication side effects | cognition
url https://doi.org/10.1002/brb3.70200
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