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Table 3 Signals associated with increased cancer risk (exposure: any prescription)

From: A systematic assessment of the association between frequently prescribed medicines and the risk of common cancers: a series of nested case-control studies

Cancer

Adjusted for comorbidities†

Adjusted for comorbidities† and smoking

Breast§

Estrogen-HRT (OR = 1.26)

Metronidazole* (OR = 1.25)

Progestogen-HRT (OR = 1.28)

Bisoprolol (OR = 1.30)

Metronidazole* (OR = 1.26)

Progestogen-HRT (OR = 1.25)

Lung

Amoxicillin (OR = 1.40)

Azathioprine (OR = 1.56)

Cimetidine (OR = 1.39) Clarithromycin (OR = 1.34)

Codeine (OR = 1.31)

Dihydrocodeine (OR = 1.29)

Folic acid (OR = 1.49)§

Ipratropium* (OR = 1.58)

Nitrazepam (OR = 1.35)

Nystatin (OR = 1.27)

Paracetamol (OR = 1.34)

Salbutamol* (OR = 1.44)

Salmeterol* (OR = 1.34)

Tiotropium* (OR = 1.75)

Amoxicillin (OR = 1.29)

Azathioprine (OR = 1.76)

Cimetidine (OR = 1.35)

Ipratropium * (OR = 1.43)

Nitrazepam (OR = 1.34)

Salbutamol* (OR = 1.35)

Salmeterol* (OR = 1.44)

Tiotropium* (OR = 1.63)

Colorectal

Allopurinol (OR = 1.27)

Prednisolone* (OR = 1.31)

Allopurinol (OR = 1.26)

 

Prostate§§

Cerivastatin (OR = 1.43)

Clioquinol* (OR = 1.30)

Alfuzosin (OR = 1.66)

Clioquinol* (OR = 1.34)

Bladder

Celecoxib (OR = 1.40)

Dexamethasone* (OR = 1.30)

Nicotine (OR = 2.04)

Trimethoprim (OR = 1.96)

Cefalexin (OR = 1.37)

Ciprofloxacin (OR = 1.40)

Nicotine (OR = 1.54)

Phenoxymethylpenicillin (OR = 1.30)

Quinine (OR = 1.28)

Ranitidine (OR = 1.26)

Trimethoprim (OR = 1.92)

Malignant melanoma

Chloramphenicol* (OR = 1.28)

Clopidogrel (OR = 1.60)

Flucloxacillin (OR = 1.28)

Clopidogrel (OR 1.63)

 

Oesophagus

Alginic acid (OR = 1.40)

Azathioprine (OR = 2.47)

Cisapride (OR = 2.03)

Gramicidin* (OR = 1.52)

Lansoprazole (OR = 1.35)

Nicotine (OR = 1.50)

Nystatin (OR = 1.58)

Nystatin* (OR = 1.29)

Omeprazole (OR = 1.39)

Triamcinolone* (OR = 1.47)

Vitamin B (OR = 1.36)

Alginic acid (OR = 1.38)

Azathioprine (OR = 3.39)

Ipratropium* (OR = 1.45)

Lansoprazole (OR = 1.33)

Nystatin (OR = 1.65)

Nystatin* (OR = 1.36)

Omeprazole (OR = 1.29)

Non-Hodgkin’s lymphoma

Amoxicillin (OR = 1.34)

Betamethasone* (OR = 1.37)

Chlorhexidine* (OR = 1.67)

Clarithromycin (OR = 1.33)

Clobetasol* (OR = 1.73)

Erythromycin (OR = 1.26)

Hydroxyzine (OR = 1.75)

Methotrexate (OR = 2.93)

Prednisolone (OR = 1.37)

Prochlorperazine (OR = 1.30)

Betamethasone* (OR = 1.26)

Clobetasol* (OR = 1.72)

Erythromycin (OR = 1.28)

Leukaemia

Allopurinol (OR = 1.57)

Amoxicillin (OR = 1.29)

Trimethoprim (OR = 1.26)

Oxybutynin (OR = 1.93)

 

Oral (inc. head, neck, nasal)

Codeine (OR = 1.29)

Flucloxacillin (OR = 1.36)

Folic acid (OR = 2.52)§

Nystatin (OR = 2.06)

Vitamin B (OR = 2.75)

Vitamin D (OR = 1.69)

Clobetasone* (OR = 1.41)

Nystatin (OR = 1.92)

Vitamin B (OR = 2.33)

Stomach

Cimetidine (OR = 1.44)

Clarithromycin (OR = 1.35)

Digoxin (OR = 1.49)

Vitamin B (OR = 1.54)

Codeine (OR = 1.35)

Nicotinates* (OR = 2.09)

Vitamin B (OR = 1.55)

Ovary§

Phenytoin (OR = 3.24)

Rabeprazole (OR = 2.18)

Phenytoin (OR = 3.86)

 

Kidney

Amoxicillin (OR = 1.28)

Hydrochlorothiazide (OR = 1.93)

Perindopril (OR = 1.63)

Hydrochlorothiazide (OR = 2.21)

Perindopril (OR = 1.76)

Pancreas

Betamethasone* (OR = 1.34)

Nicotine (OR = 1.94)

Amoxicillin (OR = 1.31)

 

Cervix and other gynae§

Dihydrocodeine (OR = 1.39)

Ranitidine (OR = 1.37)

–

 

Uterus§

Atenolol (OR = 1.39)

Bendroflumethiazide (OR = 1.27)

Bisoprolol (OR = 1.82)

Doxazosin (OR = 1.68)

Enalapril (OR = 1.66)

Ibuprofen* (OR = 1.53)

Mefenamic acid (OR = 1.72)

Tranexamic acid (OR = 1.87)

Chlortalidone (OR = 2.14)

Enalapril (OR = 2.00)

Larynx

Benzydamine* (OR = 2.33)

Dextropropoxyphene (OR = 1.51)

Paracetamol (OR = 1.45)

Vitamin B (OR = 2.40)

Dextropropoxyphene (OR = 1.54)

Paracetamol (OR = 1.40)

Vitamin B (OR = 1.80)

Brain and CNS

Carbamazepine (OR = 2.20)

 

Zinc oxide* (OR = 1.97)

 

Myeloma

Amoxicillin (OR = 1.53)

Ciprofloxacin (OR = 1.73)

Amoxicillin (OR = 1.45)

Paracetamol (OR = 1.51)

Clioquinol* (OR = 2.52)

Thyroid

Gabapentin (OR = 5.13)

Levothyroxine (OR = 2.18)

Clarithromycin (OR = 2.10)

Flucloxacillin (OR = 1.70)

Folic acid (OR = 2.77)§

Gabapentin (OR = 5.84)

Levothyroxine (OR = 2.21)

Mefenamic acid (OR = 2.30)

Anal

Clonidine (OR = 3.87)

Doxazosin (OR = 2.48)

Clonidine (OR = 4.49)

Doxazosin (OR = 2.76)

Theophylline (OR = 9.08)

  1. Abbreviations: OR odds ratio, HRT hormone replacement therapy, CNS central nervous system
  2. †Comorbidities include diabetes, myocardial infarction, coronary heart disease, heart failure, peripheral vascular disease, dementia, cerebrovascular disease, chronic obstructive pulmonary disease, osteoporosis, rheumatological disease, renal disease, liver disease, irritable bowel disease, human immunodeficiency viruses and hemiplegia/paraplegia, plus potential site-specific confounders
  3. *Medicines applied for local effect, all other medicines systemic
  4. §Analyses restricted to females only
  5. §§Analyses restricted to males only