Table 3.
β-adrenoreceptor Antagonists and Primidone Dosea in Relation to Parkinson Disease, among Part D Beneficiaries Using the Medication, Overall and Restricted to Beneficiaries with Tremor
All Medication Users |
Medication Users with Tremor |
|||||
---|---|---|---|---|---|---|
Dose (mg/day)a | % Cases | % Controls | OR (95% CI)b | % Cases | % Controls | OR (95% CI)b |
Propranolol | n=2115 | n=705 | n=1632 | n=208 | ||
<40 | 25.8 | 21.7 | 1.0 (Reference) | 24.9 | 21.2 | 1.0 (Reference) |
40 – <80 | 34.5 | 31.9 | 0.94 (0.74–1.20) | 35.2 | 31.3 | 0.98 (0.65–1.48) |
≥80 | 39.7 | 46.4 | 0.79 (0.63–0.99) | 39.9 | 47.6 | 0.74 (0.51–1.09) |
p for trendb,c | p=0.67 | p=0.42 | ||||
Carvedilol | n=3335 | n=3197 | n=936 | n=148 | ||
<12.5 | 29.0 | 24.5 | 1.0 (Reference) | 28.2 | 26.4 | 1.0 (Reference) |
12.5 – <25 | 32.1 | 29.5 | 0.94 (0.82–1.08) | 33.2 | 29.1 | 1.06 (0.66–1.69) |
≥25 | 38.9 | 46.0 | 0.76 (0.67–0.86) | 38.6 | 44.6 | 0.74 (0.48–1.14) |
p for trendb,c | p<0.001 | p=0.12 | ||||
Metoprolol | n=12,724 | n=11,849 | n=4091 | n=624 | ||
<50 | 26.9 | 22.8 | 1.0 (Reference) | 26.3 | 26.8 | 1.0 (Reference) |
50 | 37.5 | 37.9 | 0.89 (0.83–0.96) | 38.7 | 38.5 | 1.04 (0.84–1.29) |
>50 | 35.6 | 39.3 | 0.84 (0.79–0.90) | 35.0 | 34.8 | 1.04 (0.83–1.29) |
p for trendb,c | p<0.001 | p=0.86 | ||||
Primidone | n=1869 | n=203 | n=1730 | n=166 | ||
<75 | 33.9 | 29.6 | 1.0 (Reference) | 33.0 | 31.9 | 1.0 (Reference) |
75 – <150 | 27.4 | 23.2 | 1.03 (0.69–1.53) | 27.6 | 23.5 | 1.14 (0.74–1.75) |
≥150 | 38.7 | 47.3 | 0.72 (0.51–1.01) | 39.4 | 44.6 | 0.86 (0.59–1.25) |
p for trendb,c | p=0.005 | p=0.34 |