Shinichi Watanabe
| Faculty of Pharmaceutical Sciences,Department of Pharmaceutical Sciences | Professor |
| Graduate School of Pharmaceutical Sciences,Doctoral Program in Pharmaceutical Sciences | Professor |
Last Updated :2026/06/09
■Researcher basic information
■Research activity information
Paper
- Contributions of pharmaceutical interventions to the multidisciplinary dysphagia team: A retrospective observational study.
Akihito Ueda; Michiko Obara; Shinichi Watanabe
Journal of pharmaceutical health care and sciences, 05 Aug. 2025
BACKGROUND: The 2022 revision of Japanese healthcare reimbursement removed pharmacists from the mandatory dysphagia team, despite emerging evidence of medication-related swallowing complications. Our previous pharmacovigilance analysis identified dopamine-blocking drugs as primary contributors to the risk of aspiration pneumonia. This study aimed to validate these findings through a clinical examination of pharmaceutical interventions performed by a multidisciplinary dysphagia team. METHODS: This retrospective observational study was conducted at a 97-bed community hospital in Osaka, Japan, from June 2023 to January 2024. All adult patients with suspected dysphagia who underwent a multidisciplinary team intervention were included in our analysis. Pharmaceutical intervention was requested when medication-related dysphagia or swallowing difficulties were suspected, with interventions classified into the following four categories: drug-induced dysphagia management, dosage form optimization, swallowing aid utilization, and medication burden reduction. Changes in the medication burden were analyzed using paired t-tests. RESULTS: Among 59 patients with dysphagia (mean age, 81.1 ± 9.8 years; 33 males [55.9%], 26 females [44.1%]), 13 (22.0%) underwent pharmaceutical interventions. Drug-induced dysphagia management was the most common intervention (69.2%), targeting dopamine antagonists (sulpiride, risperidone, tiapride, and domperidone), benzodiazepines, and anticholinergics without dopamine-blocking effects. Suspected drug-induced dysphagia was the most common symptom among patients with dementia (38.9%). The intervention group showed a significant reduction in medication (mean, -3.2 medications; P < 0.001), whereas the non-intervention group showed no change. Among the non-intervention group, potential opportunities for the optimization of angiotensin-converting enzyme inhibitors were identified in antihypertensive therapy. CONCLUSIONS: Pharmaceutical interventions may offer clinically meaningful contributions when utilized for patients with dysphagia, supporting the relevance of pharmacovigilance regarding the risks of dopamine antagonists. The findings of this study suggest the importance of reinstating pharmaceutical expertise to multidisciplinary dysphagia teams, as pharmacists provide clinically significant medication optimization, including identifying additional optimization opportunities through systematic medication reviews among vulnerable populations. - Analysis of anticholinergic drugs associated with aspiration pneumonia using the Japanese adverse drug event report database: Supplementary insights from a scoping review
Akihito Ueda; Kanji Nohara; Michiko Obara; Shinichi Watanabe
Respiratory Investigation, Nov. 2024, [Reviewed] - Administration of magnesium oxide tablets to an old patient with dysphagia using yogurt as a swallowing aid: a case report
Akihito Ueda; Nami Fujii; Kanji Nohara; Yoshiyuki Tabata; Shinichi Watanabe; Michiko Obara; Takashi Tomita
Pharmacometrics, Apr. 2024, [Reviewed] - A case of patient with dysphagia experienced separation of tablet from deglutition aid jelly in the larynx
Shinya Sugiura; Akihito Ueda; Nami Fujii; Kanji Nohara; Shinichi Watanabe; Michiko Obara; Takashi Tomita
Pharmacometrics, Apr. 2023, [Reviewed] - Relationship between the Experience of Obtaining Information about the Side Effects of Anticancer Drugs and Self-regulation of Medication in Cancer Patients
Tomoki Kumagai; Shinichi Watanabe; Naoko Hayashi; Hiroki Iwata; Noriko Kobayashi; Kazuko Fujimoto; Katsunori Yamaura
Iryo Yakugaku (Japanese Journal of Pharmaceutical Health Care and Sciences), 10 Nov. 2020, [Reviewed] - Survey of Satisfaction and Needs for Provision of Information on Prescription Drugs
Kento Arakawa; Shinichi Watanabe; Naoko Hayashi; Hiroki Iwata; Noriko Kobayashi; Kazuko Fujimoto; Katsunori Yamaura
Iryo Yakugaku (Japanese Journal of Pharmaceutical Health Care and Sciences), 10 Nov. 2020, [Reviewed] - Estimation of Polyamine Distribution and Polyamine Stimulation of Protein Synthesis in Escherichia coli
S. Miyamoto; K. Kashiwagi; K. Ito; S. Watanabe; K. Igarashi
Archives of Biochemistry and Biophysics, Jan. 1993, [Reviewed] - Estimation of polyamine binding to macromolecules and ATP in bovine lymphocytes and rat liver
S Watanabe; K Kusama-Eguchi; H Kobayashi; K Igarashi
Journal of Biological Chemistry, Nov. 1991, [Reviewed]
MISC
- A case of laryngeal penetration of a drug when the drug was taken using a swallowing aid jelly
上田章人; 上田章人; 藤井菜美; 杉浦伸哉; 富田隆; 渡邊伸一; 小原道子; 野原幹司
日本摂食嚥下リハビリテーション学会学術大会抄録集(Web), 2022 - 患者・国民に対する医療用医薬品に関する情報提供
Dec. 2020, [Invited] - 未承認薬・適応外薬に関する情報提供と医療用医薬品の販売情報提供活動に関するガイドライン
Aug. 2020, [Invited] - Drug Information for Safe Use
Shinichi Watanabe
YAKUGAKU ZASSHI-JOURNAL OF THE PHARMACEUTICAL SOCIETY OF JAPAN, Mar. 2014 - 薬事研究 2008年度診療報酬改定について
渡邊 伸一
JAPIC J, Dec. 2008
(一財)日本医薬情報センター - 薬物代謝酵素に関する添付文書の記載状況調査~日米間での比較~
渡邊伸一; 簾貴士; 工藤さやか; 矢野由里加; 栗原輝子; 金子貴俊; 鈴木聡子; 櫻田大也; 佐藤信範; 上田志朗
医療薬学フォーラム講演要旨集, Jul. 2007 - 厚生労働省の取組み(改正薬事法とロードマップ)
渡邊 伸一
医療情報学連合大会論文集, Nov. 2004
(一社)日本医療情報学会
Books and other publications
Lectures, oral presentations, etc.
- 不適切なOTC医薬品広告の誘引性の調査
Jun. 2024 - 行動経済学の知見を活用した効果的な禁煙指導 ~喫煙への渇望にナッジで挑む~
Mar. 2024 - 患者の処方薬に関する情報源の実態と入手情報の満足度およびニーズ調査
Mar. 2021 - 抗がん剤副作用情報の入手に関する経験と患者の服薬調節行動の関連性
Mar. 2020 - 医療用医薬品の適用外使用情報に係わる情報提供の現状の調査・分析
Mar. 2020 - 審査報告書の臨床的位置付けの記載の解析
Nov. 2018
Research Themes
- 課徴金制度の導入等の医薬品等の広告規制の変化を踏まえた実態調査研究
Apr. 2022 - Mar. 2025 - 在宅医療における薬剤師と関係職種の連携の実態把握及び推進のための調査研究
Jul. 2023 - Mar. 2024 - Research on the Revision of Qualification Requirements for the Marketing Supervisor General of Medical Devices
Teikyo Heisei University
Apr. 2022 - Mar. 2023 - 医療用医薬品の広告監視モニター事業の全施設対応化に伴う普及啓発及び質の向上に関する研究
Apr. 2020 - Mar. 2022 - 医療機器の危害防止措置の適切な実施に係るガイダンスに関する研究
Apr. 2019 - Mar. 2022 - 「医療用医薬品の販売に係る情報提供ガイドライン」の施行に伴う企業側実体の調査研究
Apr. 2019 - Mar. 2022 - 医療用医薬品の適応外使用に係る情報提供の現状把握とガイドライン作成のための調査研究
2018 - Mar. 2019