ADR Flashcards
Any untoward medical occurrence during treatment with a pharmaceutical product but which does not have causal relationship with such treatment.
Adverse drug event/Experience (ADE)
A response to a drug which is noxious, unintended, and which occur at doses normally used in man for prophylaxis, diagnosis, or therapy, of disease, or for modification of physiological function
Adverse Drug Reaction (ADR)
Unintended effect occurring at a normal dose related to pharmacological properties of the drug
Side effect (SE)
The science and activities relating to the detection, assessment, understanding, and prevention of adverse effects or any other medicine/vaccine related problem
Pharmacovigilance
Narrow therapeutic index drugs examples
Digoxin, theophylline, warfarin, heparin, aminoglycosides, anticoagulants, lithium
Fast acetylators
Asians
Eskimos
Orientals (eastern)
Slow acetylators
Caucasians
African-American
Egyptians
Expected, extension, of drug’s pharmacological action (SE)
Type A - Augmented
Common, reproducible, dose dependent, predictable, and majority of ADR’s
Type A- Augmented
Abnormal and unusual; unrelated to pcol action
Type B- Bizarre
Rare, unpredictable, not reproducible, not dose-dependent
Type B- Bizarre
Chronic use in supraphysiological doses (toxicity)
Type C- Continuous
Decrease responsiveness to drug to repeated use
Tolerance
Rapid tolerance
Down regulation of receptors
Tachyphylaxis
Reaction occurs long after exposure
Delayed onset
Dose dependent
Type D- Delayed