Adverse drug interactions Flashcards
Type A (Augmented)
Most common type (80%)
Exaggerated effect of drugs pharmacology at a therapeutic dose
Dose dependent and reversible upon withdrawing the drug
Type B (Bizarre)
not related to pharmacology of drug
Not dose relation
Can cause serious illness or mortality
Symptoms do not always resolve upon stopping drug
Type C (Chronic/continuing)
ADRs that continue after the drug has been stopped
Type D (Delayed)
ADRs that become apparent some time after stopping the drug
Type E (End of use/withdrawal)
ADR develops after the drug has been stopped
Type F (failure of treatment)
Unexpected treatment failure
Could be due to drug-to-drug interaction or drug-food interaction
Poor compliance with administration instructions
Type G (Genetic)
Drug causes irreversible damage to genome
What is an alternative way to classify ADRs
DoTS
Hypersusceptibility
ADRs at subtherapeutic doses
Collateral effects
ADRs at therapeutic doses
Toxic effects
ADRs at subpratherapeutic doses
What does DoTS stand for?
Dose relatedness,
Timing,
Susceptibility
Certain patient groups/ populations may have a specific susceptibility to ADRS from a drug. This can be:
Age
Gender
Disease states
Physiological states