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Module 7 - Drug Toxicity and Adverse Drug Reaction
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Published
01/07/2024
What are the four causes of harmful outcomes during therapeutic use?
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01/07/2024
What are adverse drug events (ADEs)?
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01/07/2024
These are noxious or unintended responses from a drug at normal dose meant for prophylaxis, diagnosis, or treatment of disease, or modification of phy…
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01/07/2024
What are the four common endpoints of ADRs?
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In the WHO-ADR database, there are more than 3 million reported ADRs. What are the population profiles?
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How do ADRs vary between high-income and low to middle income countries (LMICs)?
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What are the incidence data from PGH regarding ADRs from 2011 to 2013?
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How high is the incidence of ADRs among hospitalized patients worldwide?
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What are the six types of ADR?
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This is a dose-related increase in harmful effects that are predictable and may even be related to goal of treatment.
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Dryness of mouth from anti-cholinergic drugs, as well as extra pyramidal symptoms like shuffling gait from anti-psychotic drugs are examples of this A…
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These are non-dose-related and unpredictable effects not related to the pharmacologic action of the drug
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Neuroleptic malignant syndrome from anti-psychotic drugs, as well as drug allergies, are examples of this ADR.
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These are dose- and time-related effects from cumulative doses of typically maintenance medications.
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Liver dysfunction from anti-TB medications like isoniazid and rifampicin, as well as Cushing's syndrome from corticosteroid use are some examples of t…
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01/07/2024
These effects are not apparent until significant time had elapsed since drug intake, with teratogenic, carcinogenic, or immunotoxic effects commonly p…
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01/07/2024
Phocomelia among "thalidomide babies" is an example of this ADR.
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These are reactions after a sudden drug withdrawal or cessation.
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Agitation or insomnia are some symptoms arising from cessation of opioid or benzodiazepine use. This is an example of what ADR?
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01/07/2024
These effects are observed as expected failure in achieving therapeutic goal as a result of substandard drug, presence of toxic incipients, adjuvants,…
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01/07/2024
What is drug interaction?
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What is the incidence of clinically significant drug interactions?
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What five factors increase interaction adverse events?
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What are the three types of adverse drug interactions?
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These are physicochemical interactions between drugs in different or same solution/formulation/preparation such that there is an interaction between t…
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01/07/2024
Changing a phenytoin pill filter from calcium sulfate to lactose causes elevated dissolution rate and high plasma phenytoin concentration. The ensuing…
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01/07/2024
IV incompatibilities between phenytoin and dextrose solutions due to differing pH environments and other compositions cause attenuation of efficacy. W…
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Pharmacokinetic interactions focus on these four processes.
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These are GIT changes in physiology or contents that alter drug uptake.
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These are changes in relative binding affinity of of drugs that alter the levels of free concentration and availability for interactions.
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These involve stimulation (causing reduced effects) or inhibition (causing enhanced effects) of the hepatic microsomal p450 system.
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These are alterations in drug clearance.
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Whereas like pH environments promote absorption, what promotes ready urine excretion?
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These interactions occur when a drug alters the effect of another drug at the site of action.
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01/07/2024
Due to competitive actions at the same or two different sites, beta blockers (propranolol) and calcium channel blockers (verapamil) together cause pro…
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01/07/2024
NSAIDs (ibuprofen) alters the cellular environment by inhibiting prostaglandin synthesis which would have caused vasodilation. When paired with ACE in…
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