This book describes the basic principles of adverse drug reactions, their clinical manifestations in the various body systems, and how adverse drug reactions are detected and prevented. Throughout the emphasis is on the human clinical situation.
Part I: Basic concepts Defintion of terms. Classification of ADRs. Epidemiology of ADRs. Importance of ADRs to health and health care. Clinical apsects of ADRs. Part II: Mechanisms of ADRs Relevance of primary and secondary pharmacology. Relevance of drug metabolism and pharmacokinetics.Pre-clinical toxicology . Drugs and reproductive toxicology. Drugs and carcinogenicity. Type A reactions and prediposing factors. Drug interactions and ADRs. Type B reactions: different postulated mechanisms. Immune mediated ADRs: the hapten hypothesis. Pharmacogenetics and ADRs. Part III: ADRs by systems Liver. Haematological system. Skin. Kidneys. Lung. Heart. Central and peripheral nervous system. Eyes. Part IV: Pharmacovigilance Spontaneous ADR reporting. Record Linkage databases. GPRD. Conventional pharmacoepidemiological studies. Part V: Prevention of ADRs Chemical solutions. Genetic solutions. Epidemiological solutions.
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