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adverse drug interactions
events and common pk
10
Medical
Professional
04/02/2013

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Term
Adverse Event
Definition
Broad term encompassing variety of incidents that occur within the context of drug therapy that result in problematic outcomes
Term
Adverse Drug Event
Definition
An injury resulting from the use of a drug
(includes overdoses and ADRS) and withdrawl
Term
Adverse Drug Reaction
Definition
Response to a drug which is noxious and unintended; occurs at doses typically used for therapy; causal link exists
Type A = predictable
Type B = non predictable
Term
Adverse Effect
Definition
Side effect - expected or known outcome
Term
Medication error
Definition
Mishaps that occur during prescribing, transcribing, dispensing, administering, using (adhering to) and monitoring a drug
May be errors comission or omission

May result in harm, or may be “near misses
Term
Gastric pH absorbtion interaction
Definition
ppI and ketoconazole (alters degree ionization)
Term
chelator interation
Definition
antacid + floroquinolone form insoluble complexes
Term
dequestrant interaction
Definition
Cholestrymine and digoxin or thyroid hormone
Term
Majority drug interactions phase 1 or phase 2 metabolism?
Definition
phase 1 with cyp450's
Term
Renal interactions
Definition
urinary pH: acid increases phenobarbital
competition: penicillin + probenicid
quinidine + digoxin
Na + Li
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