Adverse drug reactions

Med Clin (Barc). 2020 Mar 13;154(5):178-184. doi: 10.1016/j.medcli.2019.08.007. Epub 2019 Nov 23.
[Article in English, Spanish]

Abstract

An adverse drug reaction (ADR) is defined as a response to a medicinal product which is noxious and unintended. ADRs are an important cause of morbidity and mortality and increase health costs. The pharmacovigilance systems allow the identification and prevention of the risks associated with use of a drug, especially of recently marketed drugs; they detect signals from data of the global ADR register and also support decisions taken by regulatory agencies in different countries. Only a few drugs are withdrawn from the market, mainly due to hepatotoxicity. Spontaneous notification of ADR is the cheapest, simplest and most used method to recognize new safety drug problems, under-reporting being its main limitation. The future of pharmacovigilance and ADRs will include a higher involvement of patients, doctors, health authorities and pharmaceutical companies, and the use of new technologies.

Keywords: Adverse drug reaction; Drug safety; Efecto adverso; Farmacovigilancia; Pharmacovigilance; Reacción adversa a medicamento; Seguridad del medicamento; Side effect.

Publication types

  • Review

MeSH terms

  • Adverse Drug Reaction Reporting Systems
  • Drug-Related Side Effects and Adverse Reactions* / classification
  • Drug-Related Side Effects and Adverse Reactions* / diagnosis
  • Drug-Related Side Effects and Adverse Reactions* / epidemiology
  • Drug-Related Side Effects and Adverse Reactions* / prevention & control
  • Forecasting
  • Humans
  • Pharmacovigilance*