Nature and Mechanisms of ADRs in Clinical Research and Pharmacovigilance

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10 Questions

What is the mechanism for the adverse drug reaction (ADR) causing prolongation of the QT interval on the electrocardiogram?

Additional (secondary) pharmacological actions

Which of the following is an example of a unique syndrome caused only by a specific drug?

Vaginal cancer in young women caused by maternal exposure to diethylstilboestrol

Which adverse effect is mentioned to be caused by practolol?

Oculomucocutaneous syndrome

What is the adverse effect caused by some l‐tryptophan products?

Eosinophilia‐myalgia syndrome

Which of the following represents triggering an immunological response as a mechanism for adverse drug reactions?

Anaphylaxis due to many drugs

What is the main advantage of selective serotonin re‐uptake inhibitors (SSRIs) over older tricyclic antidepressants?

They are less toxic to the heart in overdose

What controversial issues have been associated with the use of SSRIs?

Withdrawal reactions and increased risk of suicide

Which specific SSRI was identified to have a higher incidence of withdrawal reactions?

Paroxetine (Seroxat)

What is the potential risk associated with depressed patients taking an overdose of older tricyclic antidepressants?

Toxicity to the heart

What contributed to the widespread use of selective serotonin re‐uptake inhibitors (SSRIs) over older tricyclic antidepressants?

They are less toxic to the heart in overdose

Test your knowledge about the nature and mechanisms of Adverse Drug Reactions (ADRs) in the context of clinical research and pharmacovigilance. Understand how ADRs mimic natural diseases or syndromes, and learn about the assessment of potential adverse effects.

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