Pharmacovigilance Origins and History Quiz

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Questions and Answers

What event is considered to mark the beginning of modern pharmacovigilance?

  • The withdrawal of thalidomide from the market
  • The unjustified claims of safety in pregnancy for thalidomide (correct)
  • The testing and development of medicines outside the USA
  • The use of pharmaceutical companies in drug regulation

What is the significance of thalidomide in the history of drug safety?

  • It caused a significant increase in environmental pollution
  • It was the first drug to be regulated by the FDA
  • It led to the recognition of the need for pharmacovigilance (correct)
  • It was widely used in the USA for treating pregnant women

Which country was particularly affected by thalidomide's teratogenic effects?

  • Australia
  • USA
  • UK
  • Germany (correct)

What was the initial cause thought to be for the major increase in birth defects in Germany?

<p>Environmental factors (A)</p> Signup and view all the answers

When was thalidomide finally recognized as a problem and withdrawn from sale?

<p>1961 (B)</p> Signup and view all the answers

What was the main problem associated with the use of thalidomide?

<p>It caused birth defects, particularly limb defects known as phocomelia (B)</p> Signup and view all the answers

Who initially made unjustified claims of safety in pregnancy regarding thalidomide?

<p>Pharmaceutical companies (A)</p> Signup and view all the answers

Which country first marketed thalidomide and was particularly affected by the teratogenic effects?

<p>Germany (D)</p> Signup and view all the answers

What caused a major increase in the incidence of phocomelia, a rare congenital abnormality, in Germany?

<p>Environmental factors (C)</p> Signup and view all the answers

What event is considered to mark the beginning of modern pharmacovigilance?

<p>The thalidomide tragedy (B)</p> Signup and view all the answers

Flashcards

Thalidomide Tragedy

The event that marked the beginning of modern pharmacovigilance. Thalidomide, a drug initially marketed for morning sickness, was found to cause severe birth defects.

Pharmacovigilance

The science and activities relating to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problem.

Teratogenic Effects

Harmful effects of drugs on a developing fetus, leading to birth defects.

Phocomelia

A rare congenital abnormality characterized by the absence or malformation of limbs.

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What caused the Thalidomide Tragedy?

Unjustified claims of safety in pregnancy for thalidomide led to widespread use, resulting in thousands of babies born with severe birth defects.

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Why is Thalidomide important?

It highlighted the need for rigorous drug safety testing and monitoring, leading to the development of pharmacovigilance systems.

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Where was Thalidomide mostly used?

Germany was particularly affected by Thalidomide's teratogenic effects, resulting in a significant increase in birth defects.

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Early Theories about Phocomelia Increase

Initially, the increase in birth defects was attributed to environmental factors, but later investigations revealed Thalidomide as the culprit.

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When was Thalidomide withdrawn?

Thalidomide was finally recognized as the cause of birth defects and withdrawn from the market in 1961.

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Who was responsible for Thalidomide's safety claims?

Pharmaceutical companies initially made unjustified claims about Thalidomide's safety in pregnancy, leading to tragedy.

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Study Notes

Modern Pharmacovigilance and Thalidomide

  • The thalidomide tragedy is recognized as a pivotal event that shaped the field of modern pharmacovigilance.
  • Thalidomide was marketed in the late 1950s as a sedative and treatment for morning sickness during pregnancy.

Significance of Thalidomide

  • Thalidomide is infamously known for causing severe teratogenic effects, particularly resulting in limb deformities in newborns.
  • It highlighted the urgent need for stricter drug safety regulations and surveillance systems.

Affected Countries

  • Germany experienced a significant impact, with thousands of babies born with phocomelia, a condition characterized by shortened or absent limbs.

Initial Causes and Misconceptions

  • Initially, the rise in birth defects in Germany was falsely attributed to environmental factors rather than the use of thalidomide.
  • The drug's safety was initially endorsed by pharmaceutical companies and some medical professionals, leading to its widespread use.

Recognition and Withdrawal

  • Thalidomide was officially recognized as harmful and withdrawn from sale in 1961 after growing evidence linked it to birth defects.

Main Problems

  • The primary concern surrounding thalidomide was its teratogenic effects, which caused devastating congenital disabilities in infants when taken by pregnant women.

Disputed Safety Claims

  • Manufacturers of thalidomide made unfounded claims about the drug’s safety for pregnant women, contributing to widespread prescriptions.

Marketing and Impact

  • Thalidomide was first marketed in Germany, leading to the severe consequences that followed due to its teratogenic properties.

Increased Incidence of Phocomelia

  • The widespread use of thalidomide among pregnant women in Germany resulted in a significant rise in phocomelia cases during the late 1950s and early 1960s.

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