Most
adverse drug reactions are preventable, and recent studies using a systems
analysis approach suggest that the most common system failure associated with
an adverse drug reaction is the failure to disseminate knowledge about drugs to
individuals who prescribe and administer them. Most adverse reactions may be
classified in two groups. The most frequent ones result from exaggeration of an
intended pharmacologic action of the drug, and the underlying mechanisms have
been discussed above. Other adverse reactions ensue from toxic effects
unrelated to the intended pharmacologic actions. The latter effects are often
unpredictable and frequently severe, and result from recognized as well as
undiscovered mechanisms.
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