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Adverse effect

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In principle, medical professionals are required to report all adverse effects related to a specific form of therapy. In practice, it is at the discretion of the professional to determine whether a medical event is at all related to the therapy. As a result, routine adverse effects reporting often
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in Dunedin is New Zealand's national monitoring centre for adverse reactions. It collects and evaluates spontaneous reports of adverse reactions to medicines, vaccines, herbal products and dietary supplements from health professionals in New Zealand. Currently the CARM database holds over 80,000
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In Canada, adverse reaction reporting is an important component of the surveillance of marketed health products conducted by the Health Products and Food Branch (HPFB) of Health Canada. Within HPFB, the Marketed Health Products Directorate leads the coordination and implementation of consistent
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studies to determine the nonadverse effect level (NOAEL). These studies are used to define the dosage to be used in human testing (phase I), as well as to calculate the maximum admissible daily intake. Imperfections in clinical trials, such as insufficient number of patients or short duration,
410:(ADEC). Reporting is voluntary, and ADRAC requests healthcare professionals to report all adverse reactions to its current drugs of interest, and serious adverse reactions to any drug. ADRAC publishes the Australian Adverse Drug Reactions Bulletin every two months. The Government's 253:
In terms of drugs, adverse events may be defined as: "Any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment."
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The term "life-threatening" in the context of a serious adverse event refers to an event in which the patient was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe.
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Kraus MR, Schäfer A, Schöttker K, Keicher C, Weissbrich B, Hofbauer I, Scheurlen M (April 2008). "Therapy of interferon-induced depression in chronic hepatitis C with citalopram: a randomised, double-blind, placebo-controlled study".
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and meta-analyses of therapeutic interventions often unknowingly overemphasise health benefit. To balance the overemphasis on benefit, scholars have called for more complete reporting of harm from clinical trials.
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MHPD also works closely with international organizations to facilitate the sharing of information. Adverse reaction reporting is mandatory for the industry and voluntary for consumers and health professionals.
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is similar to adverse effect, but the latter is typically used in pharmacological contexts, or when the negative effect is expected or common. If the negative effect results from an unsuitable or incorrect
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Most drugs have a large list of nonsevere or mild adverse effects which do not rule out continued usage. These effects, which have a widely variable incidence according to individual sensitivity, include
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reports and provides New Zealand-specific information on adverse reactions to these products, and serves to support clinical decision making when unusual symptoms are thought to be therapy related
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is considered a serious adverse event. The results of trials are often included in the labelling of the medication to provide information both for patients and the prescribing physicians.
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reported by a patient. Adverse effects may cause a reversible or irreversible change, including an increase or decrease in the susceptibility of the individual to other chemicals,
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Expert working group (efficacy) of the international conference on harmonization of technical requirements for registration of pharmaceuticals for human use (August 25, 2007).
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Expert Working Group (Efficacy) of the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (March 1995).
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Reid R (December 2010). "SOGC clinical practice guideline. No. 252, December 2010. Oral contraceptives and the risk of venous thromboembolism: an update".
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Fialip J, Aumaitre O, Eschalier A, Maradeix B, Dordain G, Lavarenne J (December 1987). "Benzodiazepine withdrawal seizures: analysis of 48 case reports".
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The scientific field of activity associated with drug safety is increasingly government-regulated, and is of major concern for the public, as well as to
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and unlicensed medicines found in cosmetic treatments. Adverse drug reactions (ADRs) can be reported by a number of health care professionals including
3161: 816:) warns that people with dementia are more likely to experience adverse effects, and that they are less likely to be able to reliably report symptoms. 3964: 2985:– MedWatch lists safety alerts for drugs, biologics, devices and dietary supplements, recalls, market withdrawals, public health advisories and links 1676:, O'Neill RT, Altman DG, Schulz K, Moher D (November 2004). "Better reporting of harms in randomized trials: an extension of the CONSORT statement". 440:
monitoring practices with regards to assessment of signals and safety trends, and risk communications concerning regulated marketed health products.
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which have not yet been conclusively proven. In 1998, Dow Corning settled its remaining suits for $ 3.2 Billion and went into bankruptcy.
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with a treatment regimen. Adverse effects of medical treatment resulted in 142,000 deaths in 2013 up from 94,000 deaths in 1990 globally.
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Patten SB, Neutel CI (February 2000). "Corticosteroid-induced adverse psychiatric effects: incidence, diagnosis and management".
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program is tasked with acting on this reporting to reduce and minimize the number of preventable adverse effects each year.
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Sometimes, putative medical adverse effects are regarded as controversial and generate heated discussions in society and
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National Library of Medicine (Medline Plus, useful lists of conventional drug and medical device articles and websites)
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Ioannidis JP, Lau J (2001). "Completeness of safety reporting in randomized trials: an evaluation of 7 medical areas".
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Adverse effects can occur as a collateral or side effect of many interventions, but they are particularly important in
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and mortality around the world. Drug-drug and food-drug interactions may occur, and so-called "natural drugs" used in
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Tripathi RC, Parapuram SK, Tripathi BJ, Zhong Y, Chalam KV (December 1999). "Corticosteroids and glaucoma risk".
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may be caused by the underlying disease or may be an adverse effect of the treatment. In patients with end-stage
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Part of the difficulty is identifying the source of a complaint. A headache in a patient taking medication for
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Bailey, C; Peddie, D; Wickham, ME; Badke, K; Small, SS; Doyle-Waters, MM; Balka, E; Hohl, CM (July 2016).
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for sale to the public. Investigators in human clinical trials are obligated to report these events in
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and local reactions in the vaccination site. Very rarely, there is a serious adverse effect, such as
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change detected at the microscopic, macroscopic or physiological level. It may also be indicated by
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Chou R, Helfand M (June 2005). "Challenges in systematic reviews that assess treatment harms".
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and elimination of many drugs, so patients taking it are likely to experience a reduction in
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may not include long-term and subtle effects that may ultimately be attributed to a therapy.
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may have adverse effects due to the nature of its biological preparation, sometimes using
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use. Some antihistamines are used in sleep aids explicitly because they cause drowsiness.
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Due to the exceedingly high impact on public health of widely used medications, such as
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In many countries, adverse effects are required by law to be reported, researched in
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against drug manufacturers. One example is the recent controversy as to whether
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The Medication Appropriateness Tool for Comorbid Health Conditions in Dementia (
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Eosinophilic, polymorphic, and pruritic eruption associated with radiotherapy
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Page AT, Potter K, Clifford R, McLachlan AJ, Etherton-Beer C (October 2016).
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procedures may also have adverse effects, depending much on whether they are
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and not an adverse effect. Adverse effects are sometimes referred to as "
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Harmful effect resulting from a medication or other medical intervention
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Tapiainen T, Heininger U (June 2005). "Fever following immunization".
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Adverse reaction reporting is an important component of New Zealand's
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Mokrzycki MH, Harris C, May H, Laut J, Palmisano J (January 2000).
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GBD 2013 Mortality Causes of Death Collaborators (January 2015).
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of adverse effects. Adverse effects may cause complications of a
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The harmful outcome is usually indicated by some result such as
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Other nonsurgical physical procedures, such as high-intensity
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can have dangerous adverse effects. For example, extracts of
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may have a number of undesirable or harmful effects, such as
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levels of drugs they are taking for other purposes, such as
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Bray RJ (1998). "Propofol infusion syndrome in children".
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Medicines and Healthcare products Regulatory Agency (MHRA)
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becomes an important issue here. Adverse effects, like
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several reporting systems have been built, such as the
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and included into the patient information accompanying
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Edwards, I. Ralph; Aronson, Jeffrey K. (2000-10-07).
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Another instance is the potential adverse effects of
819: 2888: 3264: 49:. Unsourced material may be challenged and removed. 3162:Political abuse of psychiatry in the United States 2311:"Headache After an Epidural or Spinal Anaesthetic" 2171: 402:,adverse effect reporting is administered by the 346:from a supermarket. The scheme also includes all 4152: 2599:Wills BK, Albinson C, Wahl M, Clifton J (2007). 2143:"Can anti-depressants cause sexual dysfunction?" 1289:Classification of Pharmaco-Therapeutic Referrals 149:is an undesired harmful effect resulting from a 1643:10.7326/0003-4819-142-12_part_2-200506211-00009 1568:. FDA Center for Drug Evaluation and Research. 1512:. FDA Center for Drug Evaluation and Research. 1389: 1183:, increased tendency associated to the use of 428:Centre for Adverse Reactions Monitoring (CARM) 386:is the main reporting center, operated by the 3958: 3250: 3114:Prescription drug prices in the United States 3020: 2566:Journal of Obstetrics and Gynaecology Canada 2459: 2361: 2113:"Xenical and Diarrhea: a study of 591 users" 1585: 334:to gather information on adverse effects to 165:", when judged to be secondary to a main or 3972: 2778:. U.S. Food and Drug Administration (FDA). 1847:"Mifepristone and Misoprostol for Abortion" 1628: 1107:associated with use of estrogen-containing 3965: 3951: 3901: 3257: 3243: 3027: 3013: 2962:Australian Adverse Drug Reactions Bulletin 2800: 2647: 2746:"Metoclopramide & Tardive Dyskinesia" 2616: 2410: 1822: 1744: 1481: 535:while maximizing the therapeutic effect. 404:Adverse Drug Reactions Advisory Committee 109:Learn how and when to remove this message 1725:British Journal of Clinical Pharmacology 1690:10.7326/0003-4819-141-10-200411160-00009 1039:users, which prompted FDA to remove the 496:, loss of function, or changes in local 3167:Political abuse of psychiatry in Russia 2502: 2123:from the original on September 20, 2011 516:, is the reduction of adverse effects. 202:or procedure and negatively affect its 4153: 2726:from the original on December 28, 2023 2374:from the original on February 18, 2013 1503: 1501: 1449: 1189:selective serotonin reuptake inhibitor 679:are known to cause an increase in the 651:Adverse effects may also be caused by 380:Vaccine Adverse Event Reporting System 3946: 3416:Radiation-induced erythema multiforme 3238: 3008: 2713: 2435:"Metformin and Fatal Lactic Acidosis" 2337:"Ephedra (Ephedra sinica) / ma huang" 2291:from the original on February 5, 2013 2216:"Possible Side-effects from Vaccines" 472: 161:. An adverse effect may be termed a " 3889: 2995:When Medicine Hurts Instead of Helps 2859:"Breast Implant Litigation Timeline" 2782:from the original on January 6, 2013 2563: 1994: 1542:from the original on 25 January 2018 973:associated with many drugs, such as 408:Australian Drug Evaluation Committee 284: 47:adding citations to reliable sources 18: 3733:Pseudoverrucous papules and nodules 3421:Radiation-induced hypertrophic scar 2813:from the original on March 20, 2013 2545:from the original on March 27, 2013 2222:from the original on March 17, 2017 2153:from the original on March 21, 2013 1917:from the original on April 20, 2013 1887:from the original on March 18, 2013 1498: 332:Commission on Human Medicines (CHM) 261:, a distinction is made between an 13: 2983:Medical Product Safety Information 2648:Behrenbeck T (December 14, 2012). 2515:from the original on June 26, 2015 2339:. Mayo Clinic. September 1, 2012. 2083:"Diabetes and Antipsychotic Drugs" 1575:from the original on May 25, 2009. 1519:from the original on May 11, 2009. 820:Examples with specific medications 186:" because they are generated by a 14: 4192: 2977:U.S. Food and Drug Administration 2884: 2660:from the original on June 1, 2013 2343:from the original on May 12, 2013 2317:from the original on June 8, 2015 1947:from the original on May 30, 2013 1234:-based preservative used in some 602:may cause the perforation of the 313: 248: 3924: 3912: 3900: 3888: 3877: 3876: 3519:Inner ear decompression sickness 3034: 2968:MedEffect Canada (Health Canada) 2693:10.1097/00002826-198712000-00005 2474:10.2165/00002018-200022020-00004 2255:10.2165/00002512-199915060-00004 2009:10.1046/j.1460-9592.1998.00282.x 1315:List of pharmaceutical companies 1209: 1113:combined oral contraceptive pill 552:. 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(March 29, 2012). 2578:10.1016/S1701-2163(16)34746-6 2503:Willacy H (January 4, 2013). 1971:Gentamicin Information Center 1474:10.1016/S0140-6736(14)61682-2 1408:10.1016/S0140-6736(00)02799-9 1376: 777:of the drug from the market. 640:or drug levels at the target 598:materials often occur, and a 4080:Parable of the broken window 3743:Tropical anhidrotic asthenia 3552:High-altitude cerebral edema 2399:Clinical Infectious Diseases 2362:Bergeson, B. (May 6, 2010). 1530:Office of the Commissioner. 733:disasters, such as those of 636:of drugs, are a function of 393: 388:Food and Drug Administration 229:, loss of function, or as a 7: 3765:frictional/traumatic/sports 3391:Chronic radiation keratosis 3193:Hospital-acquired infection 3188:Hospital-acquired pneumonia 2999:Alliance for Aging Research 1678:Annals of Internal Medicine 1631:Annals of Internal Medicine 1270: 1261:hormone replacement therapy 1120:associated with the use of 1067:associated with the use of 10: 4197: 4176:Effects of external causes 4140:Tyranny of small decisions 3857:Pseudoacanthosis nigricans 2997:– June 1998 report by the 2714:Kenny T (April 20, 2011). 2681:Clinical Neuropharmacology 1143:caused by withdrawal from 613: 4025:Excess burden of taxation 3980: 3872: 3709: 3681: 3636: 3628:Space adaptation syndrome 3605: 3579: 3563: 3536:Chronic mountain sickness 3479: 3454: 3441:Radiation recall reaction 3431:Radiation-induced morphea 3383: 3334:Warm water immersion foot 3306: 3280: 3273: 3211: 3175: 3122: 3091: 3040: 2892: 2750:Tardive Dyskinesia Center 2618:10.1080/15563650701664483 2174:Expert Review of Vaccines 1941:Weitz & Luxenberg P.C 1803:Internal Medicine Journal 1174:(Viagra), when used with 953:medications (neuroleptic 434: 241:, or procedures, such as 131: 126: 3810:Weathering nodule of ear 3426:Radiation-induced keloid 3411:Radiation-induced cancer 3341:Non-freezing cold injury 3319:Immersion foot syndromes 3140:Compulsory sterilization 2776:"Thimerosal in Vaccines" 2186:10.1586/14760584.4.3.419 1937:"Coronary Heart Disease" 1672:Ioannidis JP, Evans SJ, 894:disease associated with 412:Quality Use of Medicines 206:. They may also lead to 4110:Self-defeating prophecy 3974:Unintended consequences 3738:Sclerosing lymphangitis 3329:Tropical immersion foot 3068:Unnecessary health care 2505:"Paracetamol Poisoning" 2053:10.1136/gut.2007.131607 1345:Perioperative mortality 1320:List of withdrawn drugs 1310:Evidence-based medicine 1197:associated with use of 745:and, more recently, of 711:hormonal contraceptives 675:used for treating mild 527:and alterations in the 504:in case of untreatable 4135:Tragedy of the commons 3825:Painful fat herniation 3805:Vibration white finger 3514:Decompression sickness 3371:Erythrocyanosis crurum 3135:Sluggish schizophrenia 2989:Medical Devices Safety 2956:Patient Safety Network 1600:10.1001/jama.285.4.437 1257:hormonal contraception 1191:(SSRI) antidepressants 1109:hormonal contraception 1053:caused by stimulants, 951:atypical antipsychotic 759:pulmonary hypertension 749:(Baycol, Lipobay) and 326:initiative run by the 303:clinical study reports 4166:Clinical pharmacology 4085:Paradox of enrichment 3780:Fissure of the nipple 3748:UV-sensitive syndrome 3673:Adverse drug reaction 3502:Middle ear barotrauma 3492:Arterial gas embolism 3212:Records and histories 3183:Adverse drug reaction 3151:The Protest Psychosis 2964:– published bimonthly 1295:Consultant pharmacist 1278:Adverse drug reaction 963:caused by the use of 616:Adverse drug reaction 267:serious adverse event 4055:Inverse consequences 3775:Equestrian perniosis 1997:Pediatric Anesthesia 1913:. November 9, 2000. 1330:Medical prescription 971:Erectile dysfunction 926:, in children using 724:it. This is done in 686:responsible for the 669:Hypericum perforatum 661:alternative medicine 630:responsible drug use 514:laparoscopic surgery 342:to medicines bought 43:improve this article 4161:Medical terminology 4030:Four Pests campaign 3862:Narcotic dermopathy 3770:Black heel and palm 3723:Dermatosis neglecta 3597:Psychological abuse 3436:Radiation poisoning 3053:Medical malpractice 2605:Clinical Toxicology 1637:(12 Pt 2): 1090–9. 1402:(9237): 1255–1259. 703:protease inhibitors 634:therapeutic effects 4115:Self-refuting idea 4095:Perverse incentive 3832:Uranium dermatosis 3785:Pulling boat hands 3694:Lightning injuries 3109:Financial toxicity 2535:"What is Melasma?" 1773:www.match-d.com.au 1360:Pleiotropy (drugs) 1350:Pharmacotoxicology 1222:was linked to the 1195:Tardive dyskinesia 1041:dietary supplement 1028:spinal anaesthesia 729:sometimes lead to 718:drug manufacturers 584:minimally invasive 510:minimally invasive 473:Medical procedures 348:herbal supplements 320:Yellow Card Scheme 307:systematic reviews 167:therapeutic effect 4148: 4147: 4105:Risk compensation 3940: 3939: 3689:Electrical injury 3531:Altitude sickness 3379: 3378: 3232: 3231: 3198:Iatrogenic anemia 3145:Physician gag law 2973:Medication Errors 2951: 2950: 2756:on March 23, 2013 2572:(12): 1192–1197. 2243:Drugs & Aging 2093:on April 11, 2013 1857:on March 30, 2013 1815:10.1111/imj.13215 1809:(10): 1189–1197. 1737:10.1111/bcp.12944 1325:Medical algorithm 1008:may be caused by 562:eczema vaccinatum 521:radiation therapy 512:surgery, such as 424:pharmacovigilance 285:Reporting systems 243:drug interactions 194:may increase the 143: 142: 121:Medical condition 119: 118: 111: 93: 4188: 4130:Streisand effect 4040:Hawthorne effect 4000:Butterfly effect 3995:Braess's paradox 3967: 3960: 3953: 3944: 3943: 3928: 3916: 3915: 3904: 3903: 3892: 3891: 3880: 3879: 3716:physical factors 3712:skin conditions 3644:Hypersensitivity 3361:Cold intolerance 3278: 3277: 3265:Consequences of 3259: 3252: 3245: 3236: 3235: 3176:Related concerns 3029: 3022: 3015: 3006: 3005: 2890: 2889: 2878: 2877: 2875: 2874: 2855: 2849: 2848: 2846: 2844: 2835:. Archived from 2829: 2823: 2822: 2820: 2818: 2798: 2792: 2791: 2789: 2787: 2772: 2766: 2765: 2763: 2761: 2752:. Archived from 2742: 2736: 2735: 2733: 2731: 2716:"Antihistamines" 2711: 2705: 2704: 2676: 2670: 2669: 2667: 2665: 2645: 2639: 2638: 2620: 2596: 2590: 2589: 2561: 2555: 2554: 2552: 2550: 2531: 2525: 2524: 2522: 2520: 2500: 2494: 2493: 2457: 2451: 2450: 2448: 2446: 2441:on April 5, 2013 2437:. Archived from 2431: 2425: 2424: 2414: 2390: 2384: 2383: 2381: 2379: 2359: 2353: 2352: 2350: 2348: 2333: 2327: 2326: 2324: 2322: 2307: 2301: 2300: 2298: 2296: 2281: 2275: 2274: 2238: 2232: 2231: 2229: 2227: 2212: 2206: 2205: 2169: 2163: 2162: 2160: 2158: 2149:. May 15, 2011. 2139: 2133: 2132: 2130: 2128: 2109: 2103: 2102: 2100: 2098: 2089:. Archived from 2079: 2073: 2072: 2035: 2029: 2028: 1992: 1986: 1985: 1983: 1982: 1973:. Archived from 1963: 1957: 1956: 1954: 1952: 1933: 1927: 1926: 1924: 1922: 1903: 1897: 1896: 1894: 1892: 1873: 1867: 1866: 1864: 1862: 1853:. Archived from 1843: 1837: 1836: 1826: 1794: 1788: 1787: 1785: 1784: 1765: 1759: 1758: 1748: 1716: 1710: 1709: 1669: 1663: 1662: 1626: 1620: 1619: 1583: 1577: 1576: 1574: 1567: 1558: 1552: 1551: 1549: 1547: 1527: 1521: 1520: 1518: 1505: 1496: 1495: 1485: 1468:(9963): 117–71. 1453: 1447: 1446: 1444: 1443: 1387: 1300:Drug interaction 1170:associated with 1129:associated with 991:associated with 982:associated with 908:associated with 896:COX-2 inhibitors 884:associated with 871:associated with 839:associated with 699:chemotherapeutic 653:drug interaction 646:pharmacokinetics 426:activities. The 344:over the counter 221:, alteration in 124: 123: 114: 107: 103: 100: 94: 92: 58:"Adverse effect" 51: 27: 19: 4196: 4195: 4191: 4190: 4189: 4187: 4186: 4185: 4151: 4150: 4149: 4144: 4090:Parkinson's law 3985:Abilene paradox 3976: 3971: 3941: 3936: 3868: 3758:Electrical burn 3715: 3714:resulting from 3713: 3711: 3705: 3677: 3664:Arthus reaction 3632: 3613:Motion sickness 3601: 3575: 3559: 3475: 3471:Oxygen toxicity 3450: 3375: 3302: 3269: 3267:external causes 3263: 3233: 3228: 3207: 3171: 3123:Political abuse 3118: 3104:Balance billing 3087: 3036: 3033: 2952: 2947: 2946: 2901: 2887: 2882: 2881: 2872: 2870: 2857: 2856: 2852: 2842: 2840: 2831: 2830: 2826: 2816: 2814: 2799: 2795: 2785: 2783: 2774: 2773: 2769: 2759: 2757: 2744: 2743: 2739: 2729: 2727: 2712: 2708: 2677: 2673: 2663: 2661: 2646: 2642: 2597: 2593: 2562: 2558: 2548: 2546: 2533: 2532: 2528: 2518: 2516: 2501: 2497: 2458: 2454: 2444: 2442: 2433: 2432: 2428: 2391: 2387: 2377: 2375: 2360: 2356: 2346: 2344: 2335: 2334: 2330: 2320: 2318: 2309: 2308: 2304: 2294: 2292: 2283: 2282: 2278: 2239: 2235: 2225: 2223: 2214: 2213: 2209: 2170: 2166: 2156: 2154: 2141: 2140: 2136: 2126: 2124: 2111: 2110: 2106: 2096: 2094: 2081: 2080: 2076: 2036: 2032: 1993: 1989: 1980: 1978: 1967:"Kidney Damage" 1965: 1964: 1960: 1950: 1948: 1935: 1934: 1930: 1920: 1918: 1905: 1904: 1900: 1890: 1888: 1875: 1874: 1870: 1860: 1858: 1845: 1844: 1840: 1795: 1791: 1782: 1780: 1767: 1766: 1762: 1717: 1713: 1670: 1666: 1627: 1623: 1584: 1580: 1572: 1565: 1559: 1555: 1545: 1543: 1528: 1524: 1516: 1506: 1499: 1454: 1450: 1441: 1439: 1388: 1384: 1379: 1374: 1273: 1246:breast implants 1212: 1152:or increase in 1145:benzodiazepines 1087:corticosteroids 1065:Lactic acidosis 1055:methylphenidate 975:antidepressants 822: 737:(the so-called 681:cytochrome P450 626:self-medication 618: 612: 590:. For example, 475: 470: 450: 437: 420: 396: 372: 316: 295:medical devices 291:clinical trials 287: 275:hospitalization 259:clinical trials 251: 192:contraindicated 122: 115: 104: 98: 95: 52: 50: 40: 28: 17: 12: 11: 5: 4194: 4184: 4183: 4178: 4173: 4171:Patient safety 4168: 4163: 4146: 4145: 4143: 4142: 4137: 4132: 4127: 4122: 4117: 4112: 4107: 4102: 4097: 4092: 4087: 4082: 4077: 4075:Osborne effect 4072: 4067: 4062: 4060:Jevons paradox 4057: 4052: 4047: 4042: 4037: 4035:Goodhart's law 4032: 4027: 4022: 4017: 4012: 4007: 4005:Campbell's law 4002: 3997: 3992: 3990:Adverse effect 3987: 3981: 3978: 3977: 3970: 3969: 3962: 3955: 3947: 3938: 3937: 3935: 3934: 3922: 3910: 3898: 3886: 3873: 3870: 3869: 3867: 3866: 3865: 3864: 3859: 3854: 3849: 3844: 3834: 3829: 3828: 3827: 3822: 3817: 3815:Wrestler's ear 3812: 3807: 3802: 3797: 3795:Surfer's knots 3792: 3787: 3782: 3777: 3772: 3762: 3761: 3760: 3750: 3745: 3740: 3735: 3730: 3725: 3719: 3717: 3707: 3706: 3704: 3703: 3698: 3697: 3696: 3685: 3683: 3679: 3678: 3676: 3675: 3669: 3668: 3667: 3666: 3661: 3656: 3651: 3640: 3638: 3637:Adverse effect 3634: 3633: 3631: 3630: 3625: 3620: 3615: 3609: 3607: 3603: 3602: 3600: 3599: 3594: 3589: 3587:Physical abuse 3583: 3581: 3577: 3576: 3574: 3573: 3567: 3565: 3561: 3560: 3558: 3557: 3556: 3555: 3549: 3543: 3538: 3533: 3523: 3522: 3521: 3511: 3510: 3509: 3504: 3499: 3494: 3483: 3481: 3477: 3476: 3474: 3473: 3468: 3458: 3456: 3452: 3451: 3449: 3448: 3443: 3438: 3433: 3428: 3423: 3418: 3413: 3408: 3406:Radiation burn 3403: 3401:Radiation acne 3398: 3393: 3387: 3385: 3381: 3380: 3377: 3376: 3374: 3373: 3368: 3363: 3358: 3353: 3348: 3343: 3338: 3337: 3336: 3331: 3326: 3316: 3310: 3308: 3304: 3303: 3301: 3300: 3295: 3290: 3284: 3282: 3275: 3271: 3270: 3262: 3261: 3254: 3247: 3239: 3230: 3229: 3227: 3226: 3219:Drug pollution 3215: 3213: 3209: 3208: 3206: 3205: 3200: 3195: 3190: 3185: 3179: 3177: 3173: 3172: 3170: 3169: 3164: 3159: 3154: 3147: 3142: 3137: 3132: 3126: 3124: 3120: 3119: 3117: 3116: 3111: 3106: 3101: 3095: 3093: 3089: 3088: 3086: 3085: 3080: 3075: 3073:Adverse effect 3070: 3065: 3063:Patient safety 3060: 3055: 3050: 3044: 3042: 3038: 3037: 3032: 3031: 3024: 3017: 3009: 3003: 3002: 2992: 2986: 2980: 2970: 2965: 2959: 2949: 2948: 2945: 2944: 2933: 2918: 2902: 2897: 2896: 2894: 2893:Classification 2886: 2885:External links 2883: 2880: 2879: 2850: 2824: 2793: 2767: 2737: 2706: 2671: 2640: 2611:(7): 798–800. 2591: 2556: 2526: 2495: 2452: 2426: 2412:10.1086/313594 2405:(1): 198–200. 2385: 2354: 2328: 2302: 2276: 2233: 2207: 2164: 2134: 2104: 2074: 2030: 1987: 1958: 1928: 1898: 1868: 1838: 1789: 1760: 1711: 1664: 1621: 1578: 1553: 1522: 1497: 1448: 1381: 1380: 1378: 1375: 1373: 1372: 1367: 1362: 1357: 1352: 1347: 1342: 1340:Patient safety 1337: 1332: 1327: 1322: 1317: 1312: 1307: 1305:EudraVigilance 1302: 1297: 1292: 1285: 1280: 1274: 1272: 1269: 1211: 1208: 1207: 1206: 1199:metoclopramide 1192: 1178: 1161: 1147: 1138: 1127:Rhabdomyolysis 1124: 1115: 1111:, such as the 1098: 1089: 1080: 1079:(for diabetes) 1062: 1048: 1030: 1021: 999: 993:corticosteroid 986: 977: 968: 958: 944: 938:hepatic injury 931: 917: 906:kidney failure 899: 892:Cardiovascular 889: 875: 866: 844: 821: 818: 665:St John's wort 614:Main article: 611: 608: 474: 471: 469: 466: 449: 446: 436: 433: 419: 416: 395: 392: 371: 368: 324:United Kingdom 315: 314:United Kingdom 312: 286: 283: 273:, or requires 250: 249:Classification 247: 208:non-compliance 147:adverse effect 141: 140: 135: 129: 128: 127:Adverse effect 120: 117: 116: 31: 29: 22: 15: 9: 6: 4: 3: 2: 4193: 4182: 4179: 4177: 4174: 4172: 4169: 4167: 4164: 4162: 4159: 4158: 4156: 4141: 4138: 4136: 4133: 4131: 4128: 4126: 4123: 4121: 4118: 4116: 4113: 4111: 4108: 4106: 4103: 4101: 4098: 4096: 4093: 4091: 4088: 4086: 4083: 4081: 4078: 4076: 4073: 4071: 4068: 4066: 4063: 4061: 4058: 4056: 4053: 4051: 4048: 4046: 4043: 4041: 4038: 4036: 4033: 4031: 4028: 4026: 4023: 4021: 4018: 4016: 4013: 4011: 4008: 4006: 4003: 4001: 3998: 3996: 3993: 3991: 3988: 3986: 3983: 3982: 3979: 3975: 3968: 3963: 3961: 3956: 3954: 3949: 3948: 3945: 3933: 3932: 3927: 3923: 3921: 3920: 3911: 3909: 3908: 3899: 3897: 3896: 3887: 3885: 3884: 3875: 3874: 3871: 3863: 3860: 3858: 3855: 3853: 3850: 3848: 3845: 3843: 3842:Skin pop scar 3840: 3839: 3838: 3835: 3833: 3830: 3826: 3823: 3821: 3818: 3816: 3813: 3811: 3808: 3806: 3803: 3801: 3798: 3796: 3793: 3791: 3790:Runner's rump 3788: 3786: 3783: 3781: 3778: 3776: 3773: 3771: 3768: 3767: 3766: 3763: 3759: 3756: 3755: 3754: 3751: 3749: 3746: 3744: 3741: 3739: 3736: 3734: 3731: 3729: 3726: 3724: 3721: 3720: 3718: 3708: 3702: 3699: 3695: 3692: 3691: 3690: 3687: 3686: 3684: 3680: 3674: 3671: 3670: 3665: 3662: 3660: 3657: 3655: 3652: 3650: 3647: 3646: 3645: 3642: 3641: 3639: 3635: 3629: 3626: 3624: 3621: 3619: 3616: 3614: 3611: 3610: 3608: 3604: 3598: 3595: 3593: 3590: 3588: 3585: 3584: 3582: 3578: 3572: 3569: 3568: 3566: 3562: 3553: 3550: 3547: 3544: 3542: 3539: 3537: 3534: 3532: 3529: 3528: 3527: 3526:High altitude 3524: 3520: 3517: 3516: 3515: 3512: 3508: 3505: 3503: 3500: 3498: 3497:Aerosinusitis 3495: 3493: 3490: 3489: 3488: 3485: 3484: 3482: 3478: 3472: 3469: 3467: 3463: 3460: 3459: 3457: 3453: 3447: 3444: 3442: 3439: 3437: 3434: 3432: 3429: 3427: 3424: 3422: 3419: 3417: 3414: 3412: 3409: 3407: 3404: 3402: 3399: 3397: 3394: 3392: 3389: 3388: 3386: 3382: 3372: 3369: 3367: 3364: 3362: 3359: 3357: 3354: 3352: 3349: 3347: 3344: 3342: 3339: 3335: 3332: 3330: 3327: 3325: 3322: 3321: 3320: 3317: 3315: 3312: 3311: 3309: 3305: 3299: 3296: 3294: 3291: 3289: 3286: 3285: 3283: 3279: 3276: 3272: 3268: 3260: 3255: 3253: 3248: 3246: 3241: 3240: 3237: 3224: 3220: 3217: 3216: 3214: 3210: 3204: 3201: 3199: 3196: 3194: 3191: 3189: 3186: 3184: 3181: 3180: 3178: 3174: 3168: 3165: 3163: 3160: 3158: 3155: 3153: 3152: 3148: 3146: 3143: 3141: 3138: 3136: 3133: 3131: 3128: 3127: 3125: 3121: 3115: 3112: 3110: 3107: 3105: 3102: 3100: 3097: 3096: 3094: 3090: 3084: 3081: 3079: 3078:Patient abuse 3076: 3074: 3071: 3069: 3066: 3064: 3061: 3059: 3058:Medical error 3056: 3054: 3051: 3049: 3046: 3045: 3043: 3039: 3030: 3025: 3023: 3018: 3016: 3011: 3010: 3007: 3000: 2996: 2993: 2990: 2987: 2984: 2981: 2978: 2974: 2971: 2969: 2966: 2963: 2960: 2957: 2954: 2953: 2943: 2939: 2938: 2934: 2932: 2928: 2927: 2923: 2919: 2917: 2913: 2912: 2908: 2904: 2903: 2900: 2895: 2891: 2868: 2864: 2860: 2854: 2839:on 2013-03-03 2838: 2834: 2828: 2812: 2808: 2804: 2797: 2781: 2777: 2771: 2755: 2751: 2747: 2741: 2725: 2721: 2717: 2710: 2702: 2698: 2694: 2690: 2687:(6): 538–44. 2686: 2682: 2675: 2659: 2655: 2651: 2644: 2636: 2632: 2628: 2624: 2619: 2614: 2610: 2606: 2602: 2595: 2587: 2583: 2579: 2575: 2571: 2567: 2560: 2544: 2540: 2536: 2530: 2514: 2510: 2506: 2499: 2491: 2487: 2483: 2479: 2475: 2471: 2468:(2): 111–22. 2467: 2463: 2456: 2440: 2436: 2430: 2422: 2418: 2413: 2408: 2404: 2400: 2396: 2389: 2373: 2369: 2365: 2358: 2342: 2338: 2332: 2316: 2312: 2306: 2290: 2286: 2280: 2272: 2268: 2264: 2260: 2256: 2252: 2249:(6): 439–50. 2248: 2244: 2237: 2221: 2217: 2211: 2203: 2199: 2195: 2191: 2187: 2183: 2180:(3): 419–27. 2179: 2175: 2168: 2152: 2148: 2144: 2138: 2122: 2118: 2114: 2108: 2092: 2088: 2084: 2078: 2070: 2066: 2062: 2058: 2054: 2050: 2046: 2042: 2034: 2026: 2022: 2018: 2014: 2010: 2006: 2002: 1998: 1991: 1977:on 2013-05-04 1976: 1972: 1968: 1962: 1946: 1942: 1938: 1932: 1916: 1912: 1908: 1902: 1886: 1882: 1878: 1872: 1856: 1852: 1848: 1842: 1834: 1830: 1825: 1820: 1816: 1812: 1808: 1804: 1800: 1793: 1778: 1774: 1770: 1764: 1756: 1752: 1747: 1742: 1738: 1734: 1730: 1726: 1722: 1715: 1707: 1703: 1699: 1695: 1691: 1687: 1684:(10): 781–8. 1683: 1679: 1675: 1668: 1660: 1656: 1652: 1648: 1644: 1640: 1636: 1632: 1625: 1617: 1613: 1609: 1605: 1601: 1597: 1594:(4): 437–43. 1593: 1589: 1582: 1571: 1564: 1557: 1541: 1537: 1533: 1526: 1515: 1511: 1504: 1502: 1493: 1489: 1484: 1479: 1475: 1471: 1467: 1463: 1459: 1452: 1437: 1433: 1429: 1425: 1421: 1417: 1413: 1409: 1405: 1401: 1397: 1393: 1386: 1382: 1371: 1368: 1366: 1363: 1361: 1358: 1356: 1353: 1351: 1348: 1346: 1343: 1341: 1338: 1336: 1333: 1331: 1328: 1326: 1323: 1321: 1318: 1316: 1313: 1311: 1308: 1306: 1303: 1301: 1298: 1296: 1293: 1291: 1290: 1286: 1284: 1281: 1279: 1276: 1275: 1268: 1266: 1265:breast cancer 1262: 1258: 1253: 1251: 1250:immune system 1247: 1244: 1239: 1237: 1233: 1229: 1225: 1221: 1217: 1210:Controversies 1204: 1203:antipsychotic 1200: 1196: 1193: 1190: 1186: 1182: 1179: 1177: 1176:nitroglycerin 1173: 1169: 1165: 1162: 1159: 1158:antihistamine 1155: 1151: 1148: 1146: 1142: 1139: 1136: 1132: 1128: 1125: 1123: 1119: 1116: 1114: 1110: 1106: 1102: 1099: 1097: 1093: 1090: 1088: 1084: 1081: 1078: 1074: 1070: 1066: 1063: 1060: 1056: 1052: 1049: 1046: 1042: 1038: 1034: 1031: 1029: 1025: 1022: 1019: 1015: 1011: 1007: 1003: 1000: 998: 994: 990: 987: 985: 981: 978: 976: 972: 969: 966: 962: 959: 956: 952: 948: 945: 943: 939: 935: 932: 929: 925: 921: 918: 915: 911: 907: 903: 900: 897: 893: 890: 887: 883: 879: 876: 874: 870: 869:Birth defects 867: 864: 860: 856: 852: 848: 845: 842: 838: 835: 831: 827: 824: 823: 817: 815: 810: 808: 804: 800: 796: 792: 788: 784: 778: 776: 772: 768: 767:heart disease 764: 760: 756: 755:teratogenesis 752: 748: 744: 740: 736: 732: 731:public health 727: 723: 719: 714: 712: 708: 704: 700: 697: 693: 689: 685: 682: 678: 674: 673:phytotherapic 670: 666: 662: 658: 654: 649: 647: 643: 639: 635: 631: 627: 623: 617: 607: 605: 601: 597: 596:radiocontrast 594:reactions to 593: 589: 585: 581: 577: 573: 571: 567: 563: 559: 555: 551: 547: 544: 540: 536: 534: 530: 526: 522: 517: 515: 511: 507: 503: 499: 495: 491: 487: 483: 479: 465: 463: 459: 454: 445: 441: 432: 429: 425: 415: 413: 409: 405: 401: 391: 389: 385: 381: 377: 376:United States 370:United States 367: 365: 362:, as well as 361: 357: 353: 349: 345: 341: 337: 333: 329: 325: 321: 311: 308: 304: 300: 296: 292: 282: 278: 276: 272: 271:birth defects 268: 264: 263:adverse event 260: 255: 246: 244: 240: 236: 232: 228: 224: 220: 216: 211: 209: 205: 201: 197: 193: 189: 185: 181: 180:medical error 177: 172: 168: 164: 160: 156: 152: 148: 139: 136: 134: 130: 125: 113: 110: 102: 99:February 2011 91: 88: 84: 81: 77: 74: 70: 67: 63: 60: –  59: 55: 54:Find sources: 48: 44: 38: 37: 32:This article 30: 26: 21: 20: 4065:Murphy's law 4050:Hydra effect 4045:Hutber's law 4010:Cobra effect 3989: 3929: 3917: 3905: 3893: 3881: 3836: 3764: 3752: 3592:Sexual abuse 3580:Maltreatment 3507:Pneumothorax 3366:Acrocyanosis 3356:Aerosol burn 3298:Heat syncope 3293:Hyperthermia 3203:Hand washing 3149: 3130:Drapetomania 3099:Medical debt 3072: 3048:Iatrogenesis 3035:Medical harm 2935: 2920: 2905: 2871:. 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