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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,
421:(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 264:
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
201:/treatment. Some adverse effects occur only when starting, increasing or discontinuing a treatment. Using a drug or other medical intervention which is 361:
and unlicensed medicines found in cosmetic treatments. Adverse drug reactions (ADRs) can be reported by a number of health care professionals including
827:) 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. 414: 2996:– MedWatch lists safety alerts for drugs, biologics, devices and dietary supplements, recalls, market withdrawals, public health advisories and links 1687:, O'Neill RT, Altman DG, Schulz K, Moher D (November 2004). "Better reporting of harms in randomized trials: an extension of the CONSORT statement". 451:
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
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An adverse effect may be termed a " 7: 3900: 3006:When Medicine Hurts Instead of Helps 2870:"Breast Implant Litigation Timeline" 2793:from the original on January 6, 2013 1553:from the original on 25 January 2018 984:associated with many drugs, such as 419:Australian Drug Evaluation Committee 58:adding citations to reliable sources 3744:Pseudoverrucous papules and nodules 3432:Radiation-induced hypertrophic scar 2824:from the original on March 20, 2013 2556:from the original on March 27, 2013 2233:from the original on March 17, 2017 2164:from the original on March 21, 2013 1928:from the original on April 20, 2013 1898:from the original on March 18, 2013 343:Commission on Human Medicines (CHM) 272:, a distinction is made between an 2994:Medical Product Safety Information 2659:Behrenbeck T (December 14, 2012). 2526:from the original on June 26, 2015 2350:. Mayo Clinic. 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November 9, 2000. 1341:Medical prescription 982:Erectile dysfunction 937:, in children using 735:it. This is done in 697:responsible for the 680:Hypericum perforatum 672:alternative medicine 641:responsible drug use 525:laparoscopic surgery 353:to medicines bought 54:improve this article 4172:Medical terminology 4041:Four Pests campaign 3873:Narcotic dermopathy 3781:Black heel and palm 3734:Dermatosis neglecta 3608:Psychological abuse 3447:Radiation poisoning 3064:Medical malpractice 2616:Clinical Toxicology 1648:(12 Pt 2): 1090–9. 1413:(9237): 1255–1259. 714:protease inhibitors 645:therapeutic effects 4126:Self-refuting idea 4106:Perverse incentive 3843:Uranium dermatosis 3796:Pulling boat hands 3705:Lightning injuries 3120:Financial toxicity 2546:"What is Melasma?" 1784:www.match-d.com.au 1371:Pleiotropy (drugs) 1361:Pharmacotoxicology 1233:was linked to the 1206:Tardive dyskinesia 1052:dietary supplement 1039:spinal anaesthesia 740:sometimes lead to 729:drug manufacturers 595:minimally invasive 521:minimally invasive 484:Medical procedures 359:herbal supplements 331:Yellow Card Scheme 318:systematic reviews 178:therapeutic effect 4159: 4158: 4116:Risk compensation 3951: 3950: 3700:Electrical injury 3542:Altitude sickness 3390: 3389: 3243: 3242: 3209:Iatrogenic anemia 3156:Physician gag law 2984:Medication Errors 2962: 2961: 2767:on March 23, 2013 2583:(12): 1192–1197. 2254:Drugs & Aging 2104:on April 11, 2013 1868:on March 30, 2013 1826:10.1111/imj.13215 1820:(10): 1189–1197. 1748:10.1111/bcp.12944 1336:Medical algorithm 1019:may be caused by 573:eczema vaccinatum 532:radiation therapy 523:surgery, such as 435:pharmacovigilance 296:Reporting systems 254:drug interactions 205:may increase the 154: 153: 132:Medical condition 130: 129: 122: 104: 16:(Redirected from 4199: 4141:Streisand effect 4051:Hawthorne effect 4011:Butterfly effect 4006:Braess's paradox 3978: 3971: 3964: 3955: 3939: 3927: 3926: 3915: 3914: 3903: 3902: 3891: 3890: 3727:physical factors 3723:skin conditions 3655:Hypersensitivity 3372:Cold intolerance 3289: 3276:Consequences of 3270: 3263: 3256: 3247: 3187:Related concerns 3040: 3033: 3026: 3017: 2901: 2889: 2888: 2886: 2885: 2866: 2860: 2859: 2857: 2855: 2846:. Archived from 2840: 2834: 2833: 2831: 2829: 2809: 2803: 2802: 2800: 2798: 2783: 2777: 2776: 2774: 2772: 2763:. Archived from 2753: 2747: 2746: 2744: 2742: 2727:"Antihistamines" 2722: 2716: 2715: 2687: 2681: 2680: 2678: 2676: 2656: 2650: 2649: 2631: 2607: 2601: 2600: 2572: 2566: 2565: 2563: 2561: 2542: 2536: 2535: 2533: 2531: 2511: 2505: 2504: 2468: 2462: 2461: 2459: 2457: 2452:on April 5, 2013 2448:. Archived from 2442: 2436: 2435: 2425: 2401: 2395: 2394: 2392: 2390: 2370: 2364: 2363: 2361: 2359: 2344: 2338: 2337: 2335: 2333: 2318: 2312: 2311: 2309: 2307: 2292: 2286: 2285: 2249: 2243: 2242: 2240: 2238: 2223: 2217: 2216: 2180: 2174: 2173: 2171: 2169: 2160:. May 15, 2011. 2150: 2144: 2143: 2141: 2139: 2120: 2114: 2113: 2111: 2109: 2100:. Archived from 2090: 2084: 2083: 2046: 2040: 2039: 2003: 1997: 1996: 1994: 1993: 1984:. Archived from 1974: 1968: 1967: 1965: 1963: 1944: 1938: 1937: 1935: 1933: 1914: 1908: 1907: 1905: 1903: 1884: 1878: 1877: 1875: 1873: 1864:. Archived from 1854: 1848: 1847: 1837: 1805: 1799: 1798: 1796: 1795: 1776: 1770: 1769: 1759: 1727: 1721: 1720: 1680: 1674: 1673: 1637: 1631: 1630: 1594: 1588: 1587: 1585: 1578: 1569: 1563: 1562: 1560: 1558: 1538: 1532: 1531: 1529: 1516: 1507: 1506: 1496: 1479:(9963): 117–71. 1464: 1458: 1457: 1455: 1454: 1398: 1311:Drug interaction 1181:associated with 1140:associated with 1002:associated with 993:associated with 919:associated with 907:COX-2 inhibitors 895:associated with 882:associated with 850:associated with 710:chemotherapeutic 664:drug interaction 657:pharmacokinetics 437:activities. The 355:over the counter 232:, alteration in 135: 125: 118: 114: 111: 105: 103: 69:"Adverse effect" 62: 38: 30: 21: 4207: 4206: 4202: 4201: 4200: 4198: 4197: 4196: 4162: 4161: 4160: 4155: 4101:Parkinson's law 3996:Abilene paradox 3987: 3982: 3952: 3947: 3879: 3769:Electrical burn 3726: 3725:resulting from 3724: 3722: 3716: 3688: 3675:Arthus reaction 3643: 3624:Motion sickness 3612: 3586: 3570: 3486: 3482:Oxygen toxicity 3461: 3386: 3313: 3280: 3278:external causes 3274: 3244: 3239: 3218: 3182: 3134:Political abuse 3129: 3115:Balance billing 3098: 3047: 3044: 2963: 2958: 2957: 2912: 2898: 2893: 2892: 2883: 2881: 2868: 2867: 2863: 2853: 2851: 2842: 2841: 2837: 2827: 2825: 2811: 2810: 2806: 2796: 2794: 2785: 2784: 2780: 2770: 2768: 2755: 2754: 2750: 2740: 2738: 2724: 2723: 2719: 2689: 2688: 2684: 2674: 2672: 2658: 2657: 2653: 2609: 2608: 2604: 2574: 2573: 2569: 2559: 2557: 2544: 2543: 2539: 2529: 2527: 2513: 2512: 2508: 2470: 2469: 2465: 2455: 2453: 2444: 2443: 2439: 2403: 2402: 2398: 2388: 2386: 2372: 2371: 2367: 2357: 2355: 2346: 2345: 2341: 2331: 2329: 2320: 2319: 2315: 2305: 2303: 2294: 2293: 2289: 2251: 2250: 2246: 2236: 2234: 2225: 2224: 2220: 2182: 2181: 2177: 2167: 2165: 2152: 2151: 2147: 2137: 2135: 2122: 2121: 2117: 2107: 2105: 2092: 2091: 2087: 2048: 2047: 2043: 2005: 2004: 2000: 1991: 1989: 1978:"Kidney Damage" 1976: 1975: 1971: 1961: 1959: 1946: 1945: 1941: 1931: 1929: 1916: 1915: 1911: 1901: 1899: 1886: 1885: 1881: 1871: 1869: 1856: 1855: 1851: 1807: 1806: 1802: 1793: 1791: 1778: 1777: 1773: 1729: 1728: 1724: 1682: 1681: 1677: 1639: 1638: 1634: 1596: 1595: 1591: 1583: 1576: 1571: 1570: 1566: 1556: 1554: 1540: 1539: 1535: 1527: 1518: 1517: 1510: 1466: 1465: 1461: 1452: 1450: 1400: 1399: 1395: 1390: 1385: 1284: 1257:breast implants 1223: 1163:or increase in 1156:benzodiazepines 1098:corticosteroids 1076:Lactic acidosis 1066:methylphenidate 986:antidepressants 833: 748:(the so-called 692:cytochrome P450 637:self-medication 629: 623: 601:. For example, 486: 481: 461: 448: 431: 407: 383: 327: 306:medical devices 302:clinical trials 298: 286:hospitalization 270:clinical trials 262: 203:contraindicated 133: 126: 115: 109: 106: 63: 61: 51: 39: 28: 23: 22: 15: 12: 11: 5: 4205: 4203: 4195: 4194: 4189: 4184: 4182:Patient safety 4179: 4174: 4164: 4163: 4157: 4156: 4154: 4153: 4148: 4143: 4138: 4133: 4128: 4123: 4118: 4113: 4108: 4103: 4098: 4093: 4088: 4086:Osborne effect 4083: 4078: 4073: 4071:Jevons paradox 4068: 4063: 4058: 4053: 4048: 4046:Goodhart's law 4043: 4038: 4033: 4028: 4023: 4018: 4016:Campbell's law 4013: 4008: 4003: 4001:Adverse effect 3998: 3992: 3989: 3988: 3983: 3981: 3980: 3973: 3966: 3958: 3949: 3948: 3946: 3945: 3933: 3921: 3909: 3897: 3884: 3881: 3880: 3878: 3877: 3876: 3875: 3870: 3865: 3860: 3855: 3845: 3840: 3839: 3838: 3833: 3828: 3826:Wrestler's ear 3823: 3818: 3813: 3808: 3806:Surfer's knots 3803: 3798: 3793: 3788: 3783: 3773: 3772: 3771: 3761: 3756: 3751: 3746: 3741: 3736: 3730: 3728: 3718: 3717: 3715: 3714: 3709: 3708: 3707: 3696: 3694: 3690: 3689: 3687: 3686: 3680: 3679: 3678: 3677: 3672: 3667: 3662: 3651: 3649: 3648:Adverse effect 3645: 3644: 3642: 3641: 3636: 3631: 3626: 3620: 3618: 3614: 3613: 3611: 3610: 3605: 3600: 3598:Physical abuse 3594: 3592: 3588: 3587: 3585: 3584: 3578: 3576: 3572: 3571: 3569: 3568: 3567: 3566: 3560: 3554: 3549: 3544: 3534: 3533: 3532: 3522: 3521: 3520: 3515: 3510: 3505: 3494: 3492: 3488: 3487: 3485: 3484: 3479: 3469: 3467: 3463: 3462: 3460: 3459: 3454: 3449: 3444: 3439: 3434: 3429: 3424: 3419: 3417:Radiation burn 3414: 3412:Radiation acne 3409: 3404: 3398: 3396: 3392: 3391: 3388: 3387: 3385: 3384: 3379: 3374: 3369: 3364: 3359: 3354: 3349: 3348: 3347: 3342: 3337: 3327: 3321: 3319: 3315: 3314: 3312: 3311: 3306: 3301: 3295: 3293: 3286: 3282: 3281: 3275: 3273: 3272: 3265: 3258: 3250: 3241: 3240: 3238: 3237: 3230:Drug pollution 3226: 3224: 3220: 3219: 3217: 3216: 3211: 3206: 3201: 3196: 3190: 3188: 3184: 3183: 3181: 3180: 3175: 3170: 3165: 3158: 3153: 3148: 3143: 3137: 3135: 3131: 3130: 3128: 3127: 3122: 3117: 3112: 3106: 3104: 3100: 3099: 3097: 3096: 3091: 3086: 3084:Adverse effect 3081: 3076: 3074:Patient safety 3071: 3066: 3061: 3055: 3053: 3049: 3048: 3045: 3043: 3042: 3035: 3028: 3020: 3014: 3013: 3003: 2997: 2991: 2981: 2976: 2970: 2960: 2959: 2956: 2955: 2944: 2929: 2913: 2908: 2907: 2905: 2904:Classification 2897: 2896:External links 2894: 2891: 2890: 2861: 2835: 2804: 2778: 2748: 2717: 2682: 2651: 2622:(7): 798–800. 2602: 2567: 2537: 2506: 2463: 2437: 2423:10.1086/313594 2416:(1): 198–200. 2396: 2365: 2339: 2313: 2287: 2244: 2218: 2175: 2145: 2115: 2085: 2041: 1998: 1969: 1939: 1909: 1879: 1849: 1800: 1771: 1722: 1675: 1632: 1589: 1564: 1533: 1508: 1459: 1392: 1391: 1389: 1386: 1384: 1383: 1378: 1373: 1368: 1363: 1358: 1353: 1351:Patient safety 1348: 1343: 1338: 1333: 1328: 1323: 1318: 1316:EudraVigilance 1313: 1308: 1303: 1296: 1291: 1285: 1283: 1280: 1222: 1219: 1218: 1217: 1210:metoclopramide 1203: 1189: 1172: 1158: 1149: 1138:Rhabdomyolysis 1135: 1126: 1122:, such as the 1109: 1100: 1091: 1090:(for diabetes) 1073: 1059: 1041: 1032: 1010: 1004:corticosteroid 997: 988: 979: 969: 955: 949:hepatic injury 942: 928: 917:kidney failure 910: 903:Cardiovascular 900: 886: 877: 855: 832: 829: 676:St John's wort 625:Main article: 622: 619: 485: 482: 480: 477: 460: 457: 447: 444: 430: 427: 406: 403: 382: 379: 335:United Kingdom 326: 325:United Kingdom 323: 297: 294: 284:, or requires 261: 260:Classification 258: 219:non-compliance 158:adverse effect 152: 151: 146: 140: 139: 138:Adverse effect 131: 128: 127: 42: 40: 33: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4204: 4193: 4190: 4188: 4185: 4183: 4180: 4178: 4175: 4173: 4170: 4169: 4167: 4152: 4149: 4147: 4144: 4142: 4139: 4137: 4134: 4132: 4129: 4127: 4124: 4122: 4119: 4117: 4114: 4112: 4109: 4107: 4104: 4102: 4099: 4097: 4094: 4092: 4089: 4087: 4084: 4082: 4079: 4077: 4074: 4072: 4069: 4067: 4064: 4062: 4059: 4057: 4054: 4052: 4049: 4047: 4044: 4042: 4039: 4037: 4034: 4032: 4029: 4027: 4024: 4022: 4019: 4017: 4014: 4012: 4009: 4007: 4004: 4002: 3999: 3997: 3994: 3993: 3990: 3986: 3979: 3974: 3972: 3967: 3965: 3960: 3959: 3956: 3944: 3943: 3938: 3934: 3932: 3931: 3922: 3920: 3919: 3910: 3908: 3907: 3898: 3896: 3895: 3886: 3885: 3882: 3874: 3871: 3869: 3866: 3864: 3861: 3859: 3856: 3854: 3853:Skin pop scar 3851: 3850: 3849: 3846: 3844: 3841: 3837: 3834: 3832: 3829: 3827: 3824: 3822: 3819: 3817: 3814: 3812: 3809: 3807: 3804: 3802: 3801:Runner's rump 3799: 3797: 3794: 3792: 3789: 3787: 3784: 3782: 3779: 3778: 3777: 3774: 3770: 3767: 3766: 3765: 3762: 3760: 3757: 3755: 3752: 3750: 3747: 3745: 3742: 3740: 3737: 3735: 3732: 3731: 3729: 3719: 3713: 3710: 3706: 3703: 3702: 3701: 3698: 3697: 3695: 3691: 3685: 3682: 3681: 3676: 3673: 3671: 3668: 3666: 3663: 3661: 3658: 3657: 3656: 3653: 3652: 3650: 3646: 3640: 3637: 3635: 3632: 3630: 3627: 3625: 3622: 3621: 3619: 3615: 3609: 3606: 3604: 3601: 3599: 3596: 3595: 3593: 3589: 3583: 3580: 3579: 3577: 3573: 3564: 3561: 3558: 3555: 3553: 3550: 3548: 3545: 3543: 3540: 3539: 3538: 3537:High altitude 3535: 3531: 3528: 3527: 3526: 3523: 3519: 3516: 3514: 3511: 3509: 3508:Aerosinusitis 3506: 3504: 3501: 3500: 3499: 3496: 3495: 3493: 3489: 3483: 3480: 3478: 3474: 3471: 3470: 3468: 3464: 3458: 3455: 3453: 3450: 3448: 3445: 3443: 3440: 3438: 3435: 3433: 3430: 3428: 3425: 3423: 3420: 3418: 3415: 3413: 3410: 3408: 3405: 3403: 3400: 3399: 3397: 3393: 3383: 3380: 3378: 3375: 3373: 3370: 3368: 3365: 3363: 3360: 3358: 3355: 3353: 3350: 3346: 3343: 3341: 3338: 3336: 3333: 3332: 3331: 3328: 3326: 3323: 3322: 3320: 3316: 3310: 3307: 3305: 3302: 3300: 3297: 3296: 3294: 3290: 3287: 3283: 3279: 3271: 3266: 3264: 3259: 3257: 3252: 3251: 3248: 3235: 3231: 3228: 3227: 3225: 3221: 3215: 3212: 3210: 3207: 3205: 3202: 3200: 3197: 3195: 3192: 3191: 3189: 3185: 3179: 3176: 3174: 3171: 3169: 3166: 3164: 3163: 3159: 3157: 3154: 3152: 3149: 3147: 3144: 3142: 3139: 3138: 3136: 3132: 3126: 3123: 3121: 3118: 3116: 3113: 3111: 3108: 3107: 3105: 3101: 3095: 3092: 3090: 3089:Patient abuse 3087: 3085: 3082: 3080: 3077: 3075: 3072: 3070: 3069:Medical error 3067: 3065: 3062: 3060: 3057: 3056: 3054: 3050: 3041: 3036: 3034: 3029: 3027: 3022: 3021: 3018: 3011: 3007: 3004: 3001: 2998: 2995: 2992: 2989: 2985: 2982: 2980: 2977: 2974: 2971: 2968: 2965: 2964: 2954: 2950: 2949: 2945: 2943: 2939: 2938: 2934: 2930: 2928: 2924: 2923: 2919: 2915: 2914: 2911: 2906: 2902: 2895: 2879: 2875: 2871: 2865: 2862: 2850:on 2013-03-03 2849: 2845: 2839: 2836: 2823: 2819: 2815: 2808: 2805: 2792: 2788: 2782: 2779: 2766: 2762: 2758: 2752: 2749: 2736: 2732: 2728: 2721: 2718: 2713: 2709: 2705: 2701: 2698:(6): 538–44. 2697: 2693: 2686: 2683: 2670: 2666: 2662: 2655: 2652: 2647: 2643: 2639: 2635: 2630: 2625: 2621: 2617: 2613: 2606: 2603: 2598: 2594: 2590: 2586: 2582: 2578: 2571: 2568: 2555: 2551: 2547: 2541: 2538: 2525: 2521: 2517: 2510: 2507: 2502: 2498: 2494: 2490: 2486: 2482: 2479:(2): 111–22. 2478: 2474: 2467: 2464: 2451: 2447: 2441: 2438: 2433: 2429: 2424: 2419: 2415: 2411: 2407: 2400: 2397: 2384: 2380: 2376: 2369: 2366: 2353: 2349: 2343: 2340: 2327: 2323: 2317: 2314: 2301: 2297: 2291: 2288: 2283: 2279: 2275: 2271: 2267: 2263: 2260:(6): 439–50. 2259: 2255: 2248: 2245: 2232: 2228: 2222: 2219: 2214: 2210: 2206: 2202: 2198: 2194: 2191:(3): 419–27. 2190: 2186: 2179: 2176: 2163: 2159: 2155: 2149: 2146: 2133: 2129: 2125: 2119: 2116: 2103: 2099: 2095: 2089: 2086: 2081: 2077: 2073: 2069: 2065: 2061: 2057: 2053: 2045: 2042: 2037: 2033: 2029: 2025: 2021: 2017: 2013: 2009: 2002: 1999: 1988:on 2013-05-04 1987: 1983: 1979: 1973: 1970: 1957: 1953: 1949: 1943: 1940: 1927: 1923: 1919: 1913: 1910: 1897: 1893: 1889: 1883: 1880: 1867: 1863: 1859: 1853: 1850: 1845: 1841: 1836: 1831: 1827: 1823: 1819: 1815: 1811: 1804: 1801: 1789: 1785: 1781: 1775: 1772: 1767: 1763: 1758: 1753: 1749: 1745: 1741: 1737: 1733: 1726: 1723: 1718: 1714: 1710: 1706: 1702: 1698: 1695:(10): 781–8. 1694: 1690: 1686: 1679: 1676: 1671: 1667: 1663: 1659: 1655: 1651: 1647: 1643: 1636: 1633: 1628: 1624: 1620: 1616: 1612: 1608: 1605:(4): 437–43. 1604: 1600: 1593: 1590: 1582: 1575: 1568: 1565: 1552: 1548: 1544: 1537: 1534: 1526: 1522: 1515: 1513: 1509: 1504: 1500: 1495: 1490: 1486: 1482: 1478: 1474: 1470: 1463: 1460: 1448: 1444: 1440: 1436: 1432: 1428: 1424: 1420: 1416: 1412: 1408: 1404: 1397: 1394: 1387: 1382: 1379: 1377: 1374: 1372: 1369: 1367: 1364: 1362: 1359: 1357: 1354: 1352: 1349: 1347: 1344: 1342: 1339: 1337: 1334: 1332: 1329: 1327: 1324: 1322: 1319: 1317: 1314: 1312: 1309: 1307: 1304: 1302: 1301: 1297: 1295: 1292: 1290: 1287: 1286: 1281: 1279: 1277: 1276:breast cancer 1273: 1269: 1264: 1262: 1261:immune system 1258: 1255: 1250: 1248: 1244: 1240: 1236: 1232: 1228: 1221:Controversies 1220: 1215: 1214:antipsychotic 1211: 1207: 1204: 1201: 1197: 1193: 1190: 1188: 1187:nitroglycerin 1184: 1180: 1176: 1173: 1170: 1169:antihistamine 1166: 1162: 1159: 1157: 1153: 1150: 1147: 1143: 1139: 1136: 1134: 1130: 1127: 1125: 1121: 1117: 1113: 1110: 1108: 1104: 1101: 1099: 1095: 1092: 1089: 1085: 1081: 1077: 1074: 1071: 1067: 1063: 1060: 1057: 1053: 1049: 1045: 1042: 1040: 1036: 1033: 1030: 1026: 1022: 1018: 1014: 1011: 1009: 1005: 1001: 998: 996: 992: 989: 987: 983: 980: 977: 973: 970: 967: 963: 959: 956: 954: 950: 946: 943: 940: 936: 932: 929: 926: 922: 918: 914: 911: 908: 904: 901: 898: 894: 890: 887: 885: 881: 880:Birth defects 878: 875: 871: 867: 863: 859: 856: 853: 849: 846: 842: 838: 835: 834: 830: 828: 826: 821: 819: 815: 811: 807: 803: 799: 795: 789: 787: 783: 779: 778:heart disease 775: 771: 767: 766:teratogenesis 763: 759: 755: 751: 747: 743: 742:public health 738: 734: 730: 725: 723: 719: 715: 711: 708: 704: 700: 696: 693: 689: 685: 684:phytotherapic 681: 677: 673: 669: 665: 660: 658: 654: 650: 646: 642: 638: 634: 628: 620: 618: 616: 612: 608: 607:radiocontrast 605:reactions to 604: 600: 596: 592: 588: 584: 582: 578: 574: 570: 566: 562: 558: 555: 551: 547: 545: 541: 537: 533: 528: 526: 522: 518: 514: 510: 506: 502: 498: 494: 490: 483: 478: 476: 474: 470: 465: 458: 456: 452: 445: 443: 440: 436: 428: 426: 424: 420: 416: 412: 404: 402: 400: 396: 392: 388: 387:United States 381:United States 380: 378: 376: 373:, as well as 372: 368: 364: 360: 356: 352: 348: 344: 340: 336: 332: 324: 322: 319: 315: 311: 307: 303: 295: 293: 289: 287: 283: 282:birth defects 279: 275: 274:adverse event 271: 266: 259: 257: 255: 251: 247: 243: 239: 235: 231: 227: 222: 220: 216: 212: 208: 204: 200: 196: 192: 191:medical error 188: 183: 179: 175: 171: 167: 163: 159: 150: 147: 145: 141: 136: 124: 121: 113: 110:February 2011 102: 99: 95: 92: 88: 85: 81: 78: 74: 71: –  70: 66: 65:Find sources: 59: 55: 49: 48: 43:This article 41: 37: 32: 31: 19: 4076:Murphy's law 4061:Hydra effect 4056:Hutber's law 4021:Cobra effect 4000: 3940: 3928: 3916: 3904: 3892: 3847: 3775: 3763: 3603:Sexual abuse 3591:Maltreatment 3518:Pneumothorax 3377:Acrocyanosis 3367:Aerosol burn 3309:Heat syncope 3304:Hyperthermia 3214:Hand washing 3160: 3141:Drapetomania 3110:Medical debt 3083: 3059:Iatrogenesis 3046:Medical harm 2946: 2931: 2916: 2882:. 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