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. Author manuscript; available in PMC: 2013 May 5.
Published in final edited form as: Clin Pharmacokinet. 2009;48(3):143–157. doi: 10.2165/00003088-200948030-00001

Table II.

Reasons for Sex Differences in Adverse Event Reporting

Reason for sex difference Pharmacological reason Pharmacological factors
Women are more frequently overdosed Pharmacokinetics
  • Volume of distribution is smaller

  • Free fraction of drug is larger

  • Clearance from he body is slower

Women are more sensitive Pharmacodynamics
  • Alteration in receptor number

  • Alteration in receptor binding

  • Alteration in signal transduction pathway following receptor binding

Women take greater amount of medications Drug interactions
  • Alteration in pharmacokinetics (see row above)

  • Alteration in pharmacodynamics (see row above)