Table I.
Classification of adverse drug reactions as proposed by Rawlins and Thompson (4).
| Type A | Type B |
|---|---|
| 85-90% of ADR | 10-15% of ADR |
| Predictable, related to the pharmacological action of the drug; | Unpredictablea; |
| Can affect any individual if they are administered at a certain dose or at a certain rate | Independent of pharmacological action; |
| Immunologically mediated hypersensitivity reactions or mediated by other mechanisms occurring in susceptible patients | |
| Examples: Nephrotoxicity caused by aminoglycosides, digestive side effects secondary to NSAID therapy | Examples: |
| 1. Intolerance reactions or low tolerance threshold | |
| 2. Idiosyncratic reactions | |
| 3. Immune-mediated (allergic) reactions |
aWith some exceptions, certain HLA haplotypes are associated with side effects to certain drugs, such as carbamazepine, abacavir, dapsone, allopurinol. ADR, adverse drug reactions; NSAIDs, non-steroidal anti-inflammatory drugs.