Table I.
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.