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Pharmacovigilance
Aamir Y. Khan
M.Pharm (Pharmacology and Toxicology)
Outline of Presentation
 Introduction to Pharmacovigilance
 History of Pharmacovigilance
 Why this Pharmacovigilance evolved
 Need of Pharmacovigilance
• WHY WE ALL USE MEDICINE ?
• How to minimize the adverse effect related to
a medicinal product? .........
PHARMACOVIGILANCE (Drug Safety )
• Pharmakon (Greek) = Medicinal Product
• Vigilance (Latin) = To keep Watch
• Pharmacovigilance is the science
and activities relating to the
detection, assessment,
understanding and prevention of
adverse effects or any other
medicine/vaccine related
problem.
• pharmacovigilance
mainly focuses on
adverse drug reactions.
detection,
assessment
Understanding
prevention
of adverse
effects
Objective of Pharmacovigilance
 Improve Pateint care and safety
 Imporove public health and safety
 Promote education and Clinical training
 Early detection of unknown safety problem
 Detection of increase in frequency of (known )ADR
History of Pharmacovigilance
• Sulfanilamide Disaster of 1937- Ethylene glycol
Thalidomide Disaster of 1962
Why do we need
PHARMACOVIGILANCE
Reason1:
Humanitarianconcern
Insufficient evidenceofsafety from
clinicaltrials,Animal experiments&
Phase1–3 studiesprior to marketing
authorization
Limitationsof clinicaltrials
•Small number of patients
studied
•Restricted populations (age,
sex, ethnicity)
•Narrow indications
•Short duration ofdrug
exposure
Reason2:
Medicinesare supposedto
savelives
Dying from adiseaseis
sometimes unavoidable;
dying from amedicineis
unacceptable.
Lepakhin V
.Geneva2005
• ADRswere 4th-6th
commonest causeof death
in the USin1994
Lazarouet al,1998
USA
• It hasbeen suggestedthat
ADRsmay cause5700
deaths per year inUK.
Pirmohamed et al,2004
UK
Reason3:
Promoting rational use of
medicines andadherence
Reason6:
Ensuring public confidence
Reason7:
Ethics T
o know of something
that is harmful to another
person who does not know, and
not telling, isunethical
Whoprogram for international drug
monitoring
• Started 1968
• Located in Uppsala,
Sweden
• Collaborating centre for
maintaining global ADR
database - Vigibase
Rolesof WHOCollaboratingCentre
• Identify early warning
signals of seriousadverse
reactions to medicines
• Evaluatethe hazard
• Undertake research into
the mechanisms of action
to aid the developmentof
safer and more effective
medicines
Thank you

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