1
ADR REPORTING
SUBMITTED TO
JAYACHANDRAN SIR
SENIOR LECTURE
DPSC
SUBMITTED BY
ATHIRA K
PHARMACOLOGY
M PHARM DPSC
2
• A response to medicine which is noxious and unintended and
which occurs at doses normally used in man for the
prophylaxis, diagnosis or therapy of disease or for the
modification of physiological function.(WHO 1972)
3
WHY ADR Reporting ?
 ADRs are among the leading causes of death in many
countries (World Health Organization, 2008)
 Account for 5% of all hospital admissions in India.
 Constitutes a significant economic burden on the patient and
government
4
• “Dying from a disease is sometimes unavoidable, but dying
from an adverse drug reaction is unacceptable”
-DR Vladimir Lepakhin Geneva 2005
5
Benefits of ADR Reporting
Assess the safety of drug therapies, especially recently
approved drugs.
Provides updated drug safety information to health care
professionals .
Measuring the economic impact of ADR prevention as
manifested through reduced hospitalization, optimal and
economical drug use, and minimized organizational liability
6
ADR Reporting Procedure
 Who can report
 What to report
 How to report
 Whom to report
 Where to report
7
Who can report?
• All health care professionals
(Clinicians, Dentist, Pharmacist, Nurses, Physician,
Physiotherapist etc)
• All non- healthcare professionals including consumers/ patients
etc can report ADRs.
8
What to Report ?
 All types of suspected adverse reactions
 Known or unknown,
 Serious or non-serious and
 Frequent or rare
 Reactions from all types of pharmaceutical products
 Allopathy,
 Ayurvedic,
 Vaccines,
 Medical devices etc.
9
How & Whom to Report ?
• Use the ‘Suspected Adverse Drug Reaction Reporting Form/
Medicine side effect Reporting form which are available on the
official website of IPC (www.ipc.gov.in) to report any ADR
 Filled ADR form submitted to nearest ADR Monitoring Centres
(AMCs ) or directly to the NCC-PvPI.
 A reporter can also e - mail the Suspected ADR form at
pvpi@ipcindia.net or
10
Health Care
Professionals
Consumer
NCC-PvPI
Ghaziabad
AMCs
Industry
11
A reporter can also report ADR
Via Helpline number launched
in October 2013
1800 180 3024
(Monday to Friday 9:00AM to
5:30 PM)
Helpline Number
12
Android Application
ADR Reporting App. can be downloaded from Google
play store (free to download)
NCC-PvPI in technical
collaboration with NSCB
Medical College, Jabalpur in
May 2015 developed a Mobile
Application for all healthcare
professionals to report adverse
drug reactions.
13
Reporting Form
14
15
16
Suspected Adverse Drug Reaction
Reporting Form For HCPs
This form is divided into four sections:
A. Patient Information
B. Suspected Adverse Reaction
C. Suspected Medication(s)
D. Reporter Details
17
A. Patient Information
A. Patient Information
1. Patient
Initials
_____________
2. Age at time of event
or date of birth
__________________
3. M □ F □ Other □
_________________________________
4. Weight __________ Kgs
18
B. Suspected Adverse Reaction
B. Suspected Adverse Reaction
5.
Date of reaction started (dd/mm/yy)
6.
Date of recovery (dd/mm/yyyy)
7.
Describe reaction or problem
19
C. Suspected Medications
C. Suspected medication(s)
S.
No
.
8. Name
(Brand
/Generic)
Manuf
acture
r
(If
known
)
Batch
No./
Lot
no.
Exp.
Date (if
known)
Dose
used
Route
used
Frequen
cy
(OD,BD,
etc.)
Therapy dates Indic
ation
Causal
ity
assess
ment
Date
start
ed
Date
stopped
i
ii.
20
Action taken- Mark the appropriate option for the action
taken with respect to Suspected drug.
S.No.
as per
C
9. Action Taken ( Please Tick)
Drug
withdrawn
Dose
increased
Dose
reduced
Dose not
changed
Not
applicable
Unknown
i
ii
21
• Rechallenge/ Reintroduction - The point at which a drug is
again given to a patient after its previous withdrawal.
• Mark the appropriate option whether the suspected drug
reintroduced & reaction occurred or not or effect unknown.
10. Reaction reappeared after reintroduction ( Please Tick)
S.No. Yes No Effect
Unknown
Dose
(If reintroduced)
i
ii
22
Concomitant medications
Concomitant medical product (s) information given in the
following tabs.
11. Concomitant medical product including self medication
and herbal remedies with therapy dates (exclude those
used to treat reaction)
S.No. Name
(Brand
/Generic)
Dose
used
Route
used
Frequency
(OD, BD,
etc.)
Therapy dates Indication
Date
started
Date
stopped
i
ii
23
24
D. Reporter Details
D. Reporter Details
16. Name and professional address ____________________________
Pin ___________________ E - mail___________________________
Tel. No. (With STD code)____________________________________
Occupation__________________________ Signature ___________
17. Date of this Report (dd/mm/yyyy) ___________________________
25
Other important sections of ADR Reporting form
12. Relevant test and laboratory data with dates
13. Relevant medical / medication history ( Allergies, race, pregnancy,
smoking , alcohol use, renal and hepatic dysfunction etc.)
14. Seriousness of the reaction: No □ If Yes □ (please tick anyone)
□ Death (dd/mm/yyyy) □ Congenital anomaly
□ Life threatening □ Required intervention to prevent
permanent impairment/ damage
□ Hospitalization/ prolonged □ Disability
□ Other (specify)
26
15. Outcome (please tick anyone)
□ Recovered □ Recovering
□ Not Recovered □ Fatal
□ Recovered with Sequelae □ Unknown
27
CONCLUSION
• ADR reporting should be considered as an integral part of the
clinical activities by the health care providers.
• Pharmacist should exert leadership in the development
maintenance and ongoing evaluation of ADR program.
28

ADR reporting.pptx m pHARM PHARMACOLOGY PHARMACOVIGILANCE

  • 1.
    1 ADR REPORTING SUBMITTED TO JAYACHANDRANSIR SENIOR LECTURE DPSC SUBMITTED BY ATHIRA K PHARMACOLOGY M PHARM DPSC
  • 2.
    2 • A responseto medicine which is noxious and unintended and which occurs at doses normally used in man for the prophylaxis, diagnosis or therapy of disease or for the modification of physiological function.(WHO 1972)
  • 3.
    3 WHY ADR Reporting?  ADRs are among the leading causes of death in many countries (World Health Organization, 2008)  Account for 5% of all hospital admissions in India.  Constitutes a significant economic burden on the patient and government
  • 4.
    4 • “Dying froma disease is sometimes unavoidable, but dying from an adverse drug reaction is unacceptable” -DR Vladimir Lepakhin Geneva 2005
  • 5.
    5 Benefits of ADRReporting Assess the safety of drug therapies, especially recently approved drugs. Provides updated drug safety information to health care professionals . Measuring the economic impact of ADR prevention as manifested through reduced hospitalization, optimal and economical drug use, and minimized organizational liability
  • 6.
    6 ADR Reporting Procedure Who can report  What to report  How to report  Whom to report  Where to report
  • 7.
    7 Who can report? •All health care professionals (Clinicians, Dentist, Pharmacist, Nurses, Physician, Physiotherapist etc) • All non- healthcare professionals including consumers/ patients etc can report ADRs.
  • 8.
    8 What to Report?  All types of suspected adverse reactions  Known or unknown,  Serious or non-serious and  Frequent or rare  Reactions from all types of pharmaceutical products  Allopathy,  Ayurvedic,  Vaccines,  Medical devices etc.
  • 9.
    9 How & Whomto Report ? • Use the ‘Suspected Adverse Drug Reaction Reporting Form/ Medicine side effect Reporting form which are available on the official website of IPC (www.ipc.gov.in) to report any ADR  Filled ADR form submitted to nearest ADR Monitoring Centres (AMCs ) or directly to the NCC-PvPI.  A reporter can also e - mail the Suspected ADR form at pvpi@ipcindia.net or
  • 10.
  • 11.
    11 A reporter canalso report ADR Via Helpline number launched in October 2013 1800 180 3024 (Monday to Friday 9:00AM to 5:30 PM) Helpline Number
  • 12.
    12 Android Application ADR ReportingApp. can be downloaded from Google play store (free to download) NCC-PvPI in technical collaboration with NSCB Medical College, Jabalpur in May 2015 developed a Mobile Application for all healthcare professionals to report adverse drug reactions.
  • 13.
  • 14.
  • 15.
  • 16.
    16 Suspected Adverse DrugReaction Reporting Form For HCPs This form is divided into four sections: A. Patient Information B. Suspected Adverse Reaction C. Suspected Medication(s) D. Reporter Details
  • 17.
    17 A. Patient Information A.Patient Information 1. Patient Initials _____________ 2. Age at time of event or date of birth __________________ 3. M □ F □ Other □ _________________________________ 4. Weight __________ Kgs
  • 18.
    18 B. Suspected AdverseReaction B. Suspected Adverse Reaction 5. Date of reaction started (dd/mm/yy) 6. Date of recovery (dd/mm/yyyy) 7. Describe reaction or problem
  • 19.
    19 C. Suspected Medications C.Suspected medication(s) S. No . 8. Name (Brand /Generic) Manuf acture r (If known ) Batch No./ Lot no. Exp. Date (if known) Dose used Route used Frequen cy (OD,BD, etc.) Therapy dates Indic ation Causal ity assess ment Date start ed Date stopped i ii.
  • 20.
    20 Action taken- Markthe appropriate option for the action taken with respect to Suspected drug. S.No. as per C 9. Action Taken ( Please Tick) Drug withdrawn Dose increased Dose reduced Dose not changed Not applicable Unknown i ii
  • 21.
    21 • Rechallenge/ Reintroduction- The point at which a drug is again given to a patient after its previous withdrawal. • Mark the appropriate option whether the suspected drug reintroduced & reaction occurred or not or effect unknown. 10. Reaction reappeared after reintroduction ( Please Tick) S.No. Yes No Effect Unknown Dose (If reintroduced) i ii
  • 22.
    22 Concomitant medications Concomitant medicalproduct (s) information given in the following tabs. 11. Concomitant medical product including self medication and herbal remedies with therapy dates (exclude those used to treat reaction) S.No. Name (Brand /Generic) Dose used Route used Frequency (OD, BD, etc.) Therapy dates Indication Date started Date stopped i ii
  • 23.
  • 24.
    24 D. Reporter Details D.Reporter Details 16. Name and professional address ____________________________ Pin ___________________ E - mail___________________________ Tel. No. (With STD code)____________________________________ Occupation__________________________ Signature ___________ 17. Date of this Report (dd/mm/yyyy) ___________________________
  • 25.
    25 Other important sectionsof ADR Reporting form 12. Relevant test and laboratory data with dates 13. Relevant medical / medication history ( Allergies, race, pregnancy, smoking , alcohol use, renal and hepatic dysfunction etc.) 14. Seriousness of the reaction: No □ If Yes □ (please tick anyone) □ Death (dd/mm/yyyy) □ Congenital anomaly □ Life threatening □ Required intervention to prevent permanent impairment/ damage □ Hospitalization/ prolonged □ Disability □ Other (specify)
  • 26.
    26 15. Outcome (pleasetick anyone) □ Recovered □ Recovering □ Not Recovered □ Fatal □ Recovered with Sequelae □ Unknown
  • 27.
    27 CONCLUSION • ADR reportingshould be considered as an integral part of the clinical activities by the health care providers. • Pharmacist should exert leadership in the development maintenance and ongoing evaluation of ADR program.
  • 28.

Editor's Notes