EIDOS: a mechanistic classification of adverse drug effects.

The mechanisms of adverse drug effects have not been adequately classified. Here, we propose a comprehensive mechanistic classification of adverse drug effects that considers five elements: the Extrinsic chemical species (E) that initiates the effect; the Intrinsic chemical species (I) that it affec...

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Main Authors: Ferner, R, Aronson, J
Format: Journal article
Language:English
Published: 2010
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author Ferner, R
Aronson, J
author_facet Ferner, R
Aronson, J
author_sort Ferner, R
collection OXFORD
description The mechanisms of adverse drug effects have not been adequately classified. Here, we propose a comprehensive mechanistic classification of adverse drug effects that considers five elements: the Extrinsic chemical species (E) that initiates the effect; the Intrinsic chemical species (I) that it affects; the Distribution (D) of these species in the body; the (physiological or pathological) Outcome (O); and the Sequela (S), which is the adverse effect. This classification, which we have called EIDOS, describes the mechanism by which an adverse effect occurs; it complements the DoTS classification of adverse effects (based on clinical pharmacology), which takes into account Dose responsiveness, Time course, and Susceptibility factors. Together, these two classification systems, mechanistic and clinical, comprehensively delineate all the important aspects of adverse drug reactions; they should contribute to areas such as drug development and regulation, pharmacovigilance, monitoring therapy, and the prevention, diagnosis, and treatment of adverse drug effects.
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spelling oxford-uuid:e0a9550a-1143-4ebd-84b9-dac82ea17d482022-03-27T09:48:52ZEIDOS: a mechanistic classification of adverse drug effects.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e0a9550a-1143-4ebd-84b9-dac82ea17d48EnglishSymplectic Elements at Oxford2010Ferner, RAronson, JThe mechanisms of adverse drug effects have not been adequately classified. Here, we propose a comprehensive mechanistic classification of adverse drug effects that considers five elements: the Extrinsic chemical species (E) that initiates the effect; the Intrinsic chemical species (I) that it affects; the Distribution (D) of these species in the body; the (physiological or pathological) Outcome (O); and the Sequela (S), which is the adverse effect. This classification, which we have called EIDOS, describes the mechanism by which an adverse effect occurs; it complements the DoTS classification of adverse effects (based on clinical pharmacology), which takes into account Dose responsiveness, Time course, and Susceptibility factors. Together, these two classification systems, mechanistic and clinical, comprehensively delineate all the important aspects of adverse drug reactions; they should contribute to areas such as drug development and regulation, pharmacovigilance, monitoring therapy, and the prevention, diagnosis, and treatment of adverse drug effects.
spellingShingle Ferner, R
Aronson, J
EIDOS: a mechanistic classification of adverse drug effects.
title EIDOS: a mechanistic classification of adverse drug effects.
title_full EIDOS: a mechanistic classification of adverse drug effects.
title_fullStr EIDOS: a mechanistic classification of adverse drug effects.
title_full_unstemmed EIDOS: a mechanistic classification of adverse drug effects.
title_short EIDOS: a mechanistic classification of adverse drug effects.
title_sort eidos a mechanistic classification of adverse drug effects
work_keys_str_mv AT fernerr eidosamechanisticclassificationofadversedrugeffects
AT aronsonj eidosamechanisticclassificationofadversedrugeffects