How to use this book


In a departure from the structure of previous editions of this encyclopedia, the 15th edition of Meyler ' s Side Effects of Drugs was organized as individual drug monographs in alphabetical order. This method has been continued in this edition, the 16th. In many cases a general monograph (e.g. antihistamines) is complemented by monographs about specific drugs (e.g. acrivastine, antazoline, etc.); in that case a cross-reference is given from the latter to the former.

Monograph Structure

Within each monograph the information is presented in sections as follows:

  • GENERAL INFORMATION

    Includes, when necessary, notes on nomenclature, uses, and information about the results of observational studies, comparative studies, drug combination studies, placebo-controlled studies, and systematic reviews, in relation to reports of adverse drug reactions, and a general summary of the major adverse effects and adverse reactions.

  • ORGANS AND SYSTEMS (for benefits, harms, and the benefit to harm balance)

    • Cardiovascular (includes heart and blood vessels)

    • Respiratory

    • Ear, nose, throat

    • Nervous system (includes central and peripheral nervous systems)

    • Neuromuscular function

    • Sensory systems (includes vision and the eyes, auditory and vestibular functions, olfaction, taste)

    • Psychological

    • Psychiatric

    • Endocrine (includes hypothalamus, pituitary, thyroid, parathyroid, adrenal, sex hormones)

    • Metabolism (includes diabetes mellitus and glucose, lipids, weight)

    • Nutrition (includes effects on amino acids, essential fatty acids, vitamins, micronutrients)

    • Electrolyte balance (includes sodium, potassium)

    • Mineral balance (includes calcium, phosphate)

    • Metal metabolism (includes copper, iron, magnesium, zinc)

    • Acid–base balance

    • Fluid balance

    • Hematologic (includes blood, spleen, and lymphatics)

    • Mouth

    • Teeth

    • Salivary glands

    • Gastrointestinal (includes esophagus, stomach, small bowel, large bowel)

    • Liver

    • Biliary tract

    • Pancreas

    • Urinary tract (includes kidneys, ureters, bladder, urethra)

    • Skin

    • Hair

    • Nails

    • Sweat glands

    • Connective tissue

    • Serosae (includes pleura, pericardium, peritoneum)

    • Musculoskeletal (includes muscles, bones, joints)

    • Sexual function

    • Reproductive system (includes ovaries, uterus, vagina)

    • Breasts

    • Immunologic (includes effects on the immune system and hypersensitivity reactions)

    • Autacoids (includes non-IgE-mediated anaphylactic, or so-called anaphylactoid, reactions, e.g. mediated by histamine or bradykinin)

    • Infection risk

    • Body temperature

    • Multiorgan damage or failure

    • Trauma

    • Death

  • LONG-TERM EFFECTS

    • Quality of life

    • Drug abuse

    • Drug misuse

    • Drug tolerance and resistance (includes bacterial drug resistance)

    • Drug dependence

    • Drug withdrawal

    • Gene toxicity

    • Cytotoxicity

    • Mutagenicity

    • Tumorigenicity

    • Ecotoxicity

  • SECOND-GENERATION EFFECTS

    • Fertility

    • Pregnancy (includes labor, cesarean section)

    • Teratogenicity

    • Epigenetic effects

    • Fetotoxicity

    • Lactation

    • Breast-feeding

  • SUSCEPTIBILITY FACTORS (relates to features of the patient)

    • Genetic factors

    • Age

    • Sex

    • Altered physiology

    • Diseases (includes cardiac diseases, renal diseases, hepatic diseases, thyroid diseases)

    • Other susceptibility factors

  • DRUG ADMINISTRATION

    • Drug formulations

    • Drug additives

    • Drug contamination (includes contamination with infective agents and adulteration with other drugs or heavy metals)

    • Drug dosage regimens (includes dose, timing, frequency, and duration of administration)

    • Drug administration route

    • Drug overdose

    • Accidental exposure

  • DRUG INTERACTIONS

    • Drug–drug interactions

    • Drug–alcohol interactions

    • Drug–food interactions

    • Drug–device interactions

    • Drug–environment interactions

    • Drug–procedure interactions

    • Drug–radiation interactions

    • Drug–smoking interactions

  • INTERFERENCE WITH DIAGNOSTIC TESTS

  • DIAGNOSIS OF ADVERSE DRUG REACTIONS

  • MANAGEMENT OF ADVERSE DRUG REACTIONS

  • MONITORING THERAPY

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