Laboratory Tests for the Early Detection of Adverse Drug Reaction

Hameed Manahi R Alrwayli, Bassam Ghadeer Shanwan Alanazi, Muhanna Musafiq Sameer Alanazi, Ahmed khalaf Diri Alanazi, Abdullah Ibrahim A Alenezi, Majed Jawban Nadyan Alruwili, Maher Aziz Essa Alanazi, Abdullah Taher Alturqi Alanazi, Fayez Hamed Fayyadh Alanazi, Mohammed Munahi Rasheed Alruwaili, Sultan Mheel F Alenazi
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Abstract

The Food and Drug Administration (FDA) of the United States has approved drugs for sale in the country only if they are both safe and effective, meaning that the advantages of the medication must outweigh any known hazards. But over-the-counter (OTC) and prescription medications also have negative effects. (FDA) reactions, sometimes referred to as side effects, are undesired side effects that may be connected to a medication. Side effects can range in severity from little issues like a runny nose to potentially fatal situations like heart attack and in some case may lead to death. Age, use of other drugs, vitamins, or diet supplement, amount of drug, and route of administration can affect on degree of side effect as in IM or IV adverse effect is faster and stronger to appear than in oral route. According to laboratory tests, many tests have been done to detect impact of drug on body. In drugs cause liver failure tests appear elevated in liver enzyme as alkaline phosphatase (ALP), alanine transaminase (ALT), aspartate aminotransferase (AST). In kidney failure laboratory test indicate elevated in lipase and amylase serum.in drugs high cholesterol level such beta blocker, prednisone, and anabolic steroid in lab test detect high cholesterol level above 200mg\dl. Drugs elevate blood glucose as statins, corticosteroid, and beta blocker indicated elevation of blood glucose level above the normal. Analytical methods can consider also laboratory method as have been done in labs, it help in identification and separation of drugs so identify the drug these analytical method as spectrophotometry, gas chromatography, high performance liquid chromatography (HPLC).
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用于早期检测药物不良反应的实验室检验
美国食品和药物管理局(FDA)只有在药品既安全又有效的情况下才会批准在美国销售,也就是说,药品的优点必须大于任何已知的危害。但非处方药(OTC)和处方药也有负面影响。(FDA)反应,有时也称为副作用,是指可能与药物有关的不良副作用。副作用的严重程度不一,小到流鼻涕,大到心脏病发作等可能致命的情况,有时甚至会导致死亡。年龄、使用其他药物、维生素或膳食补充剂、药量和给药途径都会影响副作用的程度,因为即时或静脉给药比口服给药的副作用出现得更快更强烈。根据实验室检测,有许多检测方法可以发现药物对身体的影响。药物导致肝功能衰竭时,肝酶如碱性磷酸酶(ALP)、丙氨酸转氨酶(ALT)和天门冬氨酸转氨酶(AST)会升高。肾衰竭患者的实验室检查显示血清脂肪酶和淀粉酶升高。服用高胆固醇水平的药物如β受体阻滞剂、泼尼松和合成代谢类固醇时,实验室检查会发现胆固醇水平高于 200mg/dl。使血糖升高的药物如他汀类药物、皮质类固醇和β受体阻滞剂会使血糖水平高于正常值。分析方法也可视为实验室方法,因为实验室方法有助于药物的鉴别和分离,因此鉴别药物的分析方法包括分光光度法、气相色谱法、高效液相色谱法(HPLC)。
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