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02/04/2024

     At-risk patients

     Extreme of age:        Gender       Concurrent drug          Concurrent
     (elderly patients-  (pregnancy)            usage            disease, e.G.
                                                                 Respiratory
       neonates and
           infants)                                                 disease

      pharmacokinetic variables, e.G.       Genetics, e.g.        Patients with a
     Renal or Hepatic function, thyroid       Glucose-6-             history of
                                              phosphate
                    dysfunction                                  ADRS/allergies.
        • pharmaceutical factors, e.G.    dehydroge- nase
                                         (G6PD) deficiency.  138
          Nature of dosage Form or
                     excipients

138

                                                                 139

     Fringe benefits of adverse drug reactions

     Drug                ADR             benefit
     Codeine             constipation    Off label use in
     Erythromycin                        diarrhea
     nifedipine          diarrhea        Off label in hospitals
                                         to stimulate motility
     sildenafil          Postural        For Reynaud s
                         hypotension     disease
                         (vasodilator)
                         CVS             Erectile dysfunction

139

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