Adverse Drug Effects- 2

Harmful effects that are unrelated to the principal action of the drug are rare. 5,6 Unusual and unpredictable responses to medications, such as anaphylaxis, are referred to as idiosyncratic reactions. However, there are situations when these effects are likely to occur, such as excessive dosing of a medication. For example, using high doses of aspirin can cause tinnitus, an unwanted effect. In this situation, the effect is predictable, because the dose taken has exceeded that which is considered safe. Teratogenic effects are also examples of these predictable, unwanted effects.

Dental hygienists must understand the differences between drug toxicity, drug allergies and drug side effects Drug toxicity is toxin-induced cellular damage and cell death. Usually, the reactive metabolites formed during metabolic breakdown of the drug in either the liver or the kidney are responsible for causing cell damage, as opposed to the actual drug itself: These reactive metabolites cause permanent changes in cell structure and function, resulting in altered cellular metabolism, cellular mutation and cell death. 5,6