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The Irish Times view on medicines: A need for vigilance


The Health Products Regulatory Agency (HPRA) has revealed an increase in the number of adverse reaction reports to medicines as well as a rise in product recalls and quality defects in 2018. With more than 250 Irish patients dying last year while on treatment with medicines where an adverse reaction had been reported, should we be alarmed?

The number of adverse reaction reports received by the authority last year more than doubled. It says the increase is largely accounted for by a new requirement to include non-serious reports of adverse reactions in addition to serious ones. Particular risk factors include age extremes, the prescribing of multiple drug types, co-morbidity and genetics. But in truth reporting of adverse drug reactions (ADRs) in the Republic has never been comprehensive. It is estimated that less than 5% of all ADRs are reported in practice. A 2018 Irish study found that 43% of hospital doctors and 35% of GPs had never reported a suspected ADR.

Medication safety is an important patient safety issue. Working together, and with increased education, healthcare professionals and the public can do more to increase vigilance.

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Source: The Irish Times, 28 October 2019

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