PHARMACOVIGILANCE (Theory)



Unit I 

Introduction to Pharmacovigilance 
History and development of Pharmacovigilance 
Importance of safety monitoring of Medicine 
WHO international drug monitoring programme 
Pharmacovigilance Program of India(PvPI)

Introduction to adverse drug reactions 
Definitions and classification of ADRs 
Detection and reporting
Methods in Causality assessment 
Severity and seriousness assessment 
Predictability and preventability assessment 
Management of adverse drug reactions

Basic terminologies used in pharmacovigilance

Terminologies of adverse medication related events 
Regulatory terminologies

Unit II 

Drug and disease classification
Anatomical, therapeutic and chemical classification of drugs International classification of diseases 
Daily defined doses 
International Non proprietary Names for drugs

Drug dictionaries and coding in pharmacovigilance 
WHO adverse reaction terminologies MedDRA and Standardised MedDRA queries 
WHO drug dictionary
Eudravigilance medicinal product dictionary

Information resources in pharmacovigilance 
Basic drug information resources Specialised resources for ADRs
Establishing pharmacovigilance programme 
Establishing in a hospital Establishment & operation of drug safety department in industry
Contract Research Organisations (CROs) 
Establishing a national programme

Unit III 

Vaccine safety surveillance 
Vaccine Pharmacovigilance Vaccination failure 
Adverse events following immunization

Pharmacovigilance methods 
Passive surveillance – Spontaneous reports and case series 
Stimulated reporting
Active surveillance – Sentinel sites, drug event monitoring and registries Comparative observational studies – Cross sectional study, case control study and cohort study
Targeted clinical investigations

Communication in pharmacovigilance 
Effective communication in Pharmacovigilance 

Communication in Drug Safety Crisis management 

Communicating with Regulatory Agencies, Business Partners, Healthcare facilities &
Media

Unit IV 

Safety data generation
Pre clinical phase 
Clinical phase 
Post approval phase (PMS) 

ICH Guidelines for Pharmacovigilance 
Organization and objectives of ICH
Expedited reporting
Individual case safety reports Periodic safety update reports 
Post approval expedited reporting
Pharmacovigilance planning
Good clinical practice in pharmacovigilance studies

Unit V 

Pharmacogenomics of adverse drug reactions 
Genetics related ADR with example focusing PK parameters.

Drug safety evaluation in special population
Paediatrics 
Pregnancy and lactation
Geriatrics

CIOMS
CIOMS Working Groups 
CIOMS Form

CDSCO (India) and Pharmacovigilance 
D&C Act and Schedule Y
Differences in Indian and global pharmacovigilance requirements
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