Preview to Lessons in PV - Concept Capsule Bundle

The Concept of Pharmacovigilance

  • Concept of Pharmacovigilance
  • Need of Pharmacovigilance
  • Scope of Pharmacovigilance
  • The importance of Pharmacovigilance - explained with an example

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Adverse Drug Reaction (ADR) 

  • Concept of Adverse Drug Reaction (ADR)
  • Definition of ADR
  • Difference between ADR and Side Effects
  • Difference between Adverse Event (AE) and ADR
  • Example of ADR

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Adverse Event (AE)

  • Concept of Adverse Event (AE)
  • Definition of AE
  • Example of AE


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Conditions to consider an event/reaction "Unexpected"

  • Understanding of the different conditions in which an adverse event or reaction is considered "unexpected"





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Effect of Medicinal Product  

  • Medicinal Product - Introduction
  • Effects of Medicinal Product - Explained with examples






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Expected/Labeled/Listed & Unexpected/Unlabled/Unlisted Event or Reaction

  • A clear understanding of the important terms: Expectedness/Listedness/Labeledness of Adverse Event/Reaction / Unexpectedness/Unlistedness/Unlabeledness of Adverse
  • Terms used in pre-market stage and post-market stage for an AE/ADR in the drug lifecycle
  • Factors that decide the usage of these terms


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Serious Adverse Event (SAE) & Serious Adverse Reaction (SAR)

  • Concept of Serious Adverse Event & Serious
  • Adverse Reaction (SAE/SAR)
  • Definition of SAE/SAR
  • Outcome of SAE/SAR
  • Non-Serious Adverse Event & Non-Serious Adverse Reaction (NSAE/NSAR)

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Suspected Unexpected Serious Adverse Reaction (SUSAR)   

  • Concept of SUSAR (Suspected Unexpected Serious Adverse Reaction)
  • Definition of SUSAR
  • Breakdown of terms of SUSAR
  • Assessment of SUSAR
  • Reporting time-frame of SUSAR

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Importance of Reporting - AE/AR

  • Importance of reporting of adverse effects associated with medicinal products
  • Examples demonstrating impact of reporting and not reporting of adverse events related to a medicinal product


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Criteria for Assessing Expectedness 

  • Understanding of different criteria on the basis of which expectedness/listedness/labeledness of an adverse event/reaction is determined

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Causality Assessment

  • Introduction to Causality Assessment
  • Need of Causality Assessment in PV
  • Aim of causality assessment
  • How to do Causality assessment
  • Importance of Causality assessment

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Methods of Causality Assessment

Methods of Causality Assessment:

  •   Clinical judgment or global introspection
  •   Algorithms
  •   Probabilistic methods


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WHO Scale 

  • Introduction to WHO-UMC system
  • Basic criteria that comprise WHO-UMC system
  • Brief discussion on Categories of WHO-UMC system
                    Certain
                    Probable
                    Possible 
                    Unlikely
                    Unclassified/Conditional
                    Unassessable/Unclassifiable

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Naranjo Algorithm

  • Introduction to Naranjo Algorithm
  • Need/Importance of Naranjo Algorithm
  • Brief discussion on (10) Questions enclosed in Naranjo Algorithm

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Types of Adverse Drug Reactions (ADR)


  • Introduction of ADRs
  • Different types of ADRs discussed with examples:
    • Type-A (Augmented) reaction
    • Type-B (Bizarre) reaction
    • Type-C (Continuous drug use) reaction
    • Type-D (Delayed) reaction
    • Type-E (End of use) reaction
    • Type-F (Failure of therapy) reaction

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MedDRA Part 1  

  • MedDRA - Introduction
  • Need of MedDRA
  • Objective of MedDRA
  • MedDRA -Multilingual dictionary
  • Where is MedDRA used?
  • Scope of MedDRA
  • MSSO
  • JMO
  • Naming convention of MedDRA
  • Benefits of MedDRA  

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MedDRA Part 2

  • Structure of MedDRA
    • System Organ Classes (SOCs)
    • High Level Group Term (HLGT)
    • High Level Term (HLT)
    • Preferred Term (PT) and
    • Lowest Level Term (LLT)
  • MedDRA Structure - Example
  • LLT relation to PT
  • Multiaxiality (explained with example)
  • Coding of terms in MedDRA explained with example
  • Advantage of MedDRA coded terms

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MedDRA Part 3.1


  • MedDRA coding conventions - Introduction
  • Need for Coding conventions and principles
  • MedDRA conventions:
    Spellings Abbreviation
    Capitalization
    Punctuation
    Word order
    MedDRA Codes
    Numerical values
    NOS & NEC terms  

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MedDRA Part 3.2  

  • Quality of Source Data and Quality Assurance
  • Do Not Alter MedDRA
  • Always Select a Lowest Level Term and Select Only Current Lowest Level Terms
  • Use of Medical Judgment in Term Selection and When to Request a Term 
  • Check the Hierarchy
  • Select Terms for All Reported Information and Do not Add or Subtract Information
  • Selecting More than One Term
  •   

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Signals in Pharmacovigilance

  • Pharmacovigilance Signal – Definition
  • Pharmacovigilance Signal - Explained
  • Sources of Pharmacovigilance Signals
    • Unsolicited sources
    • Solicited sources
    • Contractual agreements
    • Regulatory authority sources
  • Types of Pharmacovigilance Signal
    • Qualitative (Clinical) signals
    • Quantitative (Statistical) signals
  • Signal Management Process
  • Importance of Pharmacovigilance Signal

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MedDRA Part 3.1


  • MedDRA coding conventions - Introduction
  • Need for Coding conventions and principles
  • MedDRA conventions:
    Spellings Abbreviation
    Capitalization
    Punctuation
    Word order
    MedDRA Codes
    Numerical values
    NOS & NEC terms  

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