Research Article

Adverse Drug Reactions in a Complementary Medicine Hospital: A Prospective, Intensified Surveillance Study

Table 4

Drugs most frequently associated with the identified adverse drug reactions (ADRs)a.

Drug group (ATC-Code)No (%) ADRsDrugs (number of ADRs for each causative drug)Adverse drug reactions main symptomsCTCAE severity upgrade ( )

Opioids (N02A)35Morphine (23), fentanyl (4), tramadol (4), oxycodone/naloxone (1), hydromorphone (1), oxycodone (1), and piritramide (1)Constipation (19), nausea (9), nightmares (3), itching (1), disorientation (1), seizure (1), vomiting (1), emesis (1), hyperacusis (1), sedation (1), and haemolytic anaemia (1)Grade II (28) grade III (7)

Penicillin/beta-lactamase inhibitors (J01C)40Sultamicillin (17), piperacillin (14), combactam (8), and amoxicillin (1)Diarrhoea (10), C. difficile-associated diarrhoea (6), nausea (3), dyspnoea (2), emesis (2) allergic reactions (2), drug eruption (1), renal failure (1), and vaginal mycosis (1)Grade II (22) grade III (17), and grade IV (1)

Cephalosporin/ Carbapenem (J01D)36Cefuroxime (23), ceftriaxone (10), and imipenem/cilastatin (3)C. difficile-associated diarrhoea (12), diarrhoea (6), drug eruption (6), anaphylactic reaction grade III (1), seizures (1), tongue swelling (1), angioedema (1), renal failure (1), and collapse (1)Grade II (16), grade III (16), grade IV (3), grade V (1)

Corticosteroids for Systemic Use (H02AB)17Prednisolone (7), dexamethasone (4), prednisone (5), and methylprednisolone (1)Hyperglycaemia (10), psychotic reaction (2), confusion (1), hypertension (1), cephalgia (1), secondary sepsis (1), gastric ulcer (1), and oesophagitis (1)Grade II (2), grade III (11), grade IV (4), and grade V (1)

Platelet aggregation inhibitors excluding heparin (B01AC)24Clopidogrel (6) and ASA (18)Bleeding (11), anaemia (2), abdominal pain (1), gastric ulcer (1), and gastritis (1)Grade II (14), grade III (4), and grade IV (6)

Loop diuretics (C03CA)16Furosemide (10) and torasemide (6)Renal failure acute or chronic (12), hypotension (2), exsiccosis (2), itching (1), uraemia (1), pemphigoid reaction (1), and electrolyte disorder (1)Grade II (9), grade III (4) grade IV (1), and grade V (2)

Quinolones (J01M)15Levofloxacin (7), ciprofloxacin (7), and moxifloxacin (1)C. difficile-associated diarrhoea (2), diarrhoea (2), and increase in GT (2), alkaline phosphatase (2), vertigo (1), seizure (1), and constipation (1)Grade II (6) and
grade III (9)

Macrolides (J01F)13Clarithromycin (9) and clindamycin (4)C. difficile-associated diarrhoea (5), diarrhoea (3), membranous colitis (1), drug fever, (1) allergic reaction (1), and drug eruption (1)Grade II (7) and grade III (6)

Heparin group (B01AB)10Enoxaparin (8) and heparin (2)Bleeding (10)Grade II (6), grade III (2), and grade IV (2)

Oral Antidiabetics (A10B)11Metformin (8) and exenatide (3)Diarrhoea (7), meteorism (4), abdominal pain (1), nausea (1), and acute renal failure (1)Grade II (10) and grade III (1)

aMultiple drugs may be attributed to one or more symptoms, as well to severity grades (CTCAE).