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Drug safety, also referred to as pharmacovigilance, encompasses the collection, detection, assessment, monitoring, and prevention of adverse effects associated with drug/pharmaceutical products. The ultimate goal of drug safety is to ensure that the medicines people use are as safe as possible, thereby improving patient care and public health. Though interchangeable, “drug safety” and “pharmacovigilance” differ in various aspects.
Drug safety refers more to the overall safety profile of the drug and covers an array of aspects relating to making sure the drug is safe to use by patients & consumers. Typically, this includes pre-clinical studies, clinical trials, post-marketing surveillance, reporting of adverse events (AEs), risk mitigation, and monitoring the drug’s safety profile throughout the lifecycle.
Pharmacovigilance falls under the drug safety “umbrella” and is a subset of drug safety that focuses on the detection, evaluation/assessment, understanding, and prevention of AEs (or any other safety problems associated with the drug). It involves the collection, evaluation, and reporting of AEs and adverse drug reactions (ADRs) to global regulatory authorities and healthcare professionals. These activities involved in pharmacovigilance are critical in ensuring the ongoing safety and efficacy of drugs once they have been approved.
Drug safety ensures the well-being of patients. By monitoring and assessing the safety of medicines, healthcare professionals can make informed decisions about the risks and benefits of particular drugs, thus safeguarding patient health. Additionally, drug safety contributes to public health by ensuring that the benefits of medications outweigh their risks on a population level.
Secondly, drug safety is crucial for the pharmaceutical industry’s credibility. Incidents where drugs cause significant harm can lead to a loss of public trust in medicines and healthcare systems. Through rigorous pharmacovigilance practices, the pharmaceutical industry can maintain high safety standards, which in turn fosters trust among consumers and healthcare providers.
Drug safety practices support the ongoing development of pharmaceuticals. By identifying and analyzing adverse drug reactions, researchers can develop safer drugs and improve existing ones. This ongoing process contributes to the advancement of medical science and the development of more effective treatments
Ensuring and maintaining drug safety can pose multiple challenges. An example is the complexity of drug development processes- especially those that involve intricate molecular structures and diverse patient populations. These complexities can increase the risk of unexpected AEs which may not show in clinical trials. Another challenge is the need for robust pharmacovigilance systems that can promptly & efficiently detect and assess ADRs in post-marketing stages. This requires “on-point” data collection, analysis, and reporting mechanisms across global regulatory frameworks.
The increase in need for personalized medicine and subsequent use of biologic & gene therapy products bring about new safety considerations and requirements for monitoring. On top of that, the evolving regulatory landscape, particularly the different standards across regions may increase complexities to ensure consistent drug safety practices. Ensuring patient compliance with medication usage and promptly addressing medication errors & misuse are ongoing challenges in maintaining drug safety.