Therapeutic Responses & Adverse Reactions
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The same receptors can be found in different tissues
and organs in the body, but receptors produce different responses
depending on their location. As a result, a specific drug can affect
the body in more than one way. Desirable effects are called therapeutic
or beneficial responses. Undesirable or harmful effects are called
adverse reactions. Some adverse reactions, or side effects, can
be predicted. The most common side effects are drowsiness, headache,
sleeplessness, nausea, and diarrhea. Other reactions, such as those
that occur only in specific individuals for unexpected reasons,
called idiosyncratic reactions, and those that occur with the triggering
of the body's immune system, called allergic reactions, are less
predictable.
Drug toxicity, or poisoning, can occur when drugs are given in too
large a dose or when individuals take a particular drug over a long
period of time-the drug may build up to dangerous levels in the
kidneys and liver and damage these organs. For some drugs, such
as those used to treat epilepsy, the difference between therapeutic
and toxic concentrations is small. Physicians constantly monitor
the precise levels of such drugs in an individual's bloodstream
to prevent drug poisoning.
Other drugs, such as those used to treat cancer, are known to have
toxic effects; however, the benefits outweigh the risks-that is,
treatment without them may result in death.
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