Life-threatening adverse drug reactions
The prescribed drugs that cause heart block, torsades, heart failure, agranulocytosis, respiratory depression and seizures, the patients they hurt, how to respond, and reporting to the TGA.
Tier 2Condition
Written with AI assistance and fact-checked against the sources below. For exam study, not clinical decisions. How notes are made
At a glance
- Most serious adverse drug reactions are predictable (type A): an extension of the drug's pharmacology, made worse by age, renal impairment, a dose change or an interacting drug.
- The curriculum lists six patterns. Each has a short list of usual culprits and a usual vulnerable patient.
- Response is the same every time: stop the drug, treat the effect (antidote if there is one), look for the precipitant, record the reaction and report it to the TGA.
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Sources
- Therapeutic Guidelines: Cardiovascular (February 2025 update)AU/NZTherapeutic Guidelines Limited, 2025
- Australian Medicines Handbook (online)AU/NZAustralian Medicines Handbook Pty Ltd
- Reporting adverse eventsAU/NZTherapeutic Goods Administration
- CredibleMeds QTdrugs List and List of Drugs to Avoid in Congenital Long QT Syndrome (updated 2026)AZCERT, 2026
- Tisdale JE et al. Drug-induced arrhythmias: a scientific statement from the American Heart Association. Circulation 2020;142:e214-e233Circulation, 2020
- Page RL et al. Drugs that may cause or exacerbate heart failure: a scientific statement from the American Heart Association. Circulation 2016;134:e32-e69Circulation, 2016
- Drew BJ et al. Prevention of torsade de pointes in hospital settings: AHA/ACCF scientific statement. Circulation 2010;121:1047-60Circulation, 2010
- Echt DS et al. Mortality and morbidity in patients receiving encainide, flecainide, or placebo: the Cardiac Arrhythmia Suppression Trial. N Engl J Med 1991;324:781-8New England Journal of Medicine, 1991
- Last updated
- 14 November 2026
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