Medicine · Research topic

Open research questions in Drug-Induced Adverse Reactions

65 unresolved questions extracted from the limitations and future-work sections of 321 Drug-Induced Adverse Reactions papers in our library. Each links back to the study that raised it.

What the literature leaves open

  • The patient's advanced age and poor vascular access conditions posed significant challenges to nursing care. The patient's bedridden status due to fracture resulted in impaired local blood circulation and further damage to the skin barrier function.

    Nursing care of an elderly patient with toxic epidermal necrolysis: a case report · 2026 · DOI
  • There is a lack of specific guidelines for the nursing care of elderly patients with toxic epidermal necrolysis. The disease poses significant challenges to nursing care, particularly in patients with compromised immunity and multiple comorbidities.

    Nursing care of an elderly patient with toxic epidermal necrolysis: a case report · 2026 · DOI
  • The current diagnostic methods for sulfonamide allergy are limited and often disappointing. There is a lack of standardized methods to measure the N4 and N1 positions, which are important in some hypersensitivity reactions. The PGx evidence for DIHRs for sulfonamides has not been extensively studied.

    The Role of In Vivo, In Vitro and Pharmacogenomic Diagnostic Approaches to Sulfonamide Allergy · 2026 · DOI
  • There is limited knowledge of hypersensitivity reactions induced by biological drugs. There is a need for further research on the management of hypersensitivity reactions to evolocumab.

    Evolocumab-induced delayed skin hypersensitivity reaction in a patient with familial hypercholesterolaemia · 2024 · DOI
  • Further studies are needed to develop more effective diagnostic methods for sulfonamide allergy. The paper's findings highlight the importance of considering pharmacogenomic associations in the diagnosis and treatment of sulfonamide allergy. Additional research is needed to fully understand the mechanisms of hypersensitivity reactions to sulfonamide antibiotics.

    The Role of In Vivo, In Vitro and Pharmacogenomic Diagnostic Approaches to Sulfonamide Allergy · 2026 · DOI
  • The lack of understanding of the risks of allopurinol treatment for asymptomatic hyperuricaemia. The need for alternative treatments for asymptomatic hyperuricaemia.

    Asymptomatic hyperuricaemia and allopurinol induced toxic epidermal necrolysis. · 1985 · DOI
  • The mechanisms of cutaneous reactions to captopril are not fully understood. The incidence and characteristics of severe cutaneous reactions to captopril are not well described.

    Severe cutaneous reactions to captopril. · 1985 · DOI
  • There is a lack of controlled studies comparing the effectiveness of erythromycin and isoniazid in treating BCG reactions. The natural resolution of the lesions is not well understood.

    Comparison of erythromycin and isoniazid in treatment of adverse reactions to BCG vaccination. · 1985 · DOI
  • There is a lack of awareness of zinc deficiency in patients treated with anticonvulsants. The diagnosis of zinc deficiency is difficult and usually rests on the clinical picture and response to zinc treatment.

    Cutaneous manifestations of zinc deficiency during treatment with anticonvulsants. · 1985 · DOI
  • There is a lack of evidence on the nature and magnitude of the effects of prolonged use of OTC hydrocortisone. There is a need for studies to assess the safety and efficacy of OTC hydrocortisone.

    Over the counter sale of topical corticosteroids: the need for debate. · 1985 · DOI
  • Further study of the mechanisms involved in Wegener's granulomatosis. Investigation of the use of antiplatelet agents and prostacyclin analogues in preventing thrombotic complications.

    Gastrointestinal haemorrhage complicating Wegener's granulomatosis. · 1985 · DOI
  • The assumption that development of a rash is a contraindication to further use of sulphasalazine has not been challenged. There is a lack of methods for desensitising patients who have had a rash or fever after taking sulphasalazine.

    Sulphasalazine desensitisation. · 1981 · DOI
  • There is a lack of reporting on allergic reactions to Disulfiram implants. The authors identify a need for a pre-operative regime to avoid such reactions.

    An Allergic Reaction to Disulfiram Implant · 1979 · DOI
  • The lack of knowledge about the side effects of high-dose twice-weekly rifampicin. The need to identify the association between antibodies to rifampicin and side effects.

    Potentially Serious Side Effects of High-dose Twice-weekly Rifampicin · 1971 · DOI
  • There is a need to identify predisposing factors for adverse reactions in hospital patients. Previous studies have found conflicting results on the relationship between age, sex, and adverse reactions.

    Predisposing Factors in Adverse Reactions to Drugs · 1969 · DOI
  • The paper identifies a gap in the understanding of the risks associated with the use of noradrenaline in patients with severe peripheral circulatory failure.

    Skin Necrosis Following Intravenous Noradrenaline · 1955 · DOI
  • Small sample size. Limited information on the patients' medical histories and concomitant medications.

    Severe cutaneous reactions to captopril. · 1985 · DOI
  • The rarity of gastrointestinal complications in Wegener's granulomatosis. The lack of understanding of the mechanisms involved in the disease.

    Gastrointestinal haemorrhage complicating Wegener's granulomatosis. · 1985 · DOI
  • Investigating the long-term effects of desensitisation. Studying the mechanism of desensitisation to sulphasalazine.

    Sulphasalazine desensitisation. · 1981 · DOI
  • The study only reports on one patient. The pathogenesis of the patient's skin reaction is unknown.

    Cutaneous necrotising vasculitis induced by levamisole. · 1978 · DOI
  • The pathogenesis of levamisole-induced cutaneous necrotising vasculitis is unknown. The toxicity of levamisole has not been well-studied.

    Cutaneous necrotising vasculitis induced by levamisole. · 1978 · DOI
  • The mechanism of acute hypersensitivity reactions to paracetamol is not clear. The role of excipients in the reactions is not well understood. The incidence of photosensitivity reactions to azapropazone is not well established.

    Acute hypersensitivity reactions to paracetamol. · 1985 · DOI
  • The high incidence of ulceration induced by piroxicam is not well understood. Clinical trials may have underestimated the incidence of serious gastrointestinal side effects.

    Peptic ulcers induced by piroxicam. · 1985 · DOI
  • The incidence of photosensitivity reactions to azapropazone is not well established. The proportion of photosensitivity reactions to azapropazone is not well understood.

    Photosensitivity during treatment with azapropazone. · 1985 · DOI
  • The mechanism by which the tissue damage occurs remains unknown. The long-term prognosis of patients with oculomucocutaneous syndrome is not well understood.

    Untoward effects associated with practolol administration: oculomucocutaneous syndrome. · 1975 · DOI

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65 open questions have been extracted from the limitations and future-work passages of 321 Drug-Induced Adverse Reactions papers in our library. Each one below links back to the study that raised it, so you can read the original claim in context.

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