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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">clinvest</journal-id><journal-title-group><journal-title xml:lang="ru">Качественная клиническая практика</journal-title><trans-title-group xml:lang="en"><trans-title>Kachestvennaya Klinicheskaya Praktika = Good Clinical Practice</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2588-0519</issn><issn pub-type="epub">2618-8473</issn><publisher><publisher-name>ООО «Издательство ОКИ</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">clinvest-390</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>БЕЗОПАСНОСТЬ ЛЕКАРСТВ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>DRUG SAFETY</subject></subj-group></article-categories><title-group><article-title>Основные механизмы развития неблагоприятных побочных реакций</article-title><trans-title-group xml:lang="en"><trans-title></trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Овчинникова</surname><given-names>Е. А.</given-names></name></name-alternatives><email xlink:type="simple">clinvest@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Овчинникова</surname><given-names>Л. К.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кафедра организации и управления в сфере обращения лекарственных средств</p></bio><email xlink:type="simple">clinvest@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Федеральное государственное учреждение «Экспертизы средств медицинского применения» МЗ РФ, г. Москва</institution><country>Russian Federation</country></aff><aff xml:lang="ru" id="aff-2"><institution>ФГУ «НЦ ЭСМП», г. Москва</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2004</year></pub-date><pub-date pub-type="epub"><day>02</day><month>07</month><year>2018</year></pub-date><volume>0</volume><issue>1</issue><fpage>57</fpage><lpage>66</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Овчинникова Е.А., Овчинникова Л.К., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Овчинникова Е.А., Овчинникова Л.К.</copyright-holder><copyright-holder xml:lang="en">Овчинникова Е.А., Овчинникова Л.К.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.clinvest.ru/jour/article/view/390">https://www.clinvest.ru/jour/article/view/390</self-uri><abstract><p>Проблемы, возникающие при использовании лекарственных средств (ЛС), могут быть весьма разнообразными. Они отличаются фармакологическими и патогенетическими механизмами развития в эпидемиологическом и юридическом отношении, а также могут иметь различные последствия. Развитая система фармаконадзора заинтересована в изучении неблагоприятных побочных эффектов и лекарственных взаимодействий как проблем, касающихся неэффективности лекарств, их фальсификации, развития пристрастия или передозировки, так и нерационального использования. В России система фармаконадзора только формируется. В этих условиях чрезвычайно актуальным является использование рациональных методологических приемов и классификаций при оценке побочных эффектов.</p></abstract><kwd-group xml:lang="ru"><kwd>нежелательные явления</kwd><kwd>механизмы развития</kwd><kwd>неблагоприятные побочные реакции</kwd><kwd>фармаконадзор</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Meyboom R.H.B., Gribnau F.W.J., Hekster Y.A., de Koning G.H.P., Egberts A.C.G., An АВС of Drug Related Problems. Drug Safety, 2000, Jun, 22 (6), 415-423.</mixed-citation><mixed-citation xml:lang="en">Meyboom R.H.B., Gribnau F.W.J., Hekster Y.A., de Koning G.H.P., Egberts A.C.G., An АВС of Drug Related Problems. Drug Safety, 2000, Jun, 22 (6), 415-423.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Drug Monitoring. Тhе role of the hospita1. 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