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Many are due to drug allergy, but there are other causes. Idiosyncratic reactions occur when the patient experiences an effect unrelated to the expected action of the drug. The effect is usually harmful and occurs in a very small proportion of individuals. It is due to factors peculiar to the individual that may be genetic in origin, but the mechanisms are usually poorly understood. The magnitude of the response to a given dose of a drug in a population of patients shows a normal distribution.
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Second messengers are intracellular molecules that bring about the effect of the original neurotransmitter or hormone through activation of cellular enzymes.
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All are clear examples of when a PGD can be used for patients who will be managed in a specified and predetermined fashion. As such, the indicated medicinal products are commonly incorporated into PGDs within diagnostic imaging departments.
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