Achievable logoAchievable logo
PTCE
Sign in
Sign up
Purchase
Textbook
Practice exams
Support
How it works
Exam catalog
Mountain with a flag at the peak
Textbook
Introduction
1. Medications
1.1 Generic names and brand names
1.2 Classification of medications
1.3 Drug interactions and contraindications
1.4 Medications by organ system
1.5 Drug strengths, dose, and dosage forms
1.6 Routes of administration and special handling of drugs
1.7 Medication side effects, adverse effects and allergies
1.8 Indications of medications and dietary supplements
1.9 Drug stability
1.10 Narrow therapeutic index (NTI) medications
1.11 Pharmaceutical incompatibilities
1.12 Proper storage of medications
1.13 Vaccine types and schedules
2. Patient safety and quality assurance
3. Order entry and processing
4. Federal requirements
Wrapping up
Achievable logoAchievable logo
1.7 Medication side effects, adverse effects and allergies
Achievable PTCE
1. Medications
Our PTCE course is now in "early access" - get 50% off for a limited time.

Medication side effects, adverse effects and allergies

2 min read
Font
Discuss
Share
Feedback

There are several types of unintended effects that can happen after taking a medication. The main categories are side effects, adverse effects (or adverse reactions), and drug allergies. In everyday conversation, side effect and adverse effect are often used interchangeably, but they’re not exactly the same.

Definitions
Side effects
An undesired effect that occurs when a medication is given, regardless of the dose. Most side effects are expected and are independent of the dose. Some side effects may be beneficial. Side effects often resolve on their own.
Adverse effects or reactions
Unwanted and undesirable effects related to a drug. Some are dose-dependent, and some are unpredictable. Often requires treatment.
Allergies
A reaction of the immune system to the drug. It is not dose dependent.

Common side effects and adverse effects of drugs

Drug Side effect or adverse effect
Insulin Hypoglycemia
Anticoagulants (e.g. warfarin) Bleeding
Antibiotics Diarrhea
Opioid analgesics Respiratory depression, addiction
Digoxin Upset stomach, vomiting, vision changes
Phenytoin Confusion, lack of coordination
Carbamazepine Dizziness, drowsiness
Metformin Lactic acidosis
Antidepressants Weight gain
Chemotherapy Hair loss, anemia

Drug allergies most often show up as skin symptoms, such as rashes, itching, and hives. Some people also develop wheezing, swelling, or fever. Less common signs include joint swelling, a high eosinophil count, anemia, and blood in the urine.

In some cases, a drug allergy can be severe and lead to anaphylaxis. Anaphylaxis may include trouble breathing, severe hypotension, weak pulses, seizures, and swelling of the airway.

Most drug reactions are mild to moderate. Severe reactions are rare but can include liver failure, renal failure, cardiac arrhythmias, immunosuppression, severe skin rashes, and birth defects.

Drug rash
Drug rash

Types of unintended drug effects

  • Side effects: undesired, expected, often dose-independent, may resolve on their own
  • Adverse effects: unwanted, undesirable, may be dose-dependent or unpredictable, often need treatment
  • Allergies: immune system reaction, not dose-dependent

Common drug side effects and adverse effects

  • Insulin: hypoglycemia
  • Anticoagulants (warfarin): bleeding
  • Antibiotics: diarrhea
  • Opioid analgesics: respiratory depression, addiction
  • Digoxin: upset stomach, vomiting, vision changes
  • Phenytoin: confusion, lack of coordination
  • Carbamazepine: dizziness, drowsiness
  • Metformin: lactic acidosis
  • Antidepressants: weight gain
  • Chemotherapy: hair loss, anemia

Drug allergy symptoms

  • Skin: rashes, itching, hives
  • Others: wheezing, swelling, fever, joint swelling, high eosinophil count, anemia, blood in urine

Severe drug reactions

  • Anaphylaxis: trouble breathing, severe hypotension, weak pulses, seizures, airway swelling
  • Rare severe effects: liver failure, renal failure, cardiac arrhythmias, immunosuppression, severe skin rashes, birth defects

Sign up for free to take 6 quiz questions on this topic

All rights reserved ©2016 - 2026 Achievable, Inc.

Medication side effects, adverse effects and allergies

There are several types of unintended effects that can happen after taking a medication. The main categories are side effects, adverse effects (or adverse reactions), and drug allergies. In everyday conversation, side effect and adverse effect are often used interchangeably, but they’re not exactly the same.

Definitions
Side effects
An undesired effect that occurs when a medication is given, regardless of the dose. Most side effects are expected and are independent of the dose. Some side effects may be beneficial. Side effects often resolve on their own.
Adverse effects or reactions
Unwanted and undesirable effects related to a drug. Some are dose-dependent, and some are unpredictable. Often requires treatment.
Allergies
A reaction of the immune system to the drug. It is not dose dependent.

Common side effects and adverse effects of drugs

Drug Side effect or adverse effect
Insulin Hypoglycemia
Anticoagulants (e.g. warfarin) Bleeding
Antibiotics Diarrhea
Opioid analgesics Respiratory depression, addiction
Digoxin Upset stomach, vomiting, vision changes
Phenytoin Confusion, lack of coordination
Carbamazepine Dizziness, drowsiness
Metformin Lactic acidosis
Antidepressants Weight gain
Chemotherapy Hair loss, anemia

Drug allergies most often show up as skin symptoms, such as rashes, itching, and hives. Some people also develop wheezing, swelling, or fever. Less common signs include joint swelling, a high eosinophil count, anemia, and blood in the urine.

In some cases, a drug allergy can be severe and lead to anaphylaxis. Anaphylaxis may include trouble breathing, severe hypotension, weak pulses, seizures, and swelling of the airway.

Most drug reactions are mild to moderate. Severe reactions are rare but can include liver failure, renal failure, cardiac arrhythmias, immunosuppression, severe skin rashes, and birth defects.

Key points

Types of unintended drug effects

  • Side effects: undesired, expected, often dose-independent, may resolve on their own
  • Adverse effects: unwanted, undesirable, may be dose-dependent or unpredictable, often need treatment
  • Allergies: immune system reaction, not dose-dependent

Common drug side effects and adverse effects

  • Insulin: hypoglycemia
  • Anticoagulants (warfarin): bleeding
  • Antibiotics: diarrhea
  • Opioid analgesics: respiratory depression, addiction
  • Digoxin: upset stomach, vomiting, vision changes
  • Phenytoin: confusion, lack of coordination
  • Carbamazepine: dizziness, drowsiness
  • Metformin: lactic acidosis
  • Antidepressants: weight gain
  • Chemotherapy: hair loss, anemia

Drug allergy symptoms

  • Skin: rashes, itching, hives
  • Others: wheezing, swelling, fever, joint swelling, high eosinophil count, anemia, blood in urine

Severe drug reactions

  • Anaphylaxis: trouble breathing, severe hypotension, weak pulses, seizures, airway swelling
  • Rare severe effects: liver failure, renal failure, cardiac arrhythmias, immunosuppression, severe skin rashes, birth defects