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RAG-based Architectures for Drug Side Effect Retrieval in LLMs

arXiv 2507.13822 ↗First posted 18 Jul 2025cs.IR cs.AI cs.CLcited by 0

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Abstract (arXiv)

Drug side effects are a major global health concern, necessitating advanced methods for their accurate detection and analysis. While Large Language Models (LLMs) offer promising conversational interfaces, their inherent limitations, including reliance on black-box training data, susceptibility to hallucinations, and lack of domain-specific knowledge, hinder their reliability in specialized fields like pharmacovigilance. To address this gap, we propose two architectures: Retrieval-Augmented Generation (RAG) and GraphRAG, which integrate comprehensive drug side effect knowledge into a Llama 3 8B language model. Through extensive evaluations on 19,520 drug side effect associations (covering 976 drugs and 3,851 side effect terms), our results demonstrate that GraphRAG achieves near-perfect accuracy in drug side effect retrieval. This framework offers a highly accurate and scalable solution, signifying a significant advancement in leveraging LLMs for critical pharmacovigilance applications.

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References · 5

  1. 2022Large Language Models Encode Clinical Knowledgecited by 1,830
  2. 2023A Survey on Evaluation of Large Language Modelscited by 1,242
  3. 2023Adapted Large Language Models Can Outperform Medical Experts in Clinical Text Summarizationcited by 246
  4. 2024Development and Testing of Retrieval Augmented Generation in Large Language Models -- A Case Study Reportcited by 13
  5. 2024Leveraging ChatGPT in Pharmacovigilance Event Extraction: An Empirical Studycited by 12

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  1. 2025Retrieval Augmented Large Language Model System for Comprehensive Drug Contraindications
  2. 2025DrugRAG: Enhancing Pharmacy LLM Performance Through A Novel Retrieval-Augmented Generation Pipeline
  3. 2024MALADE: Orchestration of LLM-powered Agents with Retrieval Augmented Generation for Pharmacovigilance
  4. 2024Medical Graph RAG: Towards Safe Medical Large Language Model via Graph Retrieval-Augmented Generation
  5. 2026UniD3: A Knowledge Graph-Enhanced RAG Framework for Drug-Disease Discovery and Reasoning
  6. 2025Rethinking Retrieval-Augmented Generation for Medicine: A Large-Scale, Systematic Expert Evaluation and Practical Insights
  7. 2024Two-Layer Retrieval-Augmented Generation Framework for Low-Resource Medical Question Answering Using Reddit Data: Proof-of-Concept Study
  8. 2026AOP-Smart: A RAG-Enhanced Large Language Model Framework for Adverse Outcome Pathway Analysis