The Safety Rates Drug Report

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Drug     Injury     Quarter    

Person who experienced the adverse event (patient)

Event ID CASEID CASEVERSION I F COD EVENT DT MFR DT INIT FDA DT FDA DT REPT COD AUTH NUM MFR NUM MFR SNDR LIT REF AGE AGE COD AGE GRP GNDR COD E SUB WT WT COD REPT DT TO MFR OCCP COD REPORTER COUNTRY OCCR COUNTRY
123509813 12350981 3 F 20141216 20160825 20160420 20160908 EXP JP-MALLINCKRODT-T201503049 MALLINCKRODT 57.00 YR M Y 60.00000 KG 20160908 CN JP JP

Drug(s) used by person

Event ID CASEID DRUG SEQ ROLE COD DRUGNAME PROD AI VAL VBM ROUTE DOSE VBM CUM DOSE CHR CUM DOSE UNIT DECHAL RECHAL LOT NUM EXP DT NDA NUM DOSE AMT DOSE UNIT DOSE FORM DOSE FREQ
123509813 12350981 1 PS METHADONE METHADONE HYDROCHLORIDE 1 Oral 5 MG (15 MG DAILY DOSE) Y UNKNOWN 40517 TABLET
123509813 12350981 2 SS METHADONE METHADONE HYDROCHLORIDE 1 Oral 10 MG (30 MG DAILY DOSE) Y UNKNOWN 40517 TABLET
123509813 12350981 3 SS METHADONE METHADONE HYDROCHLORIDE 1 Oral 15 MG (45 MG DAILY DOSE) Y UNKNOWN 40517 TABLET
123509813 12350981 4 SS METHADONE METHADONE HYDROCHLORIDE 1 Oral 10 MG (30 MG DAILY DOSE) Y UNKNOWN 40517 TABLET
123509813 12350981 5 SS METHADONE METHADONE HYDROCHLORIDE 1 Oral 35 MG DAILY DOSE Y UNKNOWN 40517 TABLET
123509813 12350981 6 SS METHADONE METHADONE HYDROCHLORIDE 1 Oral 40 MG DAILY DOSE Y UNKNOWN 40517 TABLET
123509813 12350981 7 SS METHADONE METHADONE HYDROCHLORIDE 1 Oral 15 MG (45 MG DAILY DOSE) Y UNKNOWN 40517 TABLET
123509813 12350981 8 SS METHADONE METHADONE HYDROCHLORIDE 1 Oral 50 MG DAILY DOSE Y UNKNOWN 40517 TABLET
123509813 12350981 9 SS METHADONE METHADONE HYDROCHLORIDE 1 Oral 20 MG (60 MG DAILY DOSE) Y UNKNOWN 40517 TABLET
123509813 12350981 10 SS FENTANYL. FENTANYL 1 Parenteral 0.25-0.75 MG P.R.N. U U UNKNOWN 0
123509813 12350981 11 C FENTOS FENTANYL 1 Transdermal 22 MG UNKNOWN 0
123509813 12350981 12 C FENTOS FENTANYL 1 Transdermal 16 MG 0
123509813 12350981 13 C FENTOS FENTANYL 1 Transdermal 10 MG 0
123509813 12350981 14 C FENTOS FENTANYL 1 Transdermal 6 MG 0
123509813 12350981 15 C FENTOS FENTANYL 1 Transdermal 4 MG 0
123509813 12350981 16 C FENTOS FENTANYL 1 Transdermal 2 MG 0
123509813 12350981 17 C FENTANYL CITRATE. FENTANYL CITRATE 1 Parenteral 24 MG U 0
123509813 12350981 18 C FENTANYL CITRATE. FENTANYL CITRATE 1 Parenteral 18 MG U 0
123509813 12350981 19 C DEPAS ETIZOLAM 1 Oral 0.5 MG U 0
123509813 12350981 20 C ZOLPIDEM TARTRATE. ZOLPIDEM TARTRATE 1 Oral 5 MG U 0
123509813 12350981 21 C LYRICA PREGABALIN 1 Oral 150 MG U 0
123509813 12350981 22 C MAGNESIUM OXIDE. MAGNESIUM OXIDE 1 Oral 1500 MG U 0
123509813 12350981 23 C METHYCOBAL METHYLCOBALAMIN 1 Oral 1500 ?G U 0

Indications of drugs used

Event ID CASEID INDI DRUG SEQ INDI PT
123509813 12350981 1 Cancer pain
123509813 12350981 10 Analgesic therapy

Outcome of event

Event ID CASEID OUTC COD
123509813 12350981 OT
123509813 12350981 LT

Reactions reported

Event ID CASEID DRUG REC ACT PT
123509813 12350981 Atrioventricular block first degree
123509813 12350981 Atrioventricular block second degree
123509813 12350981 Blood potassium increased
123509813 12350981 Electrocardiogram QT prolonged
123509813 12350981 Electrocardiogram ST-T segment abnormal
123509813 12350981 Sinus arrhythmia
123509813 12350981 Sinus bradycardia
123509813 12350981 Supraventricular extrasystoles
123509813 12350981 Ventricular extrasystoles

Reporting Sources (this data is often not reported and may therefore be missing here)

no results found

Therapies reported

Event ID CASEID DSG DRUG SEQ START DT END DT DUR DUR COD
123509813 12350981 1 20141201 20141207 0
123509813 12350981 2 20141208 20141214 0
123509813 12350981 3 20141215 20141216 0
123509813 12350981 4 20141217 20141221 0
123509813 12350981 5 20141222 20141228 0
123509813 12350981 6 20141229 20150104 0
123509813 12350981 7 20150105 20150111 0
123509813 12350981 8 20150112 20150125 0
123509813 12350981 9 20150126 20150407 0
123509813 12350981 11 20141201 20141207 0
123509813 12350981 12 20141208 20141214 0
123509813 12350981 13 20141215 20141221 0
123509813 12350981 14 20141222 20141228 0
123509813 12350981 15 20141229 20150104 0
123509813 12350981 16 20150105 20150111 0
123509813 12350981 17 20141201 20141204 0
123509813 12350981 18 20141205 20150126 0
123509813 12350981 19 20141201 20150407 0
123509813 12350981 20 20141201 20150407 0
123509813 12350981 21 20141201 20150407 0
123509813 12350981 22 20141201 20150407 0
123509813 12350981 23 20141201 20150407 0