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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125035872 | 12503587 | 2 | F | 201606 | 20160708 | 20160628 | 20160712 | EXP | PHJP2016JP016136 | NOVARTIS | 82.00 | YR | M | Y | 0.00000 | 20160712 | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125035872 | 12503587 | 1 | PS | EXELON PATCH | RIVASTIGMINE | 1 | Transdermal | 9 MG (PATCH5, 4.6MG/24H) | Y | 22083 | 9 | MG | TRANS-THERAPEUTIC-SYSTEM | QD | |||||
| 125035872 | 12503587 | 2 | SS | SERMION | NICERGOLINE | 1 | Oral | 2 DF, BID | Y | U | 0 | 2 | DF | TABLET | BID | ||||
| 125035872 | 12503587 | 3 | SS | RISPERDAL | RISPERIDONE | 1 | Unknown | UNK | Y | U | 0 | ||||||||
| 125035872 | 12503587 | 4 | SS | HALCION | TRIAZOLAM | 1 | Oral | 0.15 MG, UNK | Y | U | 0 | .15 | MG | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125035872 | 12503587 | 1 | Dementia Alzheimer's type |
| 125035872 | 12503587 | 2 | Product used for unknown indication |
| 125035872 | 12503587 | 3 | Product used for unknown indication |
| 125035872 | 12503587 | 4 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125035872 | 12503587 | Concomitant disease progression | |
| 125035872 | 12503587 | Decreased appetite |
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 |
|---|---|---|---|---|---|---|
| 125035872 | 12503587 | 1 | 20160610 | 20160615 | 0 |