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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125378581 | 12537858 | 1 | I | 2010 | 20150625 | 20160707 | 20160707 | EXP | US-DSJP-DSU-2015-120130 | DAIICHI | 54.86 | YR | F | Y | 108.84000 | KG | 20160707 | MD | US | US |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125378581 | 12537858 | 1 | PS | BENICAR HCT | HYDROCHLOROTHIAZIDEOLMESARTAN MEDOXOMIL | 1 | UNK | Y | 21532 | FILM-COATED TABLET | |||||||||
| 125378581 | 12537858 | 2 | SS | BENICAR HCT | HYDROCHLOROTHIAZIDEOLMESARTAN MEDOXOMIL | 1 | 20/12.5 MG, UNK | Y | 21532 | 1 | DF | FILM-COATED TABLET | |||||||
| 125378581 | 12537858 | 3 | C | LORAZEPAM. | LORAZEPAM | 1 | 1 MG, UNK | 0 | 1 | MG | TABLET | ||||||||
| 125378581 | 12537858 | 4 | C | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | 10 MG, UNK | 0 | 10 | MG | TABLET | ||||||||
| 125378581 | 12537858 | 5 | C | KLOR-CON | POTASSIUM CHLORIDE | 1 | 10 MEQ, UNK | 0 | 10 | MEQ | TABLET | ||||||||
| 125378581 | 12537858 | 6 | C | AMOXICILLIN. | AMOXICILLIN | 1 | 500 MG, UNK | 0 | 500 | MG | CAPSULE | ||||||||
| 125378581 | 12537858 | 7 | C | METOPROLOL TARTRATE. | METOPROLOL TARTRATE | 1 | 25 MG, UNK | 0 | 25 | MG | TABLET | ||||||||
| 125378581 | 12537858 | 8 | C | SIMVASTATIN. | SIMVASTATIN | 1 | 20 MG, UNK | 0 | 20 | MG | TABLET | ||||||||
| 125378581 | 12537858 | 9 | C | CLONIDINE. | CLONIDINE | 1 | 0.1 MG, UNK | 0 | .1 | MG | |||||||||
| 125378581 | 12537858 | 10 | C | LOVAZA | OMEGA-3-ACID ETHYL ESTERS | 1 | 1 G, UNK | 0 | 1 | G | CAPSULE | ||||||||
| 125378581 | 12537858 | 11 | C | AMITRIPTYLIN | AMITRIPTYLINE | 1 | 10 MG, UNK | 0 | 10 | MG | TABLET | ||||||||
| 125378581 | 12537858 | 12 | C | FUROSEMIDE. | FUROSEMIDE | 1 | 40 MG, UNK | 0 | 40 | MG | TABLET | ||||||||
| 125378581 | 12537858 | 13 | C | HYOSCYAMINE. | HYOSCYAMINE | 1 | 0.125 MG, UNK | 0 | .125 | MG | TABLET | ||||||||
| 125378581 | 12537858 | 14 | C | PROMETHAZINE | PROMETHAZINEPROMETHAZINE HYDROCHLORIDE | 1 | 25 MG, UNK | 0 | 25 | MG | TABLET | ||||||||
| 125378581 | 12537858 | 15 | C | AMMONIUM LACTATE. | AMMONIUM LACTATE | 1 | 12 %, UNK | 0 | 12 | PCT | |||||||||
| 125378581 | 12537858 | 16 | C | TRAMADOL. | TRAMADOL | 1 | 50 MG, UNK | 0 | 50 | MG | TABLET | ||||||||
| 125378581 | 12537858 | 17 | C | DICYCLOMINE /00068601/ | DICYCLOMINE HYDROCHLORIDE | 1 | 10 MG, UNK | 0 | 10 | MG | TABLET | ||||||||
| 125378581 | 12537858 | 18 | C | ALPRAZOLAM. | ALPRAZOLAM | 1 | 1 MG, UNK | 0 | 1 | MG | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125378581 | 12537858 | 1 | Hypertension |
| 125378581 | 12537858 | 3 | Product used for unknown indication |
| 125378581 | 12537858 | 4 | Product used for unknown indication |
| 125378581 | 12537858 | 5 | Product used for unknown indication |
| 125378581 | 12537858 | 6 | Product used for unknown indication |
| 125378581 | 12537858 | 7 | Product used for unknown indication |
| 125378581 | 12537858 | 8 | Product used for unknown indication |
| 125378581 | 12537858 | 9 | Product used for unknown indication |
| 125378581 | 12537858 | 10 | Product used for unknown indication |
| 125378581 | 12537858 | 11 | Product used for unknown indication |
| 125378581 | 12537858 | 12 | Product used for unknown indication |
| 125378581 | 12537858 | 13 | Product used for unknown indication |
| 125378581 | 12537858 | 14 | Product used for unknown indication |
| 125378581 | 12537858 | 15 | Product used for unknown indication |
| 125378581 | 12537858 | 16 | Product used for unknown indication |
| 125378581 | 12537858 | 17 | Product used for unknown indication |
| 125378581 | 12537858 | 18 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125378581 | 12537858 | OT |
| 125378581 | 12537858 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125378581 | 12537858 | Coeliac disease | |
| 125378581 | 12537858 | Diverticulitis | |
| 125378581 | 12537858 | Helicobacter test positive | |
| 125378581 | 12537858 | Hiatus hernia | |
| 125378581 | 12537858 | Irritable bowel syndrome | |
| 125378581 | 12537858 | Malabsorption | |
| 125378581 | 12537858 | Rectal haemorrhage | |
| 125378581 | 12537858 | Renal failure |
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 |
|---|---|---|---|---|---|---|
| 125378581 | 12537858 | 1 | 2006 | 0 | ||
| 125378581 | 12537858 | 2 | 2010 | 2014 | 0 |