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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125693762 | 12569376 | 2 | F | 20160809 | 20160719 | 20160817 | EXP | PHHY2016NL094913 | SANDOZ | 63.00 | YR | F | Y | 0.00000 | 20160817 | OT | NL | NL |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125693762 | 12569376 | 1 | PS | CLINDAMYCIN | CLINDAMYCINCLINDAMYCIN PHOSPHATE | 1 | 300 MG, FOUR TIMES DAILY | Y | 201692 | 300 | MG | ||||||||
| 125693762 | 12569376 | 2 | SS | AMOXICILLIN + CLAVULANATE POTASSIUM | AMOXICILLINCLAVULANATE POTASSIUM | 1 | Unknown | 500/125 MG, QID | Y | 0 | QID | ||||||||
| 125693762 | 12569376 | 3 | SS | AMOXICILLIN + CLAVULANATE POTASSIUM | AMOXICILLINCLAVULANATE POTASSIUM | 1 | Intravenous (not otherwise specified) | 1,000/200 MG | Y | 0 | QID | ||||||||
| 125693762 | 12569376 | 4 | SS | CLONIDINE HYDROCHLORIDE. | CLONIDINE HYDROCHLORIDE | 1 | Oral | 0.15 MG, TID | Y | 0 | .15 | MG | TID | ||||||
| 125693762 | 12569376 | 5 | SS | AMITRIPTYLINE | AMITRIPTYLINE | 1 | Unknown | 25 MG, UNK | 0 | 25 | MG | ||||||||
| 125693762 | 12569376 | 6 | SS | AMITRIPTYLINE | AMITRIPTYLINE | 1 | 10 MG, UNK | 0 | 10 | MG | |||||||||
| 125693762 | 12569376 | 7 | SS | AMITRIPTYLINE | AMITRIPTYLINE | 1 | Unknown | 10 MG, QD | 0 | 10 | MG | QD | |||||||
| 125693762 | 12569376 | 8 | SS | AMITRIPTYLINE | AMITRIPTYLINE | 1 | 30 MG, QD | 0 | 30 | MG | QD | ||||||||
| 125693762 | 12569376 | 9 | SS | DIAZEPAM. | DIAZEPAM | 1 | Unknown | 5 MG, TID | Y | 0 | 5 | MG | TID | ||||||
| 125693762 | 12569376 | 10 | SS | MORPHINE | MORPHINE | 1 | Intrathecal | 3.5 MG, UNK | Y | 0 | 3.5 | MG | |||||||
| 125693762 | 12569376 | 11 | SS | MORPHINE | MORPHINE | 1 | 5 UNK, UNK | Y | 0 | 5 | MG | ||||||||
| 125693762 | 12569376 | 12 | SS | DUROGESIC | FENTANYL | 1 | Transdermal | 100 UG, UNK | Y | 0 | 100 | UG | |||||||
| 125693762 | 12569376 | 13 | SS | OXYCONTIN | OXYCODONE HYDROCHLORIDE | 1 | Oral | 20 MG, QID | Y | 0 | 20 | MG | QID | ||||||
| 125693762 | 12569376 | 14 | C | PROPOFOL. | PROPOFOL | 1 | Unknown | 0 | |||||||||||
| 125693762 | 12569376 | 15 | C | SUFENTANIL | SUFENTANIL | 1 | Endocervical | 0 | |||||||||||
| 125693762 | 12569376 | 16 | C | ROCURONIUM | ROCURONIUM BROMIDE | 1 | Unknown | 0 | |||||||||||
| 125693762 | 12569376 | 17 | C | SEVOFLURANE. | SEVOFLURANE | 1 | Unknown | 0 | |||||||||||
| 125693762 | 12569376 | 18 | C | METHADONE | METHADONE HYDROCHLORIDE | 1 | Unknown | 5 MG, BID | U | 0 | 5 | MG | BID | ||||||
| 125693762 | 12569376 | 19 | C | GABAPENTIN. | GABAPENTIN | 1 | Unknown | 300 MG, TID | U | 0 | 300 | MG | TID | ||||||
| 125693762 | 12569376 | 20 | C | BACLOFEN. | BACLOFEN | 1 | Unknown | 5 MG, TID | U | 0 | 5 | MG | TID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125693762 | 12569376 | 1 | Amputation stump pain |
| 125693762 | 12569376 | 2 | Amputation stump pain |
| 125693762 | 12569376 | 4 | Pain |
| 125693762 | 12569376 | 5 | Amputation stump pain |
| 125693762 | 12569376 | 9 | Muscle spasms |
| 125693762 | 12569376 | 10 | Amputation stump pain |
| 125693762 | 12569376 | 12 | Pain |
| 125693762 | 12569376 | 13 | Pain |
| 125693762 | 12569376 | 14 | Anaesthesia |
| 125693762 | 12569376 | 15 | Anaesthesia |
| 125693762 | 12569376 | 16 | Anaesthesia |
| 125693762 | 12569376 | 17 | Anaesthesia |
| 125693762 | 12569376 | 18 | Product used for unknown indication |
| 125693762 | 12569376 | 19 | Product used for unknown indication |
| 125693762 | 12569376 | 20 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125693762 | 12569376 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125693762 | 12569376 | Hemiparesis | |
| 125693762 | 12569376 | Posterior reversible encephalopathy syndrome |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |