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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125796081 | 12579608 | 1 | I | 20160607 | 20160706 | 20160721 | 20160721 | EXP | FR-AFSSAPS-LM20160687 | FR-FRI-1000086164 | FOREST | 66.00 | YR | F | Y | 0.00000 | 20160721 | OT | DK | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125796081 | 12579608 | 1 | PS | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | Oral | U | 21323 | ||||||||||
| 125796081 | 12579608 | 2 | SS | STILNOX | ZOLPIDEM TARTRATE | 1 | Unknown | U | 0 | TABLET | |||||||||
| 125796081 | 12579608 | 3 | SS | PROPAFENONE HYDROCHLORIDE. | PROPAFENONE HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 125796081 | 12579608 | 4 | SS | STAGID | METFORMIN PAMOATE | 1 | Oral | U | 0 | TABLET | |||||||||
| 125796081 | 12579608 | 5 | SS | DIAMICRON | GLICLAZIDE | 1 | Oral | U | 0 | MODIFIED-RELEASE TABLET | |||||||||
| 125796081 | 12579608 | 6 | SS | NOCTAMIDE | LORMETAZEPAM | 1 | Oral | 0 | TABLET | ||||||||||
| 125796081 | 12579608 | 7 | SS | LEXOMIL | BROMAZEPAM | 1 | Oral | U | 0 | TABLET | |||||||||
| 125796081 | 12579608 | 8 | C | SPASFON | PHLOROGLUCINOL | 1 | Unknown | 0 | |||||||||||
| 125796081 | 12579608 | 9 | C | DAFALGAN | ACETAMINOPHEN | 1 | Unknown | 0 | |||||||||||
| 125796081 | 12579608 | 10 | C | METEOXANE | AMOBARBITALBELLADONNA LEAFDIMETHICONEERGOTAMINE TARTRATE | 1 | Unknown | 0 | CAPSULE | ||||||||||
| 125796081 | 12579608 | 11 | C | FORTUM | CEFTAZIDIME | 1 | Unknown | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125796081 | 12579608 | 1 | Product used for unknown indication |
| 125796081 | 12579608 | 2 | Product used for unknown indication |
| 125796081 | 12579608 | 3 | Product used for unknown indication |
| 125796081 | 12579608 | 4 | Product used for unknown indication |
| 125796081 | 12579608 | 5 | Product used for unknown indication |
| 125796081 | 12579608 | 6 | Product used for unknown indication |
| 125796081 | 12579608 | 7 | Product used for unknown indication |
| 125796081 | 12579608 | 8 | Product used for unknown indication |
| 125796081 | 12579608 | 9 | Product used for unknown indication |
| 125796081 | 12579608 | 10 | Product used for unknown indication |
| 125796081 | 12579608 | 11 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125796081 | 12579608 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125796081 | 12579608 | Cardiac arrest | |
| 125796081 | 12579608 | Completed suicide | |
| 125796081 | 12579608 | Intentional overdose |
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 |
|---|---|---|---|---|---|---|
| 125796081 | 12579608 | 1 | 20160531 | 0 | ||
| 125796081 | 12579608 | 2 | 20160520 | 0 | ||
| 125796081 | 12579608 | 5 | 20160520 | 0 | ||
| 125796081 | 12579608 | 6 | 20160502 | 20160602 | 0 | |
| 125796081 | 12579608 | 7 | 20160520 | 0 |