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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126012911 | 12601291 | 1 | I | 20150701 | 20160726 | 20160728 | 20160728 | EXP | ES-AGEMED-543213440 | ES-ROCHE-1803284 | ROCHE | 0.00 | M | Y | 0.00000 | 20160728 | MD | ES | ES |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126012911 | 12601291 | 1 | PS | RIVOTRIL | CLONAZEPAM | 1 | Oral | Y | 17533 | 60 | MG | TABLET | QD | ||||||
| 126012911 | 12601291 | 2 | SS | ALLOPURINOL. | ALLOPURINOL | 1 | Oral | Y | 0 | 3000 | MG | QD | |||||||
| 126012911 | 12601291 | 3 | SS | ANAFRANIL | CLOMIPRAMINE HYDROCHLORIDE | 1 | Oral | Y | 0 | 1050 | MG | QD | |||||||
| 126012911 | 12601291 | 4 | SS | ENALAPRIL | ENALAPRIL | 1 | Oral | Y | 0 | 100 | MG | QD | |||||||
| 126012911 | 12601291 | 5 | SS | QUETIAPINA | QUETIAPINE | 1 | Oral | Y | 0 | 4000 | MG | QD | |||||||
| 126012911 | 12601291 | 6 | SS | GABAPENTINA | GABAPENTIN | 1 | Oral | Y | 0 | 1800 | MG | QD | |||||||
| 126012911 | 12601291 | 7 | C | BUPRENORFINA | 2 | Transdermal | Y | 0 | |||||||||||
| 126012911 | 12601291 | 8 | C | OXYCONTIN | OXYCODONE HYDROCHLORIDE | 1 | Unknown | 20 MG/12 HOURS | 0 | 20 | MG | ||||||||
| 126012911 | 12601291 | 9 | C | TRANSTEC | BUPRENORPHINE | 1 | Unknown | 35 MCG/ 72 HOURS | 0 | 35 | UG | ||||||||
| 126012911 | 12601291 | 10 | C | ANTABUSE | DISULFIRAM | 1 | Unknown | 1-1-0 | 0 | 25 | MG | ||||||||
| 126012911 | 12601291 | 11 | C | FENOFIBRATE. | FENOFIBRATE | 1 | Unknown | NIGHT | 0 | 160 | MG | ||||||||
| 126012911 | 12601291 | 12 | C | PRAVASTATIN. | PRAVASTATIN | 1 | Unknown | 0 | 20 | MG | QD | ||||||||
| 126012911 | 12601291 | 13 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | Unknown | 0 | 20 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126012911 | 12601291 | 1 | Product used for unknown indication |
| 126012911 | 12601291 | 2 | Product used for unknown indication |
| 126012911 | 12601291 | 3 | Product used for unknown indication |
| 126012911 | 12601291 | 4 | Product used for unknown indication |
| 126012911 | 12601291 | 5 | Product used for unknown indication |
| 126012911 | 12601291 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126012911 | 12601291 | HO |
| 126012911 | 12601291 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126012911 | 12601291 | Acute kidney injury | |
| 126012911 | 12601291 | Depressed level of consciousness | |
| 126012911 | 12601291 | Poisoning deliberate | |
| 126012911 | 12601291 | Respiratory 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 |
|---|---|---|---|---|---|---|
| 126012911 | 12601291 | 1 | 20150630 | 20150630 | 0 | |
| 126012911 | 12601291 | 2 | 20150630 | 20150630 | 0 | |
| 126012911 | 12601291 | 3 | 20150630 | 20150630 | 0 | |
| 126012911 | 12601291 | 4 | 20150630 | 20150630 | 0 | |
| 126012911 | 12601291 | 5 | 20150630 | 20150630 | 0 | |
| 126012911 | 12601291 | 6 | 20150630 | 20150630 | 0 | |
| 126012911 | 12601291 | 7 | 20150630 | 20150630 | 0 |