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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126226572 | 12622657 | 2 | F | 20150701 | 20160801 | 20160804 | 20160809 | EXP | PHHY2016ES105192 | SANDOZ | 43.00 | YR | M | Y | 0.00000 | 20160809 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126226572 | 12622657 | 1 | SS | ANAFRANIL | CLOMIPRAMINE HYDROCHLORIDE | 1 | Oral | 1050 MG, QD | 1050 | MG | U | 0 | 1050 | MG | QD | ||||
| 126226572 | 12622657 | 2 | PS | ALLOPURINOL. | ALLOPURINOL | 1 | Oral | 3000 MG, QD | 3000 | MG | 70268 | 3000 | MG | QD | |||||
| 126226572 | 12622657 | 3 | SS | QUETIAPINE. | QUETIAPINE | 1 | Oral | 4000 MG, QD | 4000 | MG | 0 | 4000 | MG | QD | |||||
| 126226572 | 12622657 | 4 | SS | ENALAPRIL | ENALAPRIL | 1 | Oral | 100 MG, QD | 100 | MG | 0 | 100 | MG | QD | |||||
| 126226572 | 12622657 | 5 | SS | GABAPENTIN. | GABAPENTIN | 1 | Oral | 1800 MG, QD | 1800 | MG | 0 | 1800 | MG | QD | |||||
| 126226572 | 12622657 | 6 | SS | RIVOTRIL | CLONAZEPAM | 1 | Oral | 60 MG, QD | 60 | MG | 0 | 60 | MG | QD | |||||
| 126226572 | 12622657 | 7 | C | BUPRENORPHINE. | BUPRENORPHINE | 1 | Transdermal | UNK | U | 0 | |||||||||
| 126226572 | 12622657 | 8 | C | OXYCONTIN | OXYCODONE HYDROCHLORIDE | 1 | Unknown | 20 MG, BID | U | 0 | 20 | MG | BID | ||||||
| 126226572 | 12622657 | 9 | C | ANTABUSE | DISULFIRAM | 1 | Unknown | 200 MG | U | 0 | 200 | MG | BID | ||||||
| 126226572 | 12622657 | 10 | C | FENOFIBRATE. | FENOFIBRATE | 1 | Unknown | 160 MG, QD (AT NIGHT) | U | 0 | 160 | MG | QD | ||||||
| 126226572 | 12622657 | 11 | C | PRAVASTATIN. | PRAVASTATIN | 1 | Unknown | 20 MG, QD | U | 0 | 20 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126226572 | 12622657 | 1 | Product used for unknown indication |
| 126226572 | 12622657 | 2 | Product used for unknown indication |
| 126226572 | 12622657 | 3 | Product used for unknown indication |
| 126226572 | 12622657 | 4 | Product used for unknown indication |
| 126226572 | 12622657 | 5 | Product used for unknown indication |
| 126226572 | 12622657 | 6 | Product used for unknown indication |
| 126226572 | 12622657 | 7 | Product used for unknown indication |
| 126226572 | 12622657 | 8 | Product used for unknown indication |
| 126226572 | 12622657 | 9 | Product used for unknown indication |
| 126226572 | 12622657 | 10 | Product used for unknown indication |
| 126226572 | 12622657 | 11 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126226572 | 12622657 | HO |
| 126226572 | 12622657 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126226572 | 12622657 | Acute kidney injury | |
| 126226572 | 12622657 | Depressed level of consciousness | |
| 126226572 | 12622657 | Intentional overdose | |
| 126226572 | 12622657 | 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 |
|---|---|---|---|---|---|---|
| 126226572 | 12622657 | 1 | 20150630 | 20150630 | 0 | |
| 126226572 | 12622657 | 2 | 20150630 | 20150630 | 0 | |
| 126226572 | 12622657 | 3 | 20150630 | 20150630 | 0 | |
| 126226572 | 12622657 | 4 | 20150630 | 20150630 | 0 | |
| 126226572 | 12622657 | 5 | 20150630 | 20150630 | 0 | |
| 126226572 | 12622657 | 6 | 20150630 | 20150630 | 0 | |
| 126226572 | 12622657 | 7 | 20150630 | 20150630 | 0 |