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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126604811 | 12660481 | 1 | I | 201608 | 20160815 | 20160817 | 20160817 | EXP | PH-EISAI MEDICAL RESEARCH-EC-2016-019503 | EISAI | 69.00 | YR | F | Y | 0.00000 | 20160817 | CN | PH | PH |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126604811 | 12660481 | 1 | PS | ARICEPT | DONEPEZIL HYDROCHLORIDE | 1 | Oral | Y | 20690 | 5 | MG | TABLET | QD | ||||||
| 126604811 | 12660481 | 2 | C | AMLODIPINE | AMLODIPINE BESYLATE | 1 | Oral | UNKNOWN | 0 | UNKNOWN | |||||||||
| 126604811 | 12660481 | 3 | C | ATORVASTATIN | ATORVASTATIN | 1 | Oral | 0 | 40 | MG | UNKNOWN | ||||||||
| 126604811 | 12660481 | 4 | C | CITICHOLINE | 2 | Oral | 0 | 2 | MG | UNKNOWN | |||||||||
| 126604811 | 12660481 | 5 | C | CLOPIDOGREL | CLOPIDOGREL BISULFATE | 1 | Oral | 0 | 75 | MG | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126604811 | 12660481 | 1 | Vascular cognitive impairment |
| 126604811 | 12660481 | 2 | Hypertension |
| 126604811 | 12660481 | 3 | Hyperlipidaemia |
| 126604811 | 12660481 | 4 | Neurological rehabilitation |
| 126604811 | 12660481 | 5 | Cerebrovascular accident prophylaxis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126604811 | 12660481 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126604811 | 12660481 | Dizziness | |
| 126604811 | 12660481 | Hypokalaemia |
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 |
|---|---|---|---|---|---|---|
| 126604811 | 12660481 | 1 | 201608 | 0 |