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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126852081 | 12685208 | 1 | I | 20160114 | 20160825 | 20160825 | PER | US-DSJP-DSU-2016-102429 | DAIICHI | 0.00 | F | Y | 70.30000 | KG | 20160825 | MD | US | US |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126852081 | 12685208 | 1 | PS | TRIBENZOR | AMLODIPINE BESYLATEHYDROCHLOROTHIAZIDEOLMESARTAN MEDOXOMIL | 1 | 40/5/25 MG, QD | N | 200175 | 1 | DF | FILM-COATED TABLET | QD | ||||||
| 126852081 | 12685208 | 2 | SS | TRIBENZOR | AMLODIPINE BESYLATEHYDROCHLOROTHIAZIDEOLMESARTAN MEDOXOMIL | 1 | 1/2 (40/5/25 MG TABLET), QD | N | 200175 | .5 | DF | FILM-COATED TABLET | QD | ||||||
| 126852081 | 12685208 | 3 | SS | EFFEXOR | VENLAFAXINE HYDROCHLORIDE | 1 | Oral | 150 MG, QD | 0 | 150 | MG | CAPSULE | QD | ||||||
| 126852081 | 12685208 | 4 | C | PLAQUENIL /00072602/ | HYDROXYCHLOROQUINE DIPHOSPHATE | 1 | 200 MG, BID | 0 | 200 | MG | TABLET | BID | |||||||
| 126852081 | 12685208 | 5 | C | ALBUTEROL SULFATE GENERIC INHALER | 2 | 1 DF, QD (IN THE MORNING) | 0 | 1 | DF | INHALER | QD | ||||||||
| 126852081 | 12685208 | 6 | C | LEVOXYL | LEVOTHYROXINE SODIUM | 1 | 75 MG, QD | 0 | 75 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126852081 | 12685208 | 1 | Blood pressure abnormal |
| 126852081 | 12685208 | 3 | Depression |
| 126852081 | 12685208 | 4 | Systemic lupus erythematosus |
| 126852081 | 12685208 | 5 | Asthma |
| 126852081 | 12685208 | 6 | Thyroid disorder |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126852081 | 12685208 | Dizziness | |
| 126852081 | 12685208 | Hypotension | |
| 126852081 | 12685208 | Neck pain | |
| 126852081 | 12685208 | Off label use |
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 |
|---|---|---|---|---|---|---|
| 126852081 | 12685208 | 3 | 201307 | 0 |