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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126895062 | 12689506 | 2 | F | 201212 | 20160823 | 20160826 | 20160829 | EXP | PHHY2016FR117066 | SANDOZ | 39.00 | YR | M | Y | 0.00000 | 20160829 | OT | COUNTRY NOT SPECIFIED | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126895062 | 12689506 | 1 | SS | TEGRETOL | CARBAMAZEPINE | 1 | Oral | 4 DF, QD (200 MG) | U | 0 | 4 | DF | EXTENDED RELEASE TABLET | QD | |||||
| 126895062 | 12689506 | 2 | PS | TRAMADOL. | TRAMADOL | 1 | Oral | UNK, 200 MG, UNTIL 9 DF PER INTAKE | U | 75968 | |||||||||
| 126895062 | 12689506 | 3 | SS | CODOLIPRANE | ACETAMINOPHENCODEINE PHOSPHATE | 1 | Oral | 10 DF, UNK | N | 0 | 10 | DF | |||||||
| 126895062 | 12689506 | 4 | SS | PREGABALINE | PREGABALIN | 1 | Oral | 600 MG, UNK | N | 0 | 600 | MG | |||||||
| 126895062 | 12689506 | 5 | SS | COCAINE | COCAINE | 1 | Unknown | UNK | U | 0 | |||||||||
| 126895062 | 12689506 | 6 | SS | LAMALINE | ACETAMINOPHENCAFFEINEOPIUM | 1 | Oral | UNK, UNTIL 4 DF DAILY | U | 0 | CAPSULE | ||||||||
| 126895062 | 12689506 | 7 | C | BACLOFEN. | BACLOFEN | 1 | Oral | 12 DF, (10MG) | U | 0 | 12 | DF | |||||||
| 126895062 | 12689506 | 8 | C | DEPAKOTE | DIVALPROEX SODIUM | 1 | Unknown | 1 G, QD | U | 0 | 1 | G | QD | ||||||
| 126895062 | 12689506 | 9 | C | LAROXYL | AMITRIPTYLINE | 1 | Unknown | 125 MG, QD | U | 0 | 125 | MG | QD | ||||||
| 126895062 | 12689506 | 10 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126895062 | 12689506 | 1 | Cluster headache |
| 126895062 | 12689506 | 2 | Cluster headache |
| 126895062 | 12689506 | 3 | Product used for unknown indication |
| 126895062 | 12689506 | 4 | Cluster headache |
| 126895062 | 12689506 | 5 | Product used for unknown indication |
| 126895062 | 12689506 | 6 | Product used for unknown indication |
| 126895062 | 12689506 | 7 | Alcoholism |
| 126895062 | 12689506 | 8 | Affective disorder |
| 126895062 | 12689506 | 9 | Product used for unknown indication |
| 126895062 | 12689506 | 10 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126895062 | 12689506 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126895062 | 12689506 | Cluster headache | |
| 126895062 | 12689506 | Drug abuse | |
| 126895062 | 12689506 | Trigeminal neuralgia |
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 |
|---|---|---|---|---|---|---|
| 126895062 | 12689506 | 1 | 2013 | 0 | ||
| 126895062 | 12689506 | 2 | 2013 | 0 | ||
| 126895062 | 12689506 | 3 | 201212 | 2013 | 0 | |
| 126895062 | 12689506 | 4 | 2013 | 0 | ||
| 126895062 | 12689506 | 5 | 201506 | 0 | ||
| 126895062 | 12689506 | 7 | 201209 | 0 | ||
| 126895062 | 12689506 | 8 | 2013 | 0 | ||
| 126895062 | 12689506 | 9 | 2013 | 0 |