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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126904051 | 12690405 | 1 | I | 20160418 | 20160826 | 20160826 | PER | US-FRI-1000084153 | FOREST | 0.00 | F | Y | 0.00000 | 20160826 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126904051 | 12690405 | 1 | PS | LEXAPRO | ESCITALOPRAM OXALATE | 1 | Oral | 10MG | 21323 | 10 | MG | QD | |||||||
| 126904051 | 12690405 | 2 | C | PROTONIX | PANTOPRAZOLE SODIUM | 1 | Oral | 40MG | 0 | 40 | MG | QD | |||||||
| 126904051 | 12690405 | 3 | C | GABAPENTIN. | GABAPENTIN | 1 | Oral | 0 | 600 | MG | |||||||||
| 126904051 | 12690405 | 4 | C | TRAMADOL. | TRAMADOL | 1 | Oral | 150MG | 0 | 50 | MG | TID | |||||||
| 126904051 | 12690405 | 5 | C | OXYCONTIN | OXYCODONE HYDROCHLORIDE | 1 | Oral | 0 | |||||||||||
| 126904051 | 12690405 | 6 | C | XANAX | ALPRAZOLAM | 1 | Oral | 0 | 2 | MG | BID | ||||||||
| 126904051 | 12690405 | 7 | C | TIZANIDINE. | TIZANIDINE | 1 | Oral | 6MG | 0 | 2 | MG | TID | |||||||
| 126904051 | 12690405 | 8 | C | ADIPEX-P | PHENTERMINE HYDROCHLORIDE | 1 | Oral | 0 | 37.5 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126904051 | 12690405 | 1 | Depression |
| 126904051 | 12690405 | 2 | Gastrointestinal disorder |
| 126904051 | 12690405 | 3 | Sleep disorder |
| 126904051 | 12690405 | 4 | Pain |
| 126904051 | 12690405 | 5 | Nephrolithiasis |
| 126904051 | 12690405 | 6 | Muscle relaxant therapy |
| 126904051 | 12690405 | 7 | Muscle relaxant therapy |
| 126904051 | 12690405 | 8 | Central nervous system stimulation |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126904051 | 12690405 | Drug ineffective | |
| 126904051 | 12690405 | Feeling abnormal | |
| 126904051 | 12690405 | Unevaluable event |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |