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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127653941 | 12765394 | 1 | I | 20130424 | 20160921 | 20160921 | EXP | PL-SUN PHARMACEUTICAL INDUSTRIES LTD-2013R1-68625 | RANBAXY | 49.00 | YR | M | Y | 0.00000 | 20160921 | MD | PL | PL |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127653941 | 12765394 | 1 | PS | Doxepin | DOXEPIN | 1 | Oral | UNK | U | 0 | TABLET | ||||||||
| 127653941 | 12765394 | 2 | SS | Doxepin | DOXEPIN | 1 | Oral | UNK | U | 0 | TABLET | ||||||||
| 127653941 | 12765394 | 3 | SS | Lorafen | LORAZEPAM | 1 | Unknown | UNK | U | 0 | TABLET | ||||||||
| 127653941 | 12765394 | 4 | SS | Luminal | PHENOBARBITAL SODIUM | 1 | Unknown | UNK | U | 0 | TABLET | ||||||||
| 127653941 | 12765394 | 5 | SS | VALIUM | DIAZEPAM | 1 | Unknown | UNK | U | 0 | |||||||||
| 127653941 | 12765394 | 6 | C | Tramal | TRAMADOL | 1 | Unknown | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127653941 | 12765394 | 1 | Product used for unknown indication |
| 127653941 | 12765394 | 2 | Product used for unknown indication |
| 127653941 | 12765394 | 3 | Insomnia |
| 127653941 | 12765394 | 4 | Product used for unknown indication |
| 127653941 | 12765394 | 5 | Product used for unknown indication |
| 127653941 | 12765394 | 6 | Spinal pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127653941 | 12765394 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127653941 | 12765394 | Coma | |
| 127653941 | 12765394 | Intentional overdose | |
| 127653941 | 12765394 | Pupils unequal | |
| 127653941 | 12765394 | Suicidal ideation |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |