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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127956391 | 12795639 | 1 | I | 20130124 | 20160921 | 20160929 | 20160929 | EXP | IT-SA-2016SA176967 | AVENTIS | 68.00 | YR | A | M | Y | 0.00000 | 20160929 | MD | IT | IT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127956391 | 12795639 | 1 | PS | ZOLPIDEM TARTRATE. | ZOLPIDEM TARTRATE | 1 | Oral | 10 MG TABLET | D | UNKNOWN | 19908 | TABLET | |||||||
| 127956391 | 12795639 | 2 | SS | DELORAZEPAM | DELORAZEPAM | 1 | Oral | 1 MG/ML | D | UNKNOWN | 0 | ORAL DROPS, SOLUTION | |||||||
| 127956391 | 12795639 | 3 | SS | PROZIN | CHLORPROMAZINE HYDROCHLORIDE | 1 | Oral | D | UNKNOWN | 0 | |||||||||
| 127956391 | 12795639 | 4 | SS | AMITRIPTYLINE | AMITRIPTYLINE | 1 | Oral | 25 MG TABLET | D | UNKNOWN | 0 | TABLET | |||||||
| 127956391 | 12795639 | 5 | SS | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | Oral | 60 MG TABLET | D | UNKNOWN | 0 | GASTRO-RESISTANT CAPSULE, HARD | |||||||
| 127956391 | 12795639 | 6 | SS | DAPAROX | PAROXETINE HYDROCHLORIDE | 1 | Oral | 20 MG TABLET | D | UNKNOWN | 0 | TABLET | |||||||
| 127956391 | 12795639 | 7 | C | ANAFRANIL | CLOMIPRAMINE HYDROCHLORIDE | 1 | Oral | 75 MG PROLONGED RELEASE TABLET | 0 | ||||||||||
| 127956391 | 12795639 | 8 | C | LOBIVON | NEBIVOLOL HYDROCHLORIDE | 1 | Oral | 0 | |||||||||||
| 127956391 | 12795639 | 9 | C | SULAMID | AMISULPRIDE | 1 | Oral | 50 MG TABLET | 0 | TABLET | |||||||||
| 127956391 | 12795639 | 10 | C | ZESTORETIC | HYDROCHLOROTHIAZIDELISINOPRIL | 1 | Oral | 20 MG+12.5 MG TABLET | 0 | TABLET |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127956391 | 12795639 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127956391 | 12795639 | Bradycardia | |
| 127956391 | 12795639 | Depressed level of consciousness | |
| 127956391 | 12795639 | Drug abuse | |
| 127956391 | 12795639 | Sopor | |
| 127956391 | 12795639 | Suicide attempt |
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 |
|---|---|---|---|---|---|---|
| 127956391 | 12795639 | 1 | 20130124 | 20130124 | 0 | |
| 127956391 | 12795639 | 2 | 20130124 | 20130124 | 0 | |
| 127956391 | 12795639 | 3 | 20130124 | 20130124 | 0 | |
| 127956391 | 12795639 | 4 | 20130124 | 20130124 | 0 | |
| 127956391 | 12795639 | 5 | 20130124 | 20130124 | 0 | |
| 127956391 | 12795639 | 6 | 20130124 | 20130124 | 0 |