CHARACTERISTICS OF A GOOD ADVERSE DRUG REACTION
REPORT
Good case reports include the following
elements:
1. Description of the adverse
events or disease experience, including time to
onset of signs
or symptoms.
2. Suspected and concomitant
product therapy details (i.e., dose, lot number,
schedule, dates, duration), including over-the-counter
edications, dietary supplements, and recently
discontinued medications.
3. Patient characteristics, including
demographic information (e.g., age, race, sex),
baseline
medical condition prior to product therapy, co-morbid
conditions, use of concomitant
medications, relevant family history of disease,
and presence of other risk factors.
4. Documentation of the diagnosis
of the events, including methods used to make
the
diagnosis.
5. Clinical course of the event
and patient outcomes (e.g., hospitalization or
death).
6. Relevant therapeutic measures
and laboratory data at baseline, during therapy,
and subsequent to therapy, including blood levels,
as appropriate.
7. Information about response
to dechallenge and rechallenge.
8. Any other relevant information
(e.g., other details relating to the event or
information on
benefits received by the patient, if important
to the assessment of the event).
SOURCE (FDA)

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