|
Yes |
No |
Not known |
|
1. Are there previous conclusive reports on this reaction? |
+1 |
0 |
0 |
+1 |
2. Did adverse event appear after the suspected drug was given? |
+2 |
-1 |
0 |
+2 |
3. Did the adverse reaction improve when the drug was discontinued or a
specific antagonist was given? |
+1 |
0 |
0 |
+1 |
4. Did the adverse reaction appear when the drug was readministered? |
+2 |
-1 |
0 |
+2 |
5. Are there alternative causes that could have caused the reaction? |
-1 |
+2 |
0 |
-1 |
6. Did the reaction reappear when a placebo was given? |
-1 |
+1 |
0 |
0 |
7. Was the drug detected in any body fluid in toxic concentrations? |
+1 |
0 |
0 |
0 |
8. Was the reaction more severe when the dose was increased, or less
severe when the dose was decreased? |
+1 |
0 |
0 |
0 |
9. Did the patient have a similar reaction to the same or similar drugs
in any previous exposure? |
+1 |
0 |
0 |
0 |
10. Was the adverse event confirmed by any objective evidence? |
+1 |
0 |
0 |
+1 |
Total score |
|
|
|
6 |