Ajman University Pharmacovigilance and Epideomology Paper
Description
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The total score calculated from this table defines the category as:
Possibly (total score 1-4)
Probably (total Score 5-8)
Definitely (total score > or = 9)
Question
Yes
No
Don
Know
1
Are there previous conclusive reports on this
reaction?
+1
0
0
2
Did the adverse event appear after the suspected drug
was administered?
Did the adverse reaction improve when the drug was
discontinued or a specific antagonist was
administered?
Did the adverse reaction reappear when the drug was
re- administered?
Are there alternative causes (other than the drug) that
could solely have caused the reaction?
Did the reaction reappear when a placebo was given?
Was the drug detected in the blood (or other fluids)
in a concentration known to be toxic?
Was the reaction more severe when the dose was
increased or less severe when the dose was
decreased?
Did the patient have a similar reaction to the same or
similar drugs on previous exposure?
Was the adverse event confirmed by objective
evidence?
+2
-1
0
+1
0
0
+2
-1
0
-1
+2
0
-1
+1
+1
0
0
0
+1
0
0
+1
0
0
+1
0
0
S.No
3
4
5
6
7
8
9
10
Total score: _______________________
Score
obtain
ed
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