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| <noinclude> | | <noinclude> |
| This is the "Drug Project Form" form.
| | {{#forminput:form=Drug_Project_Form|size=60|button text=Create or edit a Drug Page.}} |
| To create a page with this form, enter the page name below;
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| if a page with that name already exists, you will be sent to a form to edit that page.
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| {{#forminput:form=Drug Project Form}} | |
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| </noinclude><includeonly> | | </noinclude><includeonly> |
| <div id="wikiPreview" style="display: none; padding-bottom: 25px; margin-bottom: 25px; border-bottom: 1px solid #AAAAAA;"></div>
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| {{{for template|Label template}}}
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| {| class="formtable"
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| |}
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| {{{end template}}}
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|
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| =Black Box Warning=
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| <nowiki>
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| __NOTOC__
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| {{CMG}}
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| </nowiki>
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| {{{section|Black Box Warning|level=1|autogrow}}}
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|
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| ==Adult Indications and Dosage==
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| {{{section|Adult Indications and Dosage|level=2}}}
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|
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| =FDA-Labeled Indications and Dosage (Adult)=
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| {{{section|FDA-Labeled Indications and Dosage (Adult)|level=1}}}
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|
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| ==Off-Label Use and Dosage (Adult)==
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| {{{section|Off-Label Use and Dosage (Adult)|level=2}}}
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|
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| =Pediatric Indications and Dosage=
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| {{{section|Pediatric Indications and Dosage|level=1}}}
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|
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| ==FDA-Labeled Indications and Dosage (Pediatric)==
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| {{{section|FDA-Labeled Indications and Dosage (Pediatric)|level=2}}}
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|
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| ==Off-Label Use and Dosage (Pediatric)==
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| {{{section|Off-Label Use and Dosage (Pediatric)|level=2}}}
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|
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| =Contraindications=
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| {{{section|Contraindications|level=1}}}
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|
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| =Warnings=
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| {{{section|Warnings|level=1}}}
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|
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| =Adverse Reactions=
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| {{{section|Adverse Reactions|level=1}}}
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|
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| ==Clinical Trials Experience==
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| {{{section|Clinical Trials Experience|level=2}}}
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|
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| ==Postmarketing Experience==
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| {{{section|Postmarketing Experience|level=2}}}
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|
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| =Drug Interactions=
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| {{{section|Drug Interactions|level=1}}}
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|
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| =Use in Specific Populations=
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| {{{section|Use in Specific Populations|level=1}}}
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|
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| ==Pregnancy==
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| {{{section|Pregnancy|level=2}}}
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|
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| ==Labor and Delivery==
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| {{{section|Labor and Delivery|level=2}}}
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|
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| ==Nursing Mothers==
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| {{{section|Nursing Mothers|level=2}}}
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|
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| ==Pediatric Use==
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| {{{section|Pediatric Use|level=2}}}
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|
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| ==Geriatric Use==
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| {{{section|Geriatric Use|level=2}}}
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|
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| ==Gender==
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| {{{section|Gender|level=2}}}
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|
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| ==Race==
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| {{{section|Race|level=2}}}
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|
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| ==Renal Impairment==
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| {{{section|Renal Impairment|level=2}}}
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|
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| ==Hepatic Impairment==
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| {{{section|Hepatic Impairment|level=2}}}
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|
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| ==Females of Reproductive Potential and Males==
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| {{{section|Females of Reproductive Potential and Males|level=2}}}
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|
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| ==Immunocompromised Patients==
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| {{{section|Immunocompromised Patients|level=2}}}
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|
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| =Routes and Preparations=
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| {{{section|Routes and Preparations|level=1}}}
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|
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| ==Routes==
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| {{{section|Routes|level=2}}}
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|
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| ==Preparations==
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| {{{section|Preparations|level=2}}}
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|
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| =IV Compatibility=
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| {{{section|IV Compatibility|level=1}}}
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|
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| =Overdosage=
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| {{{section|Overdosage|level=1}}}
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|
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| =Pharmacology=
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| {{{section|Pharmacology|level=1}}}
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|
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| ==Mechanism of Action==
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| {{{section|Mechanism of Action|level=2}}}
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|
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| ==Structure==
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| {{{section|Structure|level=2}}}
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|
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| ==Pharmacodynamics==
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| {{{section|Pharmacodynamics|level=2}}}
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|
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| ==Pharmacokinetics==
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| {{{section|Pharmacokinetics|level=2}}}
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|
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| ==Nonclinical Toxicology==
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| {{{section|Nonclinical Toxicology|level=2}}}
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|
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| =Clinical Studies=
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| {{{section|Clinical Studies|level=1}}}
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|
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| =How Supplied=
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| {{{section|How Supplied|level=1}}}
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|
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| | =Instructions= |
| | Instructions for how to use this from will go here. |
| | {{{for template|DrugProjectFormSinglePage}}} |
| =Images= | | =Images= |
| {{{section|Images|level=1}}} | | {| |
| | | !Please enter information pertaining to the Drug Images here |
| ==Drug Images==
| | |{{{field|drugImages|input type=textarea|size=35}}} |
| {{{section|Drug Images|level=2}}}
| | |- |
| | | !Please enter information pertaining to the FDA Package Label here |
| ==Package and Label Display Panel==
| | |{{{field|packLabel|input type=textarea|size=35}}} |
| {{{section|Package and Label Display Panel|level=2}}} | | |} |
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| =Patient Information=
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| {{{section|Patient Information|level=1}}}
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| ==Patient Information from FDA== | |
| {{{section|Patient Information from FDA|level=2}}}
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| ==Patient Information from NLM==
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| {{{section|Patient Information from NLM|level=2}}}
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| =Look-Alike Drug Names=
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| {{{section|Look-Alike Drug Names|level=1}}}
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| =Price=
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| {{{section|Price|level=1}}}
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| =Drug Shortage=
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| {{{section|Drug Shortage|level=1}}} | |
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| '''Free text:'''
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| {{{standard input|free text|rows=10}}}
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| {{{standard input|summary}}}
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| {{{standard input|minor edit}}} {{{standard input|watch}}}
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| | {{{end template}}} |
| | <headertabs/> |
| {{{standard input|save}}} {{{standard input|preview}}} {{{standard input|changes}}} {{{standard input|cancel}}} | | {{{standard input|save}}} {{{standard input|preview}}} {{{standard input|changes}}} {{{standard input|cancel}}} |
| </includeonly> | | </includeonly> |