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| {{#forminput:form=Drug Project Form}} | | {{#forminput:form=Drug Project Form|size=60|button text=Create or edit a Drug Page}} |
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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>
| |
| {{{for template|Label template}}} | | {{{for template|Label template}}} |
| {| class="formtable" | | =Overview Statement= |
| ! BlackBoxWarningTitle: | | {{FormHelpGeneral}} |
| | {{{field|drugClass}}} | | {| |
| | ! Please indicate the Class to which the drug belongs: |
| | | {{{field|drugClass|input type=textarea|size=35}}} |
| |- | | |- |
| ! UseInRace: | | ! Please describe which indications the FDA has approved the use of the drug: |
| | {{{field|indication}}} | | | {{{field|indication|input type=textarea|size=35}}} |
| |- | | |- |
| ! MechAction: | | ! Is there a Black Box warning associated with the drug?: |
| | {{{field|blackBoxWarning}}} | | | {{{field|blackBoxWarning|input values=,Yes}}} |
| |- | | |- |
| ! NlmPatientInfo: | | ! Please list the most common adverse reactions associate with the drug: |
| | {{{field|adverseReactions}}} | | | {{{field|adverseReactions|input type=textarea|size=35}}} |
| |} | | |} |
| {{{end template}}} | | {{{end template}}} |
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| |
|
| {{{for template|DrugProjectForm}}}
| | <headertabs/> |
| {| class="formtable"
| | {{{standard input|save}}} {{{standard input|preview}}} {{{standard input|changes}}} {{{standard input|cancel}}}</includeonly> |
| ! BlackBoxWarningTitle:
| |
| | {{{field|blackBoxWarningTitle}}}
| |
| |-
| |
| ! UseInRace:
| |
| | {{{field|blackBoxWarningBody}}}
| |
| |-
| |
| ! MechAction:
| |
| | {{{field|fdaLIADAdult}}}
| |
| |-
| |
| ! NlmPatientInfo:
| |
| | {{{field|offLabelAdult}}}
| |
| |-
| |
| ! DrugShortage:
| |
| | {{{field|fdaLIADPed}}}
| |
| |-
| |
| ! OffLabelPed:
| |
| | {{{field|offLabelPed}}}
| |
| |-
| |
| ! Contraindications:
| |
| | {{{field|contraindications}}}
| |
| |-
| |
| ! Warnings:
| |
| | {{{field|warnings}}}
| |
| |-
| |
| ! AdverseReactions:
| |
| | {{{field|adverseReactions}}}
| |
| |-
| |
| ! ClinicalTrials:
| |
| | {{{field|clinicalTrials}}}
| |
| |-
| |
| ! Postmarketing:
| |
| | {{{field|postmarketing}}}
| |
| |-
| |
| ! DrugInteractions:
| |
| | {{{field|drugInteractions}}}
| |
| |-
| |
| ! UseInPregnancyFDA:
| |
| | {{{field|useInPregnancyFDA}}}
| |
| |-
| |
| ! UseInPregnancyAUS:
| |
| | {{{field|useInPregnancyAUS}}}
| |
| |-
| |
| ! UseInLaborDelivery:
| |
| | {{{field|useInLaborDelivery}}}
| |
| |-
| |
| ! UseInNursing:
| |
| | {{{field|useInNursing}}}
| |
| |-
| |
| ! UseInPed:
| |
| | {{{field|useInPed}}}
| |
| |-
| |
| ! UseInGeri:
| |
| | {{{field|useInGeri}}}
| |
| |-
| |
| ! UseInGender:
| |
| | {{{field|useInGender}}}
| |
| |-
| |
| ! UseInRace:
| |
| | {{{field|useInRace}}}
| |
| |-
| |
| ! UseInRenalImpair:
| |
| | {{{field|useInRenalImpair}}}
| |
| |-
| |
| ! UseInHepaticImpair:
| |
| | {{{field|useInHepaticImpair}}}
| |
| |-
| |
| ! UseInReproPotential:
| |
| | {{{field|useInReproPotential}}}
| |
| |-
| |
| ! UseInImmunocomp:
| |
| | {{{field|useInImmunocomp}}}
| |
| |-
| |
| ! Routes:
| |
| | {{{field|routes}}}
| |
| |-
| |
| ! Preparations:
| |
| | {{{field|preparations}}}
| |
| |-
| |
| ! IVCompat:
| |
| | {{{field|IVCompat}}}
| |
| |-
| |
| ! Overdose:
| |
| | {{{field|overdose}}}
| |
| |-
| |
| ! Mechanism of Action:
| |
| | {{{field|Mechanism of Action}}}
| |
| |-
| |
| ! MechAction:
| |
| | {{{field|mechAction}}}
| |
| |-
| |
| ! Structure:
| |
| | {{{field|structure}}}
| |
| |-
| |
| ! PD:
| |
| | {{{field|PD}}}
| |
| |-
| |
| ! PK:
| |
| | {{{field|PK}}}
| |
| |-
| |
| ! NonClinToxic:
| |
| | {{{field|nonClinToxic}}}
| |
| |-
| |
| ! ClinicalStudies:
| |
| | {{{field|clinicalStudies}}}
| |
| |-
| |
| ! HowSupplied:
| |
| | {{{field|howSupplied}}}
| |
| |-
| |
| ! DrugImages:
| |
| | {{{field|drugImages}}}
| |
| |-
| |
| ! PackLabel:
| |
| | {{{field|packLabel}}}
| |
| |-
| |
| ! FdaPatientInfo:
| |
| | {{{field|fdaPatientInfo}}}
| |
| |-
| |
| ! NlmPatientInfo:
| |
| | {{{field|nlmPatientInfo}}}
| |
| |-
| |
| ! Price:
| |
| | {{{field|price}}}
| |
| |-
| |
| ! DrugShortage:
| |
| | {{{field|drugShortage}}}
| |
| |}
| |
| {{{end template}}}
| |
| | |
| '''Free text:'''
| |
| | |
| {{{standard input|free text|rows=10}}}
| |
| | |
| | |
| {{{standard input|summary}}}
| |
| | |
| {{{standard input|minor edit}}} {{{standard input|watch}}}
| |
| | |
| {{{standard input|save}}} {{{standard input|preview}}} {{{standard input|changes}}} {{{standard input|cancel}}} | |
| </includeonly> | |
This is the "Drug Project Form" form.
To create a page with this form, enter the page name below;
if a page with that name already exists, you will be sent to a form to edit that page.