Form:Drug Project Form: Difference between revisions
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!Please enter any established Off-Label Use and Dosage for Adults | !Please enter any established Off-Label Use and Dosage for Adults | ||
|{{{field|offLabePed|input type=textarea|size=35}}} | |{{{field|offLabePed|input type=textarea|size=35}}} | ||
|} | |||
=Contraindications= | |||
{| | |||
!Please enter the FDA reported contraindications: | |||
| {{{field|contraindications|input type=textarea|size=35}}} | |||
|} | |||
=Warnings= | |||
{| | |||
!Please enter the FDA reported warnings associated with the drug: | |||
| {{{field|warnings|input type=textarea|size=35}}} | |||
|} | |||
=Adverse Reactions= | |||
{| | |||
!Please enter the adverse reactions reported from Clinical Trial Experience | |||
| {{{field|clinicalTrials|input type=text|size=40}}} | |||
|- | |||
!Please enter the adverse reactions reported from Postmarketing Experience | |||
|{{{field|postmarketing|input type=textarea|size=35}}} | |||
=Drug Interactions= | |||
{| | |||
!Please enter the known drug interactions: | |||
| {{{field|drugInteractions|input type=textarea|size=35}}} | |||
|} | |||
=Use in Specific Populations= | |||
{| | |||
!Please enter any information related to the FDA reported pregnancy category | |||
| {{{field|useInPregnancyFDA|input type=text|size=40}}} | |||
|- | |||
!Please enter any information related to the Australian reported pregnancy category | |||
| {{{field|useInPregnancyAUS|input type=text|size=40}}} | |||
|- | |||
!Please enter any information related to the use of the drug during Labor and Delivery | |||
|{{{field|useInLaborDelivery|input type=textarea|size=35}}} | |||
|- | |||
!Please enter any information related to the use of the drug during Nursing | |||
|{{{field|useInNursing|input type=textarea|size=35}}} | |||
|- | |||
!Please enter any information related to the use of the drug in Pediatrics | |||
|{{{field|useInPed|input type=textarea|size=35}}} | |||
|- | |||
!Please enter any information related to the use of the drug in Geriatrics | |||
|{{{field|useInGeri|input type=textarea|size=35}}} | |||
|- | |||
!Please enter any information related to the use of the drug and Gender | |||
|{{{field|useInGender|input type=textarea|size=35}}} | |||
|- | |||
!Please enter any information related to the use of the drug and Race | |||
|{{{field|useInRace|input type=textarea|size=35}}} | |||
|- | |||
!Please enter any information related to the use of the drug in patients with Renal Impairment | |||
|{{{field|useInRenalImpair|input type=textarea|size=35}}} | |||
|- | |||
!Please enter any information related to the use of the drug in patients with Hepatic Impairment | |||
|{{{field|useInHepaticImpair|input type=textarea|size=35}}} | |||
|- | |||
!Please enter any information related to the use of the drug in Females of Reproductive Potential and Males | |||
|{{{field|useInReproPotential|input type=textarea|size=35}}} | |||
|- | |||
!Please enter any information related to the use of the drug in Immunocompromised Patients | |||
|{{{field|useInImmunocomp|input type=textarea|size=35}}} | |||
|} | |} | ||
Revision as of 02:38, 19 March 2014