Form:DrugProjectForm: Difference between revisions

Jump to navigation Jump to search
← Older editNewer edit →
VisualWikitext
Gerald Chi (talk | contribs)
CMEAdmin, Bureaucrats, bureaucrats, editnews, exportpages, interwiki, nocaptcha, nukepages, smwadministrator, Administrators, Widget editors
17,702 edits
mNo edit summary
Gerald Chi (talk | contribs)
CMEAdmin, Bureaucrats, bureaucrats, editnews, exportpages, interwiki, nocaptcha, nukepages, smwadministrator, Administrators, Widget editors
17,702 edits
mNo edit summary
Line 165: Line 165:


----
----


=Overview Statement=
=Overview Statement=
Line 188: Line 186:
* '''Step 1: Check the "Warnings" section from the FDA label'''<BR>
* '''Step 1: Check the "Warnings" section from the FDA label'''<BR>
* '''Step 2: Select "Yes" from the drop-down menu if there is a Black Box Warning'''</SMALL>
* '''Step 2: Select "Yes" from the drop-down menu if there is a Black Box Warning'''</SMALL>
| valign=top |{{{field|hasBlackBoxWarning|input type=dropdown|values=,Yes}}}
| valign=top | {{{field|hasBlackBoxWarning|input type=dropdown|values=,Yes}}}
|-
|-
| valign=top | Please list the most common adverse reactions associated with the drug:<BR><SMALL>
| valign=top | Please list the most common adverse reactions associated with the drug:<BR><SMALL>
Line 206: Line 204:
|-
|-
| valign=top | Please enter the '''body''' of the Black Box Warning
| valign=top | Please enter the '''body''' of the Black Box Warning
| valign=top |{{{field|blackBoxWarningBody|input type=textarea|editor|size=35|default=''{{fontcolor|#FF0000|Condition Name:}}'' (Content)}}}
| valign=top | {{{field|blackBoxWarningBody|input type=textarea|editor|size=35|default=''{{fontcolor|#FF0000|Condition Name:}}'' (Content)}}}
|}
|}


Line 214: Line 212:


{|
{|
| style="width: 50%;" valign=top | Please enter the FDA-Labeled Indications and Dosing Information for Adults
| style="width: 50%;" valign=top | Please enter the FDA-Labeled Indications and Dosing Information for '''Adults'''<BR><SMALL>
| valign=top |{{{field|fdaLIADAdult|input type=textarea|editor|size=35|default=  
* '''Step 1: Check the "Dosage And Administration" section from the FDA label'''<BR>
====Condition 1====
* '''Step 2: Insert the dosing information for each indication'''</SMALL>
| valign=top | {{{field|fdaLIADAdult|input type=textarea|editor|size=35|default=
'''Condition 1'''


* Dosing Information
* Dosing Information
Line 222: Line 222:
:: (Dosage)}}}
:: (Dosage)}}}
|-
|-
!Please enter any established Off-Label Use and Dosage for Adults
| valign=top | Please enter any established Off-Label Use and Dosage for '''Adults'''
|-
|-
!Guideline-Supported Off-Label Use
| valign=top | Guideline-Supported Off-Label Use
|{{{field|offLabelAdultGuideSupport|input type=textarea|size=35|editor}}}
| valign=top | {{{field|offLabelAdultGuideSupport|input type=textarea|size=35|editor|default=
'''Condition 1'''
 
* Developed by: (Organization)
 
* Class of Recommendation: (Class) (Link)
 
* Strength of Evidence: (Category A/B/C) (Link)
 
* Dosing Information/Recommendation
 
:* (Dosage)}}}
|-
|-
!Non-Guideline-Supported Off-Label Use
| valign=top | Non–Guideline-Supported Off-Label Use
|{{{field|offLabelAdultNoGuideSupport|input type=textarea|size=35|editor}}}
| valign=top | {{{field|offLabelAdultNoGuideSupport|input type=textarea|size=35|editor|default=
'''Condition 1'''
 
* Dosing Information
 
:* There is limited information about ''Off-Label Non–Guideline-Supported Use'' of {{PAGENAME}} in adult patients.}}}
|}
|}




=Pediatric Indications and Dosage=
=Pediatric Indications and Dosage=
{|
{|
!Please enter the FDA-Labeled Indications and Dosage Information for Children
| style="width: 50%;" valign=top | Please enter the FDA-Labeled Indications and Dosage Information for '''Children'''<BR><SMALL>
| {{{field|fdaLIADPed|input type=textarea|size=35|editor}}}
* '''Step 1: Check the "Dosage And Administration" section from the FDA label'''<BR>
* '''Step 2: Insert the dosing information for each indication'''</SMALL>
| valign=top | {{{field|fdaLIADPed|input type=textarea|editor|size=35|default=
'''Condition 1'''
 
* Dosing Information
 
:: (Dosage)}}}
|-
|-
!Please enter any established Off-Label Use and Dosage for Children
| valign=top | Please enter any established Off-Label Use and Dosage for '''Children'''
|-
|-
!Guideline-Supported Off-Label Use
| valign=top | Guideline-Supported Off-Label Use
|{{{field|offLabelPedGuideSupport|input type=textarea|size=35|editor}}}
| valign=top | {{{field|offLabelPedGuideSupport|input type=textarea|size=35|editor|default=
'''Condition 1'''
 
* Developed by: (Organization)
 
* Class of Recommendation: (Class) (Link)
 
* Strength of Evidence: (Category A/B/C) (Link)
 
* Dosing Information/Recommendation
 
:* (Dosage)}}}
|-
|-
!Non-Guideline-Supported Off-Label Use
| valign=top | Non-Guideline-Supported Off-Label Use
|{{{field|offLabelPedNoGuideSupport|input type=textarea|size=35|editor}}}
| valign=top | {{{field|offLabelPedNoGuideSupport|input type=textarea|size=35|editor|default=
'''Condition 1'''
 
* Dosing Information
 
:* There is limited information about ''Off-Label Non–Guideline-Supported Use'' of {{PAGENAME}} in pediatric patients.}}}
|}
|}


=Contraindications=
=Contraindications=
{|
{|
!Please enter the FDA reported contraindications:
| style="width: 50%;" valign=top | Please enter the FDA reported contraindications:<BR><SMALL>
| {{{field|contraindications|input type=textarea|size=35|editor}}}
* '''Step 1: Check the "Contraindications" section from the FDA label'''<BR>
* '''Step 2: Arrange the contents into bullet points'''</SMALL>
| valign=top | {{{field|contraindications|input type=textarea|size=35|editor|default=
* Condition 1
* Condition 2
* Condition 3
* Condition 4
* Condition 5
}}}
|}
|}


=Warnings=
=Warnings=
{|
{|
!Please enter the FDA reported warnings associated with the drug:
| style="width: 50%;" valign=top | Please enter the FDA reported warnings associated with the drug:<BR><SMALL>
| {{{field|warnings|input type=textarea|size=35|editor}}}
* '''Step 1: Check the "Warnings" section from the FDA label'''<BR>
* '''Step 2: Arrange the contents into bullet points'''</SMALL>
| valign=top | {{{field|warnings|input type=textarea|size=35|editor|default=
 
'''Conidition 1'''
 
(Description)
 
 
}}}
|}
|}


=Adverse Reactions=
=Adverse Reactions=
Line 340: Line 407:
|{{{field|overdose|input type=textarea|size=35|editor}}}
|{{{field|overdose|input type=textarea|size=35|editor}}}
|}
|}


=Pharmacology=
=Pharmacology=
Line 443: Line 509:
Pill Shape:
Pill Shape:
{{{field|pillShape|input type=dropdown| values=Round,Oval,Square,Rectangular,Triangular,Capsule,Pentagon,Hexagon,Diamond,Gear,DoubleCircle,Clover,TearDrop,Octagon,SemiCircle,Bullet,Trapezoid,FreeForm}}}
{{{field|pillShape|input type=dropdown| values=Round,Oval,Square,Rectangular,Triangular,Capsule,Pentagon,Hexagon,Diamond,Gear,DoubleCircle,Clover,TearDrop,Octagon,SemiCircle,Bullet,Trapezoid,FreeForm}}}


Pill Size (in mm):
Pill Size (in mm):
Line 451: Line 516:
{{{field|pillScore|input type=dropdown|values=1,2,3,4,5,6,7,8,9,10}}}
{{{field|pillScore|input type=dropdown|values=1,2,3,4,5,6,7,8,9,10}}}
{{{end template}}}
{{{end template}}}


=Add Images of the Package=
=Add Images of the Package=

Revision as of 21:17, 1 May 2014


Retrieved from "https://www.wikidoc.org/index.php?title=Form:DrugProjectForm&oldid=967915"