D was born on 7.10.03 the fourth child of his mother and the third child of her relationship with his father, the couple were separated at the time of D’s death. Their relationship was characterised by domestic violence with several of those incidents being referred to the Police and Social Services. At the time of D’s birth his father was bailed with a condition not to approach his mother, h
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RE: RxISK Report for Your Patient
The attached RxISK Report highlights symptoms reported by your patient as possible drug side effects on RxISK.org —
a global prescription drug safety website that provides individual causality assessments.
The purpose of this report is to support the clinical consultation between you and your patient.
You can access and add to the report, as well as view aggregate data, patterns, and narratives from patients and healthcare
professionals who have reported and managed similar problems with the suspect drug.
Your voice is very important in this — the observations of health care professionals on links between treatment and
adverse drug events have been shown to be correct in more than 80% of cases where previously unknown drug side
effects have first been described.
Please go to: rxisk.org/share/WPqD2Eemyi (case sensitive).
You will be asked to answer three questions (once you create your RxISK profile, a one-time exercise that takes two
1. How likely do you think it is that there is a link between the side effect(s) your patient reported and the suspect drug?
2. Have the side effect(s) your patient described been assigned the correct diagnostic code?
3. Do you have any other comments on questions we've asked — or questions we should have asked?
Thank you for helping to make medicines safer for all of us.
RxISK Report for: JRSmith (34 years)
Generated: 27 October 2013
Unique share code: WPqD2Eemyi
RxISK Score: 0
More information required
Likely link between medicine and side effect – take this report to your doctor/pharmacist Strong possibility of a link between medication and side effect
What other medication(s) is the patient taking?
Mercilon (Desogestrel-Ethinyl Estradiol)
Thyroxine Sodium Pentahydrate (Levothyroxine)
Headache - daily headache which is constant. I wake with it in the morning every morning and it doesnt go away at any
time. Nothing much makes it worse or better except exerciuse which makes it worse. This is unlike me - I dont get
headaches usually. I was worried I had a brain tumour. or was going to have a strole because of my contraceptive pill.
Patient's RxISK score calculation
Did the problem start after you started the drug?Did the problem start or get worse after a dose increase?Did the problem improve when you lowered the dose?Did the problem improve when you stopped the drug?Did the side effect clear up with another treatment?Did the side effect reappear/get worse if you restarted the drug?Have you ever experienced this side effect before on a similar or different drug?Have you ever experienced this side effect when not on a drug (if the experiencewas different in any way answer no)?Could anything else be causing this side effect?Are you a poor metabolizer of drugs, need lower doses, or have a history ofsensitivity to drugs?Could you have taken too high a dose?If a doctor or a pharmacist has reviewed this problem, do they see a linkbetween the side effect and Seretide?Is this side effect a rare condition in people not on a drug?Are there previous reports of this side effect in the FDA or RxISK database, orin (we have answered yes if we found reports in the FDA or RxISK databases)?
To be completed online by doctor on RxISK.org
1. How likely do you think it is that there is a link between Headache and Seretide (Fluticasone-Salmeterol) for thispatient? __ Very likely__ Somewhat likely__ Unlikely: __ I think it is more likely linked to the patient's original condition__ I think it is more likely linked to this drug:__ I think it is more likely caused by:__ I think it is unlikely 2. Have the side effect(s) the patient describes below been assigned the correct diagnostic code? Headache - daily headache which is constant. I wake with it in the morning every morning and itdoesnt go away at any time. Nothing much makes it worse or better except exerciuse which makesit worse. This is unlike me - I dont get headaches usually. I was worried I had a brain tumour. or wasgoing to have a strole because of my contraceptive pill.
Diagnostic code: Headache__ I agree __ I disagree 3. Any other comments on questions we've asked — or questions we should have asked?
Combined Consent and Health Form - 2013 Your signature at the end indicates your consent and acceptance of the provisions included in this document. Name _____________________________________________________________________________ Parish/School _____________________________________City & Province___________________ Age _____________ Gender ________ Home Phone ( ) ___________________