CILASTATIN SODIUM\IMIPENEM,
FLUOXETINE HYDROCHLORIDE,
ACTISKENAN 5 mg, orodispersible tablet
(+16 more)
Raw JSON (click to expand)
{
"_id": "69d435493b3830196fa51ef6",
"safetyreportid": "25940076",
"authoritynumb": "EU-AFSSAPS-NY2025001541",
"companynumb": null,
"duplicate": 1,
"fulfillexpeditecriteria": 1,
"occurcountry": "EU",
"patient": {
"patientonsetage": 71.0,
"patientonsetageunit": 801,
"patientagegroup": null,
"patientweight": 56.5,
"patientsex": 2,
"reaction": [
{
"reactionmeddraversionpt": "28.1",
"reactionmeddrapt": "Neurotoxicity",
"reactionoutcome": 1
}
],
"drug": [
{
"drugcharacterization": 1,
"medicinalproduct": "CILASTATIN SODIUM\\IMIPENEM",
"drugauthorizationnumb": "050587",
"drugbatchnumb": null,
"drugstructuredosagenumb": 1.0,
"drugstructuredosageunit": "032",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 8.0,
"drugintervaldosagedefinition": 805,
"drugcumulativedosagenumb": null,
"drugcumulativedosageunit": null,
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "042",
"drugindication": "Pneumonia",
"drugstartdateformat": "102",
"drugstartdate": "2024-07-22T00:00:00",
"drugenddateformat": "102",
"drugenddate": "2024-08-18T00:00:00",
"drugtreatmentduration": 27.0,
"drugtreatmentdurationunit": 804,
"drugrecurreadministration": 3,
"drugadditional": 1,
"actiondrug": 1,
"activesubstance": {
"activesubstancename": "CILASTATIN SODIUM\\IMIPENEM"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "FLUOXETINE HYDROCHLORIDE",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 20.0,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 1.0,
"drugintervaldosagedefinition": 804,
"drugcumulativedosagenumb": null,
"drugcumulativedosageunit": null,
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "048",
"drugindication": "Depression",
"drugstartdateformat": null,
"drugstartdate": null,
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "FLUOXETINE HYDROCHLORIDE"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "ACTISKENAN 5 mg, orodispersible tablet",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 5.0,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": null,
"drugintervaldosagedefinition": null,
"drugcumulativedosagenumb": null,
"drugcumulativedosageunit": null,
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "048",
"drugindication": "Pain",
"drugstartdateformat": "102",
"drugstartdate": "2024-07-22T00:00:00",
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": null,
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "CLARITHROMYCIN",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 500.0,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 12.0,
"drugintervaldosagedefinition": 805,
"drugcumulativedosagenumb": null,
"drugcumulativedosageunit": null,
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "048",
"drugindication": "Pneumonia",
"drugstartdateformat": "102",
"drugstartdate": "2024-07-22T00:00:00",
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "CLARITHROMYCIN"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "DEXAMETHASONE",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 40.0,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 1.0,
"drugintervaldosagedefinition": 803,
"drugcumulativedosagenumb": 40.0,
"drugcumulativedosageunit": "003",
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "048",
"drugindication": "Plasma cell myeloma",
"drugstartdateformat": "102",
"drugstartdate": "2024-08-09T00:00:00",
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "DEXAMETHASONE"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "DIFFU-K, capsule",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 3.0,
"drugstructuredosageunit": "032",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 12.0,
"drugintervaldosagedefinition": 805,
"drugcumulativedosagenumb": null,
"drugcumulativedosageunit": null,
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "048",
"drugindication": "Hypokalaemia",
"drugstartdateformat": null,
"drugstartdate": null,
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": null,
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "VALACYCLOVIR HYDROCHLORIDE",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 500.0,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 12.0,
"drugintervaldosagedefinition": 805,
"drugcumulativedosagenumb": null,
"drugcumulativedosageunit": null,
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "048",
"drugindication": "Opportunistic infection prophylaxis",
"drugstartdateformat": "102",
"drugstartdate": "2024-08-13T00:00:00",
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "VALACYCLOVIR HYDROCHLORIDE"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "ACETAMINOPHEN",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 1000.0,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": null,
"drugintervaldosagedefinition": null,
"drugcumulativedosagenumb": null,
"drugcumulativedosageunit": null,
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "048",
"drugindication": "Pain",
"drugstartdateformat": "102",
"drugstartdate": "2024-07-22T00:00:00",
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "ACETAMINOPHEN"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "SKENAN L.P. 10 mg, prolonged release microgranules in capsule",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 10.0,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 12.0,
"drugintervaldosagedefinition": 805,
"drugcumulativedosagenumb": null,
"drugcumulativedosageunit": null,
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "048",
"drugindication": "Pain",
"drugstartdateformat": "102",
"drugstartdate": "2024-07-29T00:00:00",
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": null,
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "AMIKACIN",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 1000.0,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 1.0,
"drugintervaldosagedefinition": 804,
"drugcumulativedosagenumb": 15000.0,
"drugcumulativedosageunit": "003",
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "042",
"drugindication": "Pneumonia",
"drugstartdateformat": "102",
"drugstartdate": "2024-07-22T00:00:00",
"drugenddateformat": "102",
"drugenddate": "2024-08-01T00:00:00",
"drugtreatmentduration": 10.0,
"drugtreatmentdurationunit": 804,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "AMIKACIN"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "AMIKACIN",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 1000.0,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 2.0,
"drugintervaldosagedefinition": 804,
"drugcumulativedosagenumb": 15000.0,
"drugcumulativedosageunit": "003",
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "042",
"drugindication": "Pneumonia",
"drugstartdateformat": "102",
"drugstartdate": "2024-08-01T00:00:00",
"drugenddateformat": "102",
"drugenddate": "2024-08-08T00:00:00",
"drugtreatmentduration": 7.0,
"drugtreatmentdurationunit": 804,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "AMIKACIN"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "AMIKACIN",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 1000.0,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 2.0,
"drugintervaldosagedefinition": 804,
"drugcumulativedosagenumb": 15000.0,
"drugcumulativedosageunit": "003",
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "042",
"drugindication": "Pneumonia",
"drugstartdateformat": "102",
"drugstartdate": "2024-08-19T00:00:00",
"drugenddateformat": "102",
"drugenddate": "2024-08-28T00:00:00",
"drugtreatmentduration": 9.0,
"drugtreatmentdurationunit": 804,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "AMIKACIN"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "DARATUMUMAB",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 1.0,
"drugstructuredosageunit": "032",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 1.0,
"drugintervaldosagedefinition": 803,
"drugcumulativedosagenumb": 1.0,
"drugcumulativedosageunit": "032",
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "042",
"drugindication": "Plasma cell myeloma",
"drugstartdateformat": "102",
"drugstartdate": "2024-08-09T00:00:00",
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "DARATUMUMAB"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "HYDROXYZINE HYDROCHLORIDE",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 25.0,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 1.0,
"drugintervaldosagedefinition": 804,
"drugcumulativedosagenumb": null,
"drugcumulativedosageunit": null,
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "048",
"drugindication": "Insomnia",
"drugstartdateformat": null,
"drugstartdate": null,
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "HYDROXYZINE HYDROCHLORIDE"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "IPRATROPIUM BROMIDE",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 0.5,
"drugstructuredosageunit": "032",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": null,
"drugintervaldosagedefinition": null,
"drugcumulativedosagenumb": null,
"drugcumulativedosageunit": null,
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": null,
"drugindication": "Chronic obstructive pulmonary disease",
"drugstartdateformat": null,
"drugstartdate": null,
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "IPRATROPIUM BROMIDE"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "RAMIPRIL",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 2.5,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 1.0,
"drugintervaldosagedefinition": 804,
"drugcumulativedosagenumb": null,
"drugcumulativedosageunit": null,
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "048",
"drugindication": "Hypertension",
"drugstartdateformat": null,
"drugstartdate": null,
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "RAMIPRIL"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "TIGECYCLINE",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 25.0,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 12.0,
"drugintervaldosagedefinition": 805,
"drugcumulativedosagenumb": null,
"drugcumulativedosageunit": null,
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": "042",
"drugindication": "Pneumonia",
"drugstartdateformat": "102",
"drugstartdate": "2024-07-22T00:00:00",
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "TIGECYCLINE"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "TERBUTALINE SULFATE",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 5.0,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": null,
"drugintervaldosagedefinition": null,
"drugcumulativedosagenumb": null,
"drugcumulativedosageunit": null,
"drugdosagetext": null,
"drugdosageform": null,
"drugadministrationroute": null,
"drugindication": "Chronic obstructive pulmonary disease",
"drugstartdateformat": null,
"drugstartdate": null,
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "TERBUTALINE SULFATE"
},
"drugrecurrence": []
},
{
"drugcharacterization": 2,
"medicinalproduct": "LENALIDOMIDE",
"drugauthorizationnumb": null,
"drugbatchnumb": null,
"drugstructuredosagenumb": 25.0,
"drugstructuredosageunit": "003",
"drugseparatedosagenumb": 1.0,
"drugintervaldosageunitnumb": 1.0,
"drugintervaldosagedefinition": 804,
"drugcumulativedosagenumb": 75.0,
"drugcumulativedosageunit": "003",
"drugdosagetext": "21DAYS/30",
"drugdosageform": null,
"drugadministrationroute": "048",
"drugindication": "Plasma cell myeloma",
"drugstartdateformat": "102",
"drugstartdate": "2024-08-09T00:00:00",
"drugenddateformat": null,
"drugenddate": null,
"drugtreatmentduration": null,
"drugtreatmentdurationunit": null,
"drugrecurreadministration": null,
"drugadditional": 4,
"actiondrug": 6,
"activesubstance": {
"activesubstancename": "LENALIDOMIDE"
},
"drugrecurrence": []
}
],
"summary_narrativeincludeclinical": "CASE EVENT DATE: 20240811"
},
"primarysource": {
"reportercountry": "EU",
"qualification": 1,
"literaturereference": null
},
"primarysourcecountry": "EU",
"quarter": "2025Q4",
"receiptdate": "2025-10-20T00:00:00",
"receiptdateformat": "102",
"receivedate": "2025-10-20T00:00:00",
"receivedateformat": "102",
"receiver": {
"receivertype": 6,
"receiverorganization": "FDA"
},
"reportduplicate": [
{
"duplicatesource": "Related Case Identifier",
"duplicatenumb": "EU-AFSSAPS-NY2025001542"
}
],
"reporttype": 1,
"safetyreportversion": 1,
"sender": {
"sendertype": 6,
"senderorganization": "MERCK SHARP & DOHME LLC"
},
"serious": 1,
"seriousnesscongenitalanomali": 2,
"seriousnessdeath": 2,
"seriousnessdisabling": 2,
"seriousnesshospitalization": 1,
"seriousnesslifethreatening": 2,
"seriousnessother": 2,
"source_file": "1_ADR25Q4.xml",
"transmissiondate": "2026-01-17T00:00:00",
"transmissiondateformat": "102"
}