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BARBADOS DRUG SERVICE
ADVERSE DRUG REACTION REPORTING FORM
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Gender
Specific
Patient recovered
Drug withdrawn
Symptomatic
Treatment on going
Dose altered
Nil
Unknown
NO_change
Fatal outcome
Definite improvement
Recurrence of symptoms
Recovered
NO_Improvement
No_recuurence_of_symptoms
Continuing
Unknown_Dechallenge
NO_4
Certain
Unlikely
Probable
Unassessable unclassified
Possible
Conditional unclassified
x

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