Concomitant Medication
If Yes, record each medication on a separate line using Trade Names where possible. If the medication is related to a Non-Serious Adverse Event or Serious Adverse Event, details should be expressed using the same terminology.
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Concomitant Medication Record
Trade Name preferred
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Reason for Medication
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Day Month Year
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Concomitant Medicatino Taken Prior to Study
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Day Month Year
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Ongoing Medication
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