CONCOMITANT MEDICATION
If ‘Yes’, please record all medications below. When appropriate, medical conditions should be recorded on the Adverse Event form, utilising the same terminology. If a medication has had a dosage change it must be recorded with the start and stop date.
text
(Trade name preferred)
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Single dose/unit
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dose frequency
text
Route
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Indication
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day month year
date
00.00-23:59
time
day month year
date
00:00-23:59
time