Concomitant Medication
If ’YES’, please record all medications used below. Where appropriate, medical conditions should be recorded on the Adverse Events Form, utilizing the same terminology. If a medication has had a dosage change it must be recorded with the start and stop date.
boolean
Concomitant Medication
(Trade Name Preferred)
text
(eg.500mg)
text
(e.g.BID,PRN)
text
Concomitant Medication Route
text
Concomitant Medication Indication
text
Concomitant Medication Start Date/Time
datetime
Concomitant Medication End Date/Time
datetime
Concomitant Medication continuing at end of Study?
boolean