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Table 3 Naranjo scale

From: Cardiac arrest provoked by itraconazole and amiodarone interaction: a case report

Questionnaire question and answer scoring

Answer/score

1. Are there previous conclusive reports on this reaction?

No (0)

Yes (+1); no (0); do not know or not done (0)

 

2. Did the adverse event appear after the suspected drug was given?

Yes (+2)

Yes (+2); no (-1); do not know or not done (0)

 

3. Did the adverse reaction improve when the drug was discontinued or a specific antagonist was given?

Yes (+1)

Yes (+1); no (0); do not know or not done (0)

 

4. Did the adverse reaction appear when the drug was readministered?

Yes (+2)

Yes (+2); no (-2); do not know or not done (0)

 

5. Are there alternative causes that could have caused the reaction?

No (+2)

Yes (-1); no (+2); do not know or not done (0)

 

6. Did the reaction reappear when a placebo was given?

No (+1)

Yes (-1); no (+1); do not know or not done (0)

 

7. Was the drug detected in any body fluid in toxic concentrations?

No (0)

Yes (+1); no (0); do not know or not done (0)

 

8. Was the reaction more severe when the dose was increased, or less severe when the dose was decreased?

Yes (+1)

Yes (+1); no (0); do not know or not done (0)

 

9. Did the patient have a similar reaction to the same or similar drugs in any previous exposure?

No (0)

Yes (+1); no (0); do not know or not done (0)

 

10. Was the adverse event confirmed by any objective evidence?

No (0)

Yes (+1); no (0); do not know or not done (0)

 

Scoring:

 

>9 = definite adverse drug reaction (ADR), 5-8 = probable ADR, 1-4 = possible ADR, 0 = doubtful ADR

9 = definite ADR