Form:DrugProjectForm01: Difference between revisions

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(Created page with "__NOTOC__ <noinclude>{{#forminput:form=DrugProjectForm01|size=50|button text=Create or edit a drug page.}}</noinclude><includeonly>{{{for template|DrugProjectFormSinglePage}}}...")
 
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__NOTOC__
__NOTOC__
<noinclude>{{#forminput:form=DrugProjectForm01|size=50|button text=Create or edit a drug page.}}</noinclude><includeonly>{{{for template|DrugProjectFormSinglePage}}}
<noinclude>{{#forminput:form=DrugProjectForm01|size=50|button text=Create or edit a drug page.}}</noinclude><includeonly>{{{for template|DrugProjectFormSinglePage}}}
{|class="infobox" style="width: 100%; background: #DCDCDC; border-radius: 10px 10px 10px 10px;"
{|class="infobox" style="width: 100%; background: #DCDCDC; border-radius: 10px 10px 10px 10px;"
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Instructions
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Instructions
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| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
* Please read the [[Drug project tutorial|instructions]] and enter your '''author tag''' here:
* Please read the [[Drug project tutorial|instructions]] and enter your '''author tag''' here:
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|authorTag|input type=text}}}
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|authorTag|input type=text}}}
|-
|-
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Overview Statement
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Overview Statement
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| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
* Is this an '''over-the-counter''' medicine?
* Is this an '''over-the-counter''' medicine?
:* Check the Category in the label
:* Check the Category in the label
:* Select "Yes" from the drop-down menu if it is an over-the-counter medicine
:* Select "Yes" from the drop-down menu if it is an over-the-counter medicine
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|OTC|input type=dropdown|values=,Yes}}}
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|OTC|input type=dropdown|values=,Yes}}}
|-
|-
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
* Please enter the '''generic name''' here:
* Please enter the '''generic name''' here:
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|genericName|input type=text}}}
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|genericName|input type=text}}}
|-
|-
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
* Please indicate the '''class''' to which the drug belongs:
* Please indicate the '''class''' to which the drug belongs:
:* Search with the generic name at [http://druginfo.nlm.nih.gov/drugportal/ Drug Information Portal]
:* Search with the generic name at [http://druginfo.nlm.nih.gov/drugportal/ Drug Information Portal]
:* Match the collected categories with [http://dailymed.nlm.nih.gov/dailymed/browseClasses.cfm FDA Established Pharmacologic Classes]
:* Match the collected categories with [http://dailymed.nlm.nih.gov/dailymed/browseClasses.cfm FDA Established Pharmacologic Classes]
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|aOrAn|input type=dropdown|values=a,an}}}<BR>{{{field|drugClass|input type=text}}}
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|aOrAn|input type=dropdown|values=a,an}}}<BR>{{{field|drugClass|input type=text}}}
|-
|-
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
* Please describe the '''indications''' approved by the FDA:
* Please describe the '''indications''' approved by the FDA:
:* Check the "Indications and Usage" section from the label
:* Check the "Indications and Usage" section from the label
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:* Create hyperlinks for indications
:* Create hyperlinks for indications
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|indicationType|input type=dropdown|values=treatment,prophylaxis,diagnosis,procedure}}}<BR>{{{field|indication|input type=textarea|size=40|editor|editor}}}
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|indicationType|input type=dropdown|values=treatment,prophylaxis,diagnosis,procedure}}}<BR>{{{field|indication|input type=textarea|size=40|editor|editor}}}
|-
|-
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
* Is there a '''black box warning''' associated with the drug?
* Is there a '''black box warning''' associated with the drug?
:* Check the "Warnings" section from the label
:* Check the "Warnings" section from the label
:* Select "Yes" from the drop-down menu if there is a black box Warning
:* Select "Yes" from the drop-down menu if there is a black box Warning
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|hasBlackBoxWarning|input type=dropdown|values=,Yes}}}
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|hasBlackBoxWarning|input type=dropdown|values=,Yes}}}
|-
|-
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
* Please list the '''common adverse reactions''' associated with the drug:
* Please list the '''common adverse reactions''' associated with the drug:
:* Collect adverse reactions from the "Highlights of Prescribing Information" section
:* Collect adverse reactions from the "Highlights of Prescribing Information" section
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:* Create hyperlinks for adverse reactions
:* Create hyperlinks for adverse reactions
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|adverseReactions|input type=textarea}}}
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|adverseReactions|input type=textarea}}}
|-
|-
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Black Box Warning
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Black Box Warning
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| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|blackBoxWarningBody|input type=textarea|editor|default=''{{fontcolor|#FF0000|Condition Name:}}''}}}
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|blackBoxWarningBody|input type=textarea|editor|default=''{{fontcolor|#FF0000|Condition Name:}}''}}}
|-
|-
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Adult Indications and Dosage
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Adult Indications and Dosage
|-
|-
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
* Please enter '''FDA-labeled indications and dosing information''' for '''adults''':
* Please enter '''FDA-labeled indications and dosing information''' for '''adults''':
:* Add information from the "Indications and Usage" and "Dosage And Administration" sections
:* Add information from the "Indications and Usage" and "Dosage And Administration" sections
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|fdaLIADAdult|input type=textarea}}}
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|fdaLIADAdult|input type=textarea}}}
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| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Warnings
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Warnings
|-
|-
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
* Please enter the FDA reported '''warnings''' associated with the drug:
* Please enter the FDA reported '''warnings''' associated with the drug:
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|warnings|input type=textarea}}}
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|warnings|input type=textarea}}}
|-
|-
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Adverse Reactions
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Adverse Reactions
|-
|-
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
* Please enter the '''adverse reactions''' provided in the "Clinical Trials Experience" section:
* Please enter the '''adverse reactions''' provided in the "Clinical Trials Experience" section:
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| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Administration and Monitoring
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Administration and Monitoring
|-
|-
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
* Please enter information pertaining to '''routes of administration''' here:
* Please enter information pertaining to '''routes of administration''' here:
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| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Overdose
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Overdose
|-
|-
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
* Please enter information pertaining to the '''drug overdose''' here:
* Please enter information pertaining to the '''drug overdose''' here:
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| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Pharmacology
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Pharmacology
|-
|-
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
* Please enter the '''DrugBox2 template''' here:
* Please enter the '''DrugBox2 template''' here:
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| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Patient Counseling Information
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Patient Counseling Information
|-
|-
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top |
* Please enter the '''Patient Counseling Information''' here:
* Please enter the '''Patient Counseling Information''' here:
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* Please enter '''look-alike names''' that could be confused with the drug:
* Please enter '''look-alike names''' that could be confused with the drug:
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|lookAlike|input type=textarea}}}{{{end template}}}
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|lookAlike|input type=textarea}}}{{{end template}}}
|-
|-
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Add Images of the Package
| style="font-weight: bold; font-size: 150%; padding: 5px 15px; background: #545454; border-radius: 5px 5px 5px 5px; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); box-shadow: 0 1px 1px rgba(0, 0, 0, 0.5); color: #F8F8FF;" colspan=2 | Add Images of the Package

Revision as of 01:23, 31 January 2015