Form:DrugProjectForm01: Difference between revisions
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Gerald Chi (talk | contribs) mNo edit summary |
Gerald Chi (talk | contribs) mNo edit summary |
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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 enter the '''adverse reactions''' provided in the "Clinical Trials Experience" section: | * Please enter the '''adverse reactions''' provided in the "Clinical Trials Experience" section: | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|clinicalTrials|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|clinicalTrials|input type=textarea|default=There is limited information regarding ''Clinical Trials Experience'' of {{PAGENAME}} in the drug label.}}} | ||
|- | |- | ||
| 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 "Postmarketing Experience" section: | * Please enter the '''adverse reactions''' provided in the "Postmarketing Experience" section: | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|postmarketing|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|postmarketing|input type=textarea|default=There is limited information regarding ''Postmarketing Experience'' of {{PAGENAME}} in the drug label.}}} | ||
|- | |- | ||
| 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 | Drug Interactions | | 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 | Drug Interactions | ||
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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 enter information related to the use of the drug '''during labor and delivery''': | * Please enter information related to the use of the drug '''during labor and delivery''': | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInLaborDelivery|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInLaborDelivery|input type=textarea|default=There is no FDA guidance on the use of {{PAGENAME}} during labor and delivery.}}} | ||
|- | |- | ||
| 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 related to the use of the drug '''during nursing''': | * Please enter information related to the use of the drug '''during nursing''': | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInNursing|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInNursing|input type=textarea|default=There is no FDA guidance on the use of {{PAGENAME}} with respect to nursing mothers.}}} | ||
|- | |- | ||
| 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 related to the use of the drug in '''pediatrics''': | * Please enter information related to the use of the drug in '''pediatrics''': | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInPed|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInPed|input type=textarea|default=There is no FDA guidance on the use of {{PAGENAME}} with respect to pediatric patients.}}} | ||
|- | |- | ||
| 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 related to the use of the drug in '''geriatrics''': | * Please enter information related to the use of the drug in '''geriatrics''': | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInGeri|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInGeri|input type=textarea|default=There is no FDA guidance on the use of {{PAGENAME}} with respect to geriatric patients.}}} | ||
|- | |- | ||
| 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 related to the use of the drug and '''gender''': | * Please enter information related to the use of the drug and '''gender''': | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInGender|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInGender|input type=textarea|default=There is no FDA guidance on the use of {{PAGENAME}} with respect to specific gender populations.}}} | ||
|- | |- | ||
| 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 related to the use of the drug and '''race''': | * Please enter information related to the use of the drug and '''race''': | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInRace|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInRace|input type=textarea|default=There is no FDA guidance on the use of {{PAGENAME}} with respect to specific racial populations.}}} | ||
|- | |- | ||
| 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 related to the use of the drug in patients with '''renal impairment''': | * Please enter information related to the use of the drug in patients with '''renal impairment''': | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInRenalImpair|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInRenalImpair|input type=textarea|default=There is no FDA guidance on the use of {{PAGENAME}} in patients with renal impairment.}}} | ||
|- | |- | ||
| 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 related to the use of the drug in patients with '''hepatic impairment''': | * Please enter information related to the use of the drug in patients with '''hepatic impairment''': | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInHepaticImpair|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInHepaticImpair|input type=textarea|default=There is no FDA guidance on the use of {{PAGENAME}} in patients with hepatic impairment.}}} | ||
|- | |- | ||
| 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 related to the use of the drug in '''females of reproductive potential and males''': | * Please enter information related to the use of the drug in '''females of reproductive potential and males''': | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInReproPotential|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInReproPotential|input type=textarea|default=There is no FDA guidance on the use of {{PAGENAME}} in women of reproductive potentials and males.}}} | ||
|- | |- | ||
| 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 related to the use of the drug in '''immunocompromised patients''': | * Please enter information related to the use of the drug in '''immunocompromised patients''': | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInImmunocomp|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|useInImmunocomp|input type=textarea|default=There is no FDA guidance on the use of {{PAGENAME}} in patients who are immunocompromised.}}} | ||
|- | |- | ||
| 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 | | ||
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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 enter information pertaining to the '''monitoring''' here: | * Please enter information pertaining to the '''monitoring''' here: | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|monitoring|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|monitoring|input type=textarea|default=There is limited information regarding ''Monitoring'' of {{PAGENAME}} in the drug label.}}} | ||
|- | |- | ||
| 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 | ||
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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 enter information related to the '''structure''': | * Please enter information related to the '''structure''': | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|structure|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|structure|input type=textarea|default= | ||
: [[File:{{PAGENAME}}01.png|thumb|none|600px|This image is provided by the National Library of Medicine.]]}}} | |||
|- | |- | ||
| 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 related to the '''pharmacodynamics''': | * Please enter information related to the '''pharmacodynamics''': | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|PD|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|PD|input type=textarea|default=There is limited information regarding ''Pharmacodynamics'' of {{PAGENAME}} in the drug label.}}} | ||
|- | |- | ||
| 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 related to the '''pharmacokinetics''': | * Please enter information related to the '''pharmacokinetics''': | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|PK|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|PK|input type=textarea|default=There is limited information regarding ''Pharmacokinetics'' of {{PAGENAME}} in the drug label.}}} | ||
|- | |- | ||
| 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 related to the '''nonclinical toxicology''': | * Please enter information related to the '''nonclinical toxicology''': | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|nonClinToxic|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|nonClinToxic|input type=textarea|default=There is limited information regarding ''Nonclinical Toxicology'' of {{PAGENAME}} in the drug label.}}} | ||
|- | |- | ||
| 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 | Clinical Studies | | 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 | Clinical Studies | ||
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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 enter information pertaining to the '''clinical studies''' of the drug: | * Please enter information pertaining to the '''clinical studies''' of the drug: | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|clinicalStudies|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|clinicalStudies|input type=textarea|default=There is limited information regarding ''Clinical Studies'' of {{PAGENAME}} in the drug label.}}} | ||
|- | |- | ||
| 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 | How Supplied | | 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 | How Supplied | ||
|- | |- | ||
| 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 '''how the drug is supplied''': | * Please enter information pertaining to '''how the drug is supplied''': | ||
| Line 231: | Line 231: | ||
| 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: | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|fdaPatientInfo|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|fdaPatientInfo|input type=textarea|default=There is limited information regarding ''Patient Counseling Information'' of {{PAGENAME}} in the drug label.}}} | ||
|- | |- | ||
| 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 | Precautions with Alcohol | | 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 | Precautions with Alcohol | ||
| Line 243: | Line 243: | ||
| 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 '''brand names''' here: | * Please enter the '''brand names''' here: | ||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|brandNames|input type=textarea}}} | | style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|brandNames|input type=textarea|default=®}}} | ||
|- | |- | ||
| 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 | Look-Alike Drug Names | | 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 | Look-Alike Drug Names | ||
| Line 249: | Line 250: | ||
| 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 '''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|default=A® — B®}}} | ||
|- | |||
| 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 | Package and Label Display Panel | |||
|- | |||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | | |||
* Please enter the '''Package and Label Display Panel''' here: | |||
| style="width: 1000px; padding: 5px 5px; border: 2px solid #999; border-radius: 5px 5px 5px 5px;" valign=top | {{{field|brandNames|input type=textarea|default= | |||
: [[File:{{PAGENAME}}11.png|thumb|none|600px|This image is provided by the National Library of Medicine.]] | |||
: [[File:{{PAGENAME}}12.png|thumb|none|600px|This image is provided by the National Library of Medicine.]] | |||
: [[File:{{PAGENAME}}13.png|thumb|none|600px|This image is provided by the National Library of Medicine.]]}}} | |||
|- | |||
|}{{{end template}}} | |||
---- | ---- | ||
{{{standard input|save}}} {{{standard input|preview}}} {{{standard input|changes}}} {{{standard input|cancel}}} | {{{standard input|save}}} {{{standard input|preview}}} {{{standard input|changes}}} {{{standard input|cancel}}} | ||
</includeonly> | </includeonly> | ||