Indicates reported medication use during the time period relevant to the study protocol Yes No Unknown Name of the prior/concomitant agent or drug administered Code for the name of prior/concomitant agent or measure Reason for the administration of prior/concomitant agent or measure Dosage of prior/concomitant medication taken per administration Dosage unit of measurement mcg mg g mcL mL oz Other, specify Unknown NA Code that represents dosage unit of measurement Frequency of prior/concomitant medication use BID AD TID HS QID PRN QAM q8h QPM q2h QD q4h OTH q6h UNK NA Type of access route for administration of prior/concomitant medication Buccal Inhaled Intramuscular Intravenous Nasal Oral Rectal By ear Topical Subcutaneous Sublingual Transdermal Unknown Other, specify Medication prior or concomitant start date and time Medication prior or concomitant start date and time Indicates or describes that prior/concomitant medication usage is ongoing Yes No Unknown
Indicates reported medication use during the time period relevant to the study protocol Yes No Unknown Name of the prior/concomitant agent or drug administered Code for the name of prior/concomitant agent or measure Reason for the administration of prior/concomitant agent or measure Dosage of prior/concomitant medication taken per administration Dosage unit of measurement mcg mg g mcL mL oz Other, specify Unknown NA Code that represents dosage unit of measurement Frequency of prior/concomitant medication use BID TID QID QAM QPM QD OTH UNK AD HS PRN q8h q2h q4h q6h NA Type of access route for administration of prior/concomitant medication Buccal Intramuscular Nasal Rectal Topical Sublingual Unknown Inhaled Intravenous Oral By ear Subcutaneous Transdermal Other, specify Medication prior or concomitant start date and time Medication prior or concomitant start date and time Indicates or describes that prior/concomitant medication usage is ongoing Yes No Unknown