FDA Adverse Event Other Summary report: N

BREATHE RIGHT NASAL STRIP

MDR report key: 1914505 · Received November 30, 2010

Report

Report Number
3004486989-2010-00002
Event Type
Other
Date Received
November 30, 2010
Report Date
November 30, 2010
Manufacturer
GLAXOSMITHKLINE
Product Code
LWF
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

THIS CASE WAS REPORTED BY A CONSUMER AND DESCRIBED THE OCCURRENCE OF ADDICTION IN A (B)(6) FEMALE PT WHO REC'D BREATHE RIGHT NASAL STRIPS FOR A BREATHING PROBLEM. A PHYSICIAN OR OTHER HEALTH CARE PROFESSIONAL HAS NOT VERIFIED THIS REPORT. ON AN UNK DATE, THE PT STARTED BREATHE RIGHT NASAL STRIPS. AT AN UNK TIME AFTER STARTING BREATHE RIGHT NASAL STRIPS, THE PT EXPERIENCED ADDICTION. THIS CASE WAS ASSESSED AS MEDICALLY SERIOUS BY (B)(4). AT THE TIME OF REPORTING, THE OUTCOME OF THE EVENT WAS UNK. CONSUMER STATED "I AM ADDICTED TO THESE NOSE STRIPS AND IT'S AMAZING HOW MUCH EASIER IT IS FOR ME TO BREATHE." BREATHE RIGHT NASAL STRIPS ARE MANUFACTURED IN (B)(4), AND NEITHER THE PRODUCT NOR LOT NUMBER FOR THIS PRODUCT IS AVAILABLE. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BREATHE RIGHT NASAL STRIP NASAL STRIP LWF GLAXOSMITHKLINE UNK

Patients

Seq Age Sex Outcome Treatment
1 45 YR Other