BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AMERITOX

    MDR report key: 2182325 · Received July 22, 2011

    Report

    Report Number
    MW5021511
    Event Type
    Injury
    Date Received
    July 22, 2011
    Date of Event
    January 1, 2011
    Report Date
    July 22, 2011
    Product Code
    DJG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I WAS A PT WHO WAS USING MY MEDICINE AS PRESCRIBED. I NEVER USED MORE OR LESS. ONE DAY, I WAS TOLD TO TAKE A AMERITOX TEST AND I DID WILLINGLY AND I DID NOT THINK ANYTHING OF IT AS I WAS NOT TAKING ANYTHING NOT PRESCRIBED OR TAKING TOO MUCH. MY FIRST TEST CAME BACK AS TOO LOW AND THE NEXT ONE CAME BACK THAT I WAS TAKING DOUBLE THE AMOUNT, WHICH I WAS NOT. I WAS THEN TAKEN OFF ALL PAIN MEDS AND GIVEN 30 METHADONE TO LAST TILL ALL OFF. I HAD BEEN TAKING 120 OXYCODONE AND 120 METHADONE. I WAS FUNCTIONING WITH MY DISABILITY AND GOING TO SCHOOL AGAIN THEN THIS HAPPENED AND I WAS IN A CAR ACCIDENT AND NOW I AM ONLY GIVEN IBUPROFEN WHEN THE AMOUNT OF PROVEN DAMAGE DONE TO ME FROM THE ACCIDENT IS EXTENSIVE AND I WAS ALREADY IN A GREAT AMOUNT OF PAIN. THE AMERITOX DOES NOT WORK RIGHT. I TOLD THE TRUTH ABOUT WHAT I TOOK AND IT GAVE THE WRONG RESULTS AND BECAUSE OF THAT LITTLE TEST MY LIFE IS DESTROYED. I CAN'T EVEN GET UP AND WALK SOME DAYS. DATES OF USE: (B)(6) 2011.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AMERITOX TEST DJG

    Patients

    Seq Age Sex Outcome Treatment
    1 35 YR Required Intervention