FDA Adverse Event Other Summary report: N

BIOTENE ORALBALANCE GEL

MDR report key: 2222848 · Received August 9, 2011

Report

Report Number
2022474-2011-00003
Event Type
Other
Date Received
August 9, 2011
Report Date
August 8, 2011
Manufacturer
LACLEDE, INC.
Product Code
LFD
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

A0939523A.

Description of Event or Problem · 1

THIS CASE WAS REPORTED BY A CONSUMER (WIFE OF PT) AND DESCRIBED THE OCCURRENCE OF THYROID NEOPLASM IN A MALE PT WHO RECEIVED GLUCOSE OXIDASE+LACTOFERRIN+LACTOPEROXIDASE+LYSOZYME (BIOTENE ORALBALANCE GEL) FOR AN UNK DRUG INDICATION. A PHYSICIAN OR OTHER HEALTH CARE PROFESSIONAL HAS NOT VERIFIED THIS REPORT. CO-SUSPECT MEDICATION INCLUDED GLUCOSE OXIDASE+LACTOFERRIN+LACTOPEROXIDASE+LYSOZYME (BIOTENE MOUTHWASH). ON AN UNK DATE, THE PT STARTED THE FORMULATIONS OF GLUCOSE OXIDASE+LACTOFERRIN+LACTOPEROXIDASE+LYSOZYME. AT AN UNK TIME AFTER STARTING GLUCOSE OXIDASE+LACTOFERRIN+LACTOPEROXIDASE+LYSOZYME, THE PT EXPERIENCED THYROID NEOPLASM. THIS CASE WAS ASSESSED AS MEDICALLY SERIOUS BY GSK. AT THE TIME OF REPORTING, THE EVENT WAS UNRESOLVED. THE REPORTER DID NOT WISH TO PROVIDE CONTACT INFO; THEREFORE, THIS CASE IS LOST TO F/U. BIOTENE IS MANUFACTURED IN (B)(4) IN THE UNITED STATES AND NEITHER THE PRODUCT NOR LOT NUMBER FOR THIS PRODUCT IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BIOTENE ORALBALANCE GEL ORAL GEL LFD LACLEDE, INC. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 Other