FDA Adverse Event Other Summary report: N

BREATHE RIGHT MENTHOLATED NASAL STRIPS

MDR report key: 2474226 · Received February 28, 2012

Report

Report Number
3004486989-2012-00002
Event Type
Other
Date Received
February 28, 2012
Report Date
February 27, 2012
Manufacturer
GLAXOSMITHKLINE
Product Code
LWF
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

BREATHE RIGHT MENTHOLATED NASAL STRIPS ARE MFG IN (B)(4), IN THE UNITED STATES, AND NEITHER THE PRODUCT NOR LOT NUMBER FOR THIS PRODUCT IS AVAILABLE. THE EVENTS ASSOCIATED WITH BREATHE RIGHT ADVANCED NASAL STRIPS ARE NONSERIOUS AND A DEVICE REPORT WILL NOT BE SUBMITTED FOR THESE EVENTS. (B)(4).

Description of Event or Problem · 1

THIS CASE WAS REPORTED BY A CONSUMER AND DESCRIBED THE OCCURRENCE OF ASTHMATIC ATTACK IN A (B)(6) FEMALE PT WHO RECEIVED BREATHE RIGHT NASAL STRIPS (BREATHE RIGHT MENTHOLATED NASAL STRIPS) FOR AN UNK DRUG INDICATION. A PHYSICIAN OR OTHER HEALTH CARE PROFESSIONAL HAS NOT VERIFIED THIS REPORT. CO-SUSPECT MEDICATION INCLUDED BREATHE RIGHT NASAL STRIPS ADVANCED. ON AN UNK DATE, THE PT STARTED BREATHE RIGHT NASAL STRIPS (TOPICAL). AT AN UNK TIME AFTER STARTING BREATHE RIGHT NASAL STRIPS, THE PT EXPERIENCED ASTHMATIC ATTACK. THIS CASE WAS ASSESSED AS MEDICALLY SERIOUS BY GSK. TREATMENT WITH BREATHE R MENTHOLATED NASAL STRIPS WAS DISCONTINUED. AT THE TIME OF REPORTING, THE EVENT WAS RESOLVED. WHEN THE PT USED BREATHE RIGHT NASAL STRIPS ADVANCED, SHE EXPERIENCED DEVICE MISUSE BY NOT MOISTENING THE BREATH RIGHT ADVANCED STRIP BEFORE REMOVING IT. WHEN SHE REMOVED THE STRIP, SHE EXPERIENCED SKIN RIPPED OFF AT APPLICATION SITE AND APPLICATION SITE SCAB. TREATMENT WITH BREATHE RIGHT NASAL STRIPS WAS DISCONTINUED. AT THE TIME OF REPORTING, THE EVENTS WERE RESOLVED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 61 YR Other