FDA Adverse Event Other Summary report: N

BIOTENE DRY MOUTH ORAL RINSE

MDR report key: 2925258 · Received January 17, 2013

Report

Report Number
2022474-2013-00002
Event Type
Other
Date Received
January 17, 2013
Report Date
January 16, 2013
Manufacturer
GLAXOSMITHKLINE
Product Code
LFD
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 INCREASED CELIAC SYMPTOMS UNSPECIFIED IN (B)(6) FEMALE PT WHO USED GLUCOSE OXIDASE + LACTOPEROXIDASE + LYSOZYME (BIOTENE DRY MOUTH ORAL RINSE) FOR UNKNOWN INDICATION. A PHYSICIAN OR OTHER HLTH CARE PROFESSIONAL HAS NOT VERIFIED THIS REPORT. CONCURRENT MEDICAL CONDITIONS INCLUDED CELIAC DISEASE. ON AN UNKNOWN DATE, THE PT BEGAN USING GLUCOSE OXIDASE + LACTOPEROXIDASE + LYSOZYME (UNK). AN UNK TIME LATER, THE PT EXPERIENCED AN INCREASE IN HER CELIAC DISEASE SYMPTOMS. SHE QUESTIONED WHETHER THE PRODUCT WAS GLUTEN-FREE. THIS CASE WAS ASSESSED AS MEDICALLY SERIOUS BY GSK. AT THE TIME OF REPORTING, THE OUTCOME OF THE EVENTS WAS UNK. BIOTENE DRY MOUTH ORAL RINSE IS MFG BY LACLEDE IN (B)(4). NEITHER THE PRODUCT NOR LOT NUMBER WAS AVAILABLE. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
25567 BIOTENE DRY MOUTH ORAL RINSE GLUC OXIDASE + LACTOPEROXIDASE + LYSOZYME LFD GLAXOSMITHKLINE NA UNK

Patients

Seq Age Sex Outcome Treatment
1 71 YR Other