FDA Adverse Event Other Summary report: N

BREATHE RIGHT NASAL STRIPS

MDR report key: 3772103 · Received April 8, 2014

Report

Report Number
2320643-2014-00003
Event Type
Other
Date Received
April 8, 2014
Report Date
April 7, 2014
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 ALLERGIC REACTION IN A MALE PT WHO REC'D BREATHE RIGHT NASAL STRIPS STRIP FOR AN UNK DRUG INDICATION. A PHYSICIAN OR OTHER HEALTH CARE PROFESSIONAL HAS NOT VERIFIED THIS REPORT. 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 ALLERGIC REACTION, NASAL ERYTHEMA, SWOLLEN NOSE AND NASAL PAIN. SHE SAID HE DEVELOPED A NOSE INFECTION. AT THE TIME OF REPORTING, THE OUTCOME OF THE EVENTS WAS UNK. AE REPORTED VIA VOICE MAIL: RPTR STATED THAT HER HUSBAND HAD AN ADVERSE REACTION TO THE NOSE STRIPS. SHE STATED THAT SHE DID NOT KNOWN THEY WERE MADE OF LATEX. AE F/U REC'D 31 MARCH 2014 WHICH UPGRADED THE CASE TO SERIOUS: ADD'L ADVERSE EVENTS OF REDNESS AT APPLICATION SITE, SWELLING AT APPLICATION SITE, PAIN AT APPLICATION SITE, NOSE INFECTION AND ALLERGIC REACTION WERE REPORTED. RPTR STATED THAT HER HUSBAND USED BREATHE RIGHT CLEAR SMALL/MEDIUM SIZE AND EXPERIENCED THE EVENTS REPORTED. SHE STATED THAT HE SAW HIS DR ABOUT THE EVENTS AND WAS PRESCRIBED AN UNK ANTIBIOTIC FOR THE NOSE INFECTION. THIS CASE WAS ASSESSED AS MEDICALLY SERIOUS BY GSK. SE IS NOT CERTAIN IF THE NOSE INFECTION IS RELATED TO HIS USE OF BREATHE RIGHT. SHE PROVIDED MEDICAL HISTORY THAT HER HUSBAND IS ALLERGIC TO LATEX. HIS AGE IS REPORTED TO BE (B)(6). BREATHE RIGHT IS MANUFACTURED IN (B)(4) IN THE UNITED STATES, AND NEITHER THE PRODUCT NOR THE LOT NUMBER FOR THIS PRODUCT IS AVAILABLE. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
212173 BREATHE RIGHT NASAL STRIPS BREATHE RIGHT NASAL STRIPS LWF GLAXOSMITHKLINE NA UNK

Patients

Seq Age Sex Outcome Treatment
1 65 YR Other GARLIC| ZINC| LUTEIN