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Table 1 Naranjo adverse drug reaction probability score

From: A serious adverse drug reaction probably induced by clonazepam: a case report of myotoxicity

No.

Item

Yes

No

Do not know

Score

1

Are there previous conclusive reports of this reaction?

+ 1

0

0

+ 1

2

Did the adverse reaction event appear after the suspected drug was administered?

+ 2

−1

0

+ 2

3

Did the adverse reaction improve when the drug was discontinued or a specific antagonist was administered?

+ 1

0

0

+ 1

4

Did the adverse reaction reappear when the drug was readministered?

+ 2

−1

0

+ 2

5

Are there alternative cause (other than the drug) that could on their own have caused the reaction?

−1

+ 2

0

−1

6

Did the reaction reappear when a placebo was given?

−1

+ 1

0

0

7

Was the drug detected in the blood (or other fluids) in concentrations knows to be toxic?

+ 1

0

0

0

8

Was the reaction more severe when the dose was increased or less severe when the dose was decreased?

+ 1

0

0

0

9

Did the patient have a similar reaction to the same or similar drugs at any previous exposure?

+ 1

0

0

0

10

Was the adverse event confimed by any objective evidence?

+ 1

0

0

+ 1

    

Total

6

  1. Definite:≥9; Probable: 5–8; Possible: 1–4; Doubtful: ≤0