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Table 1 Naranjo ADR probability scale score for the association of Catharanthus roseus and its intoxication

From: Catharanthus roseus intoxication mimicking acute cholangitis

Question

 

Yes

No

Do Not Know

Score

1. Are there previous conclusive reports on this reaction?

 

+ 1

0

0

+ 1

2. Did the adverse event appear after the suspected drug was administered?

 

+ 2

-1

0

+ 2

3. Did the adverse event improve when the drug was discontinued or a specific antagonist was administered?

 

+ 1

0

0

+ 1

4. Did the adverse event reappear when the drug was readministered?

 

+ 2

-1

0

0

5. Are there alternative causes that could on their own have caused the reaction?

 

-1

+ 2

0

+ 2

6. Did the reaction reappear when a placebo was given?

 

-1

+ 1

0

0

7. Was the drug detected in blood or other fluids in concentrations known 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 in any previous exposure?

 

+ 1

0

0

0

10. Was the adverse event confirmed by any objective evidence?

 

+ 1

0

0

0

  

Total Score: 6

  1. Naranjo Score ≥ 9 = Definite, 5 to 8 = Probable, 1 to 4 = Possible, ≤ 0 = Doubtful
  2. Source: Naranjo CA, Busto U, Sellers EM, Sandor P, Ruiz I, Roberts EA, Janecek E, et al. A method for estimating the probability of adverse drug reactions. Clin Pharacol Ther. 1981;30:239–45